Risk factors for mortality of neonates during the first 24 hours of life in NICU
Keywords:
newborn, risk factor, neonatal mortalityAbstract
Background : Awareness of risk factors for mortality of neonates during the first 24 hours of life is important. We need to encourage doctors and nurses to aware of these risk factors.
Objective : To study risk factors for mortality of neonates during the first 24 hours of life.
Methods : A retrospective descriptive study was done by reviewing Medical Records of term and preterm neonates who were admitted in NICU Phrachomklao Hospital between 1st January 2020 to 31th December 2020.
Results : There were 158 neonates admitted in NICU, 97 were males (61%) and 12 death within 24 hours of life, 10 were males (83%). The incidence was 3.42:1,000 live births. Risk factors for mortality of neonate during the first 24 hours of life were maternal history
of previous neonatal death in family (P<0.001), excessive vaginal bleeding before delivery (P<0.001); neonates who had a mean arterial pressure 18 vs 40 mmHg (P<0.001), Lowest body temperature 36.5 vs 36.8 (P<0.016) Hematocrit 40 vs 43 % (P<0.001), base excess -5 vs -0.5 (P<0.001), APGAR Score 6 vs 8 (P<0.001), and Duration of invasive mechanical ventilation 4 vs 0 (P <0.015)
Conclusions : There were many risk factors for mortality of neonates during the first 24 hours of life. Encouraging doctors and nurses to aware of these risk factors will reduce the neonatal mortality
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