Factors Associated Survival Rate of Very Low Birth Weight Infants in Buriram Hospital
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Abstract
Introduction: Nowadays there is increased incident of very low birth weight. Many factors associated infants outcomes.
Objective: To evaluate a survival rate of very low birth weight infants in Buriram Hospital and factors associated survival rate.
Methods: The retrospective study was done. The inclusion criteria were infants with birth weight less than 1,500 grams who were admitted to Department of Pediatrics, Buriram Hospital during January 1,2004 to December 31,2006. The following parameters were compared between infant who survived and died in sex, body weight, gestational age, maternal factors, infants factors, treatments which were used in those infants. All data were analyzed with descriptive analysis, chi-square test, Student-t test and logistic regression.
Results: One hundred and forty six cases were enrolled in this study. Overall survival rate was 76.71% (112/146). Survival rate was 94.6% (96/112) for infant 1001-1499 grams, 82.1% (92/112) for gestational age over 30 weeks. The new born conditions which associated with survival rate were birth weight more than 1,000 grams, gestation age more than 30 weeks, hypothermia, Respiratory distress syndrome and sepsis with statistical significant. The treatments factors, were early enteral feeding (87.5%) and received fluid less than 80% maintenance in 72 hrs. (75.9%) which were used in survive infants was higher than died infants with statistical significant.
Conclusions: The survival rate of very low birth weight infant in Buriram Hospital was 76.71%. The factors associated survival rate were no sepsis, early enteral feeding and received fluid less than 80% maintenance.
Key words: Very low birth weight, survival rate,factors
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References
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