■在埃塞俄比亚,尽管正在实施各种战略和干预措施,新生儿死亡率仍然很高。尽管在埃塞俄比亚发表了许多文章,缺乏关于死亡时间及其新生儿死亡率预测因素的足够数据,尤其是在阿法尔地区这样的牧区。因此,这项研究旨在评估Dubti总医院新生儿重症监护病房的新生儿死亡率及其预测因素,埃塞俄比亚东北部。
■我们进行了一项基于设施的回顾性随访研究,涉及Dubti总医院新生儿重症监护病房收治的479名新生儿样本。使用Epi-Data版本4.6进行数据输入,随后使用STATA版本14.1进行分析。为了确定新生儿死亡率的预测因素,我们应用了Cox比例风险模型。
■在总数中,87名新生儿(18.16%)死亡。新生儿死亡率的总发生率为在新生儿重症监护病房中每1000个新生儿天有27.2例死亡。95%的置信区间为[21.8,34.2]。外观,脉搏,鬼脸,活动,呼吸评分小于或等于5[AHR=0.33,95CI:0.07,0.62],呼吸窘迫综合征[AHR=3.22,95CI:1.71,6.07],新生儿低体温[AHR=3.12,95CI:1.31,7.42]。没有开始母乳喂养[AHR=3.68,95CI:1.44,9.36],无产前护理访视[AHR=0.25,95CI:0.13,0.48]和产妇分娩相关并发症[AHR=2.71,95CI:2.43,11.14]是预测因素.
■死亡率非常高,有几个因素被确定为新生儿死亡的独立预测因素,包括外观,脉搏,鬼脸,活动,和呼吸,呼吸窘迫综合征,体温过低,开始母乳喂养,产前护理访问,和产妇出生相关并发症。迫切需要加强旨在改善医疗保健设施内儿童生存的方案拟订工作,特别是解决新生儿并发症。建议在怀孕期间加强产前护理以及早期发现和治疗产时疾病是增强新生儿健康结果的策略。
UNASSIGNED: In Ethiopia, despite various strategies and interventions being implemented, the rate of neonatal mortality remains high. Despite numerous published articles in Ethiopia, there is a lack of sufficient data regarding the time to death and its predictors in neonatal mortality, especially in pastoral communities like the Afar region. Therefore, this study aims to evaluate neonatal mortality and its predictors among neonates admitted to the neonatal intensive care unit at Dubti General Hospital, Northeast Ethiopia.
UNASSIGNED: We conducted a facility-based retrospective follow-up study, involving a sample of 479 neonates admitted to the neonatal intensive care unit at Dubti General Hospital. Data entry was performed using Epi-Data version 4.6, and subsequent analysis was carried out using STATA version 14.1. To identify predictors of neonatal mortality, we applied the Cox-proportional hazard model.
UNASSIGNED: Out of the total, 87 neonates (18.16 %) passed away. The overall incidence of neonatal mortality was 27.2 deaths per 1000 neonate-days spent in the neonatal intensive care unit, with a 95 % confidence interval of [21.8, 34.2]. Appearance, pulse, grimace, activity, and respiration score less than or equal to 5 [AHR = 0.33, 95%CI: 0.07, 0.62], respiratory distress syndrome [AHR = 3.22, 95%CI: 1.71, 6.07], Neonatal hypothermia [AHR = 3.12, 95%CI: 1.31, 7.42]. No initiation of breastfeeding [AHR = 3.68, 95%CI: 1.44, 9.36], no antenatal care visits [AHR = 0.25, 95%CI: 0.13, 0.48] and maternal birth related complication [AHR = 2.71, 95%CI: 2.43, 11.14] are predictors.
UNASSIGNED: The mortality rate was notably high, with several factors identified as independent predictors of newborn death, including Appearance, pulse, grimace, activity, and respiration, respiratory distress syndrome, hypothermia, initiation of breastfeeding, antenatal care visits, and maternal birth-related complications. There is a pressing need for intensified programming efforts aimed at improving child survival within healthcare facilities, particularly addressing neonatal complications. Enhancing prenatal care during pregnancy and early detection and treatment of intrapartum disorders are recommended strategies for enhancing newborn health outcomes.