新生儿黄疸是一种常见的疾病,其特征是皮肤变黄,结膜,和巩膜引起的升高的血清或血浆胆红素水平在新生儿期间。这种情况通常并不危险,但它可以发展为严重的高胆红素血症,会导致急性胆红素脑病和核黄疸,胆红素引起的神经损伤.因此,本研究旨在评估埃塞俄比亚新生儿黄疸的合并患病率及其决定因素.
Scopus,PubMed,谷歌学者,Embase,我们搜索了2010年1月1日至2021年7月30日之间发表的研究和CINAHL数据库。使用加权DerSimonianLaird随机效应模型来估计新生儿黄疸的合并患病率及其相关因素。I2用于计算异质性的程度。漏斗图和Egger回归检验用于评估发表偏倚。
总共有697篇文章来自各种数据库,审查共包括八篇文章。埃塞俄比亚新生儿黄疸的合并患病率为30.96%[95%置信区间(CI)16.61%-45.31%]。这篇综述显示,长时间的劳动[调整后的奇数比率(AOR)=3.39;95%CI2.41-4.77),低出生体重(AOR=5.12;95%CI3.11-8.72),出生窒息(AOR=3.75;95%CI2.11-6.66),头颅血肿(AOR=7.07;95%CI2.72-18.38),ABO不相容性(AOR=6.05;95%CI2.95-12.42),恒河猴(RH)不相容(AOR=3.77;95%CI2.04-6.96),男性(AOR=4.53;95%CI3.39-6.07),和新生儿败血症(AOR=2.47;95%CI1.49-4.08)被确定为埃塞俄比亚新生儿黄疸的决定因素。
在低收入和中等收入国家,新生儿黄疸是一个巨大的医疗负担,占全球儿童死亡率和发病率的很大一部分。然而,一些低成本的,有效,实用,和可靠的解决方案已经实施。长期的劳动,ABO不兼容,RH不兼容,出生窒息,新生儿败血症,低出生体重,头颅血肿,在埃塞俄比亚,男性被确定为新生儿黄疸的危险因素。
Neonatal jaundice is a common condition characterized by a yellowish discoloration of the skin, conjunctiva, and sclera caused by elevated serum or plasma bilirubin levels during the newborn period. The condition is usually not dangerous, but it can progress to severe hyperbilirubinemia, which can lead to acute bilirubin encephalopathy and kernicterus, a bilirubin-induced neurological damage. Therefore, this study aimed to assess the pooled prevalence of neonatal jaundice and its determinants in Ethiopia.
Scopus, PubMed, Google Scholar, Embase, and CINAHL databases were searched for studies published between January 1, 2010 and July 30, 2021. A weighted DerSimonian Laird random-effects model was used to estimate the pooled prevalence of neonatal jaundice and its associated factors. The I2 was used to calculate the degree of heterogeneity. The funnel plot and Egger\'s regression test were used to assess publication bias.
Totally 697 articles were generated from various databases, and the
review included a total of eight articles. The pooled prevalence of neonatal jaundice was 30.96% [95% confidence interval (CI) 16.61%-45.31%)] in Ethiopia. This
review showed that prolonged labor [adjusted odd ratio (AOR) = 3.39; 95% CI 2.41-4.77), low birth weight (AOR = 5.12; 95% CI 3.11-8.72), birth asphyxia (AOR = 3.75; 95% CI 2.11-6.66), cephalohematoma (AOR = 7.07; 95% CI 2.72-18.38), ABO incompatibility (AOR = 6.05; 95% CI 2.95-12.42), Rhesus (RH) incompatibility (AOR = 3.77; 95% CI 2.04-6.96), male sex (AOR = 4.53; 95% CI 3.39-6.07), and neonatal sepsis (AOR = 2.47; 95% CI 1.49-4.08) were identified as a determining factor for neonatal jaundice in Ethiopia.
In low- and middle-income countries, neonatal jaundice is a significant healthcare burden, accounting for a significant portion of global childhood mortality and morbidity. However, some low-cost, effective, practical, and dependable solutions have been implemented. Prolonged labor, ABO incompatibility, RH incompatibility, birth asphyxia, neonatal sepsis, low birth weight, cephalohematoma, and male sex were identified as risk factors for neonatal jaundice in Ethiopia.