تلخیص
Objective: To evaluate the predictors of mortality in extramural
neonate.
Study Design: Observational study.
Place and Duration of Study: Tertiary care teaching hospital of central
India for duration of one year.
Material and Methods: All extramural referral neonates admitted were
included in the study. Demographic, maternal and neonatal variables
were analyzed.
Results: The mortality rate was 33.40% with male predominance. On
univariate analysis, male sex (p=0.03), neonates born to parents of
lower socioeconomic class (p=0.01), preterm birth (p<0.001), very
low/extremely low birth weight (p<0.001), who did not cry immediately
after birth &required resuscitation (p<0.001), neonates of primigravida
(p=0.05), un-booked mothers (p=0.04), mothers with pre-gestational
diabetes (p=0.005) were at risk of mortality. Neonates who presented
with lethargy, hypothermia, respiratory distress, convulsions, cyanosis,
apnea and prolonged capillary refill time had significantly higher
mortality. Low socioeconomic status of parent (OR 0.59, CI 0.42-0.85,
p=0.004), preterm birth(OR 0.61, CI 0.40-0.92, p=0.01), very
low/extremely low birth weight(OR1.48, CI 1.18-1.87, p=0.001),
hypothermia (OR 1.60, CI 1.05-2.41, p=0.02), convulsion (OR 3.03, CI
1.93-4.77, p<0.001), lethargy (OR 2.88, CI 1.63-5.10, p<0.001) and
prolonged capillary refill time (OR2.79, CI 1.84-4.23, p<0.001) were the
independent risk factors of mortality on multivariate regression analysis.
Conclusion: Low socioeconomic status of parent, preterm birth, low
birth weight, hypothermia, convulsion, lethargy and prolonged capillary
refill time were the independent risk factors of mortality in out-born
neonate.
MESHRAM RAJKUMAR, BHONGADE SWAPNIL, GAJIMWAR VISHAL S. (2020) Predictors of Mortality in Extramural Neonate at Limited Resource Setting: A Prospective Observational Study, Pakistan Pediatric Journal, Volume 44, Issue 2.
-
Views
443 -
Downloads
55