Modelling mortality within 28 days among preterm infants at a tertiary hospital in Lusaka, Zambia: a retrospective review of hospital-based records.
Adult
Cesarean Section
/ statistics & numerical data
Cohort Studies
Delivery, Obstetric
/ methods
Female
Follow-Up Studies
Humans
Infant
Infant Mortality
Infant, Newborn
Infant, Premature
Intensive Care Units, Neonatal
/ statistics & numerical data
Kangaroo-Mother Care Method
/ statistics & numerical data
Male
Models, Theoretical
Pregnancy
Retrospective Studies
Risk Factors
Tertiary Care Centers
Young Adult
Zambia
Neonatal Intensive Care Unit (NICU)
Neonates
Zambia
modelling
mortality
preterm infants
Journal
The Pan African medical journal
ISSN: 1937-8688
Titre abrégé: Pan Afr Med J
Pays: Uganda
ID NLM: 101517926
Informations de publication
Date de publication:
2021
2021
Historique:
received:
25
11
2020
accepted:
05
02
2021
entrez:
23
8
2021
pubmed:
24
8
2021
medline:
3
9
2021
Statut:
epublish
Résumé
globally, almost half of all deaths in children under five years of age occur among neonates. We investigated the predictors of mortality within 28 days among preterm infants at a tertiary hospital in Lusaka, Zambia. we reviewed admission records linked to birth, mortality, and hospital discharge from 1 a total of 3237 case records of women with a median age of 27 years (IQR, 22-33) were included in the study, of which 971 (30%) delivered term infants and 2267 (70%) preterm infants. The overall median survival time of the infants was 98 hours (IQR, 34-360). Preterm birth was not associated with increased hazards of mortality compared to term birth (p=0.078). Being in the Kangaroo Mother Care compared to Neonatal Intensive Care Unit (NICU), and a unit increase in birth weight were independently associated with reduced hazards of mortality. On the other hand, having hypoxic-ischemic encephalopathy, experiencing difficulty in feeding and vaginal delivery compared to caesarean section independently increased the hazards of mortality. having hypoxic-ischemic encephalopathy, vaginal delivery, and experiencing difficulty in feeding increases the risk of mortality among neonates. Interventions to reduce neonatal mortality should be directed on these factors in this setting.
Identifiants
pubmed: 34422192
doi: 10.11604/pamj.2021.39.69.27138
pii: PAMJ-39-69
pmc: PMC8363965
doi:
Types de publication
Comparative Study
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
69Informations de copyright
Copyright: Moses Mukosha et al.
Déclaration de conflit d'intérêts
The authors declare no competing interests.
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