Cause of Neonatal Admissions and Factors Associated with Treatment Outcome in Intensive Care Unit Mekelle City Public Hospitals, Ethiopia: Hospital Based Cross-Sectional Study

埃塞俄比亚梅克莱市公立医院重症监护病房新生儿入院原因及与治疗结果相关的因素:一项基于医院的横断面研究

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Abstract

OBJECTIVE: The aim of this was to assess cause of neonatal admission and factors associated with treatment outcome in intensive care unit in Mekelle city, public hospitals, Ethiopia. METHODS: A hospital-based cross-sectional study was employed among study participants from November 2021 to June 2022. Data were collected using structured data extraction checklist. SPSS V-20 was used for data analyzing. Binary logistic regression model was used with a 95% confidence interval and P-values <.05. RESULT: Leading cause of neonatal admission were 83 (24.9%) sepsis followed by 59 (17.7%) respiratory distress syndrome (RDS), 31 (9.3%) meconium aspiration syndrome (MAS), and 31 (9.3%) perinatal asphyxia (PNA). Overall neonatal mortality was 38 (11.37%). Cesarean section (C/S; AOR: 2.9; 95% CI: 1.82, 4.68), breastfeeding non-initiation within 1 hour (AOR: 2.6; 95% CI: 1.09, 4.16), and neonatal resuscitation (AOR: 2.16; 95% CI: 1.70, 4.54) were factors associated with treatment outcome. CONCLUSION: The leading causes of neonatal admissions were sepsis, RDS, MAS, and PNA. Cesarean section (C/S) delivery, breastfeeding non-initiation within 1 hour and resuscitated neonate were factors associated with treatment outcome.

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