Predictors of survival among preterm neonates admitted to Debre Tabor Comprehensive Specialized Hospital,Northwest Ethiopia; Implication for the maternal and neonatal health care-services |
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| Affiliation: | 1. Department of Nursing, College Health Sciences, Debre Tabor University, Debre Tabor, Ethiopia;2. College of Medicine and Health Sciences, Haramaya University, Harar, Ethiopia;3. Department of Pediatrics and Child Health Nursing, School of Health Sciences, College of Medicine and Health Sciences, Bahir Dar University, Bahir Dar, Ethiopia;4. The University of Queensland, School of Public Health, Brisbane, Australia;1. The Townsville Hospital, Neonatal Unit, Townsville, Queensland, Australia;2. Queensland Children''s Hospital, Brisbane, Queensland, Australia;3. Griffith University, School of Nursing and Midwifery, Gold Coast, Australia;1. Department of Physiology, Faculty of Medicine and Nursing, University of the Basque Country (UPV/EHU), Barrio Sarriena s/n, 48940, Leioa, Bizkaia, Spain;2. Biocruces Bizkaia Health Research Institute, Cruces Plaza, 48903, Barakaldo, Bizkaia, Spain;3. Midwifery Teaching Unit, Basurto University Hospital, University of the Basque Country (UPV/EHU), Avda. Montevideo 18, 48013, Bilbao, Spain;4. Osakidetza, Basque Health Service, La Peña Health Center, Ibaialde kalea s/n, 48003, Bilbao, Spain;5. Department of Nursing I, Faculty of Medicine and Nursing, University of the Basque Country (UPV/EHU), Barrio Sarriena s/n, 48940, Leioa, Bizkaia, Spain;6. Osakidetza, Basque Health Service, Santutxu-Solokoetxe Health Center, Sorkunde kalea 3, 48004, Bilbao, Spain;7. Osakidetza, Basque Health Service, Otxarkoaga Health Center, Zizeruena kalea 1, 48004, Bilbao, Spain;8. Osakidetza, Basque Health Service, Basurto University Hospital, University of the Basque Country (UPV/EHU), Avda. Montevideo 18, 48013, Bilbao, Spain;1. West Midlands Neonatal Operational Delivery Network, Birmingham Women''s and Children''s NHS Foundation Trust, Mindelsohn Way, Birmingham, B15 2TG, UK;2. Neonatal Unit, Birmingham Women''s Hospital, Birmingham Women''s and Children''s NHS Foundation Trust, Mindelsohn Way, Birmingham, B15 2TG, UK;1. Anna Nery School of Nursing, Federal University of Rio de Janeiro, Rio de Janeiro, Brazil;2. UICISA:E, Nursing School of Coimbra, Coimbra, Portugal;3. Federal University of Rio de Janeiro, Rio de Janeiro, Brazil |
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| Abstract: | IntroductionPreterm neonatal death is one of the world's most pressing problems, especially in Ethiopia, despite the implementation of extensive prevention initiatives. As a result, the goal of the study was to determine the incidence of neonatal mortality among preterm neonatal admissions in the hospital setting.MethodsThe study was conducted among preterm neonatal admissions at Debre Tabor Comprehensive Specialized Hospital from January 1, 2014, to December 30, 2017. Cox regression model was used for analysis. Variables with a p-value of 0.2 in the log-rank test were taken to multivariable cox regression analysis and level of statistical significance was declared at P- value ≤ 0.05.ResultsAccording to current study, the overall rate of premature death was 31.2 per 100 live births (95% CI: 27.3, 35.1). Males ((Adjusted Hazard Ratio (AHR) = 1.38; 95% CI: 1.01, 1.90), neonates under 32 weeks of gestational age (AHR = 1.74; 95% CI: 1.24, 2.46), neonate born from preeclampsia mothers (AHR = 1.95; 95% CI: 1.13, 3.36), neonate with extremely very low birth weight (AHR = 2.94; 95%CI: 1.05, 8.24), and neonate having respiratory distress syndrome (AHR = 1.70; 95% CI: 1.20, 2.41) were significantly associated with preterm mortality.ConclusionThe burden of preterm mortality at hospital setting was high. As a result, reducing and treating preeclampsia is critical in lowering neonatal mortality. In addition, very low birth weight newborns and premature neonates with respiratory distress syndrome should be given special attention. Considering of every premature neonates as a danger of death, essential care such as; kangaroo mother care, feeding, infection prevention, oxygen therapy, thermal care, close follow-up, and medication administration should be considered. |
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