دورية أكاديمية
أعرض في EDS

Incidence and predictors of respiratory distress syndrome among low birth weight neonates in the first seven days in Northwest Ethiopia Comprehensive Specialized Hospitals, 2023: A retrospective follow-up study.

التفاصيل البيبلوغرافية
العنوان: Incidence and predictors of respiratory distress syndrome among low birth weight neonates in the first seven days in Northwest Ethiopia Comprehensive Specialized Hospitals, 2023: A retrospective follow-up study.
المؤلفون: Wondie WT; Department of Pediatrics and Child Health Nursing, College of Medicine and Health Sciences, Ambo University, Ambo, Ethiopia wubettazeb27@gmail.com., Legesse BT; Department of Pediatrics and Neonatal Nursing, Wollega University, Nekemte, Ethiopia., Mekonnen GB; Department of Pediatrics and Child Health Nursing, College of Health Sciences, Debre Tabor University, Debre Tabor, Ethiopia., Degaga GT; Department of Pediatrics and Child Health Nursing, College of Medicine and Health Sciences, Ambo University, Ambo, Ethiopia., Zemariam AB; Department of Pediatrics and Child Health Nursing, Woldia University, Woldia, Ethiopia., Gedefaw GD; Department of Neonatal Health Nursing, University of Gondar College of Medicine and Health Sciences, Gondar, Ethiopia., Abebe DE; Department of Medical Physiology College of Medicine and Health Sciences, Ambo University, Ambo, Ethiopia., Kassie YT; Department of Emergency and Critical Care Nursing,College of Health Sciences, Debre Tabor University, Debre Tabor, Ethiopia., Gonete AT; Pediatrics and Child Health Nursing, University of Gondar College of Medicine and Health Sciences, Gondar, Ethiopia., Belay AE; Department of Adult Health, Bahir Dar University, Bahir Dar, Ethiopia., Wubneh CA; Department of Pediatrics and Child Health Nursing, University of Gondar College of Medicine and Health Sciences, Gondar, Ethiopia.
المصدر: BMJ open [BMJ Open] 2023 Nov 19; Vol. 13 (11), pp. e079063. Date of Electronic Publication: 2023 Nov 19.
نوع المنشور: Journal Article
اللغة: English
بيانات الدورية: Publisher: BMJ Publishing Group Ltd Country of Publication: England NLM ID: 101552874 Publication Model: Electronic Cited Medium: Internet ISSN: 2044-6055 (Electronic) Linking ISSN: 20446055 NLM ISO Abbreviation: BMJ Open Subsets: MEDLINE
أسماء مطبوعة: Original Publication: [London] : BMJ Publishing Group Ltd, 2011-
مواضيع طبية MeSH: Respiratory Distress Syndrome* , Respiratory Distress Syndrome, Newborn*/epidemiology, Infant, Newborn ; Humans ; Pregnancy ; Female ; Retrospective Studies ; Incidence ; Follow-Up Studies ; Cesarean Section ; Ethiopia/epidemiology ; Prospective Studies ; Hospitals, Special ; Infant, Extremely Low Birth Weight
مستخلص: Introduction: Respiratory distress syndrome is a catastrophic respiratory problem among low birth weight neonates. It increases the suffering of neonates and the economic expenditure of the countries. Notably, it is a major public health issue in low-income and middle-income countries such as Ethiopia. Despite this, studies regarding respiratory distress syndrome among low birth weight neonates were limited in Ethiopia.
Objective: To assess the incidence and predictors of respiratory distress syndrome among low birth weight neonates in the first 7 days in Northwest Ethiopia Comprehensive Specialized Hospitals.
Method: Multicentred institution-based retrospective follow-up study was conducted from 19 September 2021 to 1 January 2023, among 423 low birthweight neonates. A simple random sampling technique was used. The data were collected using a data extraction checklist from the medical registry of neonates. The collected data were entered into EPI-DATA V.4.6.0.6. and analysed using STATA V.14. The Kaplan-Meier failure curve and log-rank test were employed. Bivariable and multivariable Weibull regression was carried out to identify predictors of respiratory distress syndrome. Statistical significance was declared at a p≤0.05.
Result: The incidence rate of respiratory distress syndrome was found to be 10.78 (95% CI 9.35 to 12.42) per 100 neonate days. Fifth minute Appearance, Pulse, Grimace, Activity, Respiration (APGAR score) <7 (AHR 1.86; 95% CI 1.18 to 2.92), multiple pregnancy (AHR 1.43; 95% CI 1.04 to 1.96), caesarean section delivery (AHR 0.62; 95% CI 0.41 to 0.93), prematurity (AHR 1.56; 95% CI 1.06 to 2.30) and birth weight <1000 g (AHR 3.14; 95% CI 1.81 to 5.40) and 1000-1499 g (AHR 2.06; 95% CI 1.42 to 2.83) were significant predictors.
Conclusion: The incidence of respiratory distress syndrome was higher than other studies conducted on other groups of neonates. Multiple pregnancy, fifth minute APGAR score, caesarean section, prematurity, extremely low birth weight and very low birth weight were predictors of respiratory distress syndrome. However, it needs further prospective study. Therefore, the concerned stakeholders should give due attention and appropriate intervention for these predictors.
Competing Interests: Competing interests: None declared.
(© Author(s) (or their employer(s)) 2023. Re-use permitted under CC BY-NC. No commercial re-use. See rights and permissions. Published by BMJ.)
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فهرسة مساهمة: Keywords: neonatal intensive & critical care; neonatology; respiratory distress syndrome
تواريخ الأحداث: Date Created: 20231120 Date Completed: 20231122 Latest Revision: 20231124
رمز التحديث: 20240628
مُعرف محوري في PubMed: PMC10660425
DOI: 10.1136/bmjopen-2023-079063
PMID: 37984945
قاعدة البيانات: MEDLINE
الوصف
تدمد:2044-6055
DOI:10.1136/bmjopen-2023-079063