Survival Rate of Extremely Low Birth Weight Infants and Survival Factors in SiSa Ket Hospital
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Abstract
Background: Extremely low birth weight newborns are high risk for mortality and complication of preterm. The study of survival factors is worth while for improving newborn services for this group of infants.
Objective: To determine survival rate of extremely low birth weight (ELBW) infants and its factors in Si Sa Ket Hospital.
Methods: Data were collected from medical chart of all neonates with birth weight of less than 1000 grams, who were admitted in Si SaKet Hospital between 2015 and 2020. A ntenatal history, perinatal data and neonatal outcome until hospital discharge were extracted and analyzed.
Results: A total of 50 ELBW infants were analyzed. Survival rate of extremely low birth weight infants were 42.2%. Respiratory distress syndrome(RDS) was the major cause of death (55.2%), Sepsis (34.5%), Pneumonia (6.9%) and Birthasphyxia (3.4%). Survival factors were Female (HRadj=0.13,95%CI=0.04-0.40), Birth weight ≥ 750 grams (HRadj=0.30, 95%CI=0.09-0.95, Gravida ≤ 3 (HRadj=0.05, 95%CI=0.01- 0.29). Survival factorwere Apgar score at 5 minute 4 -7 score (HRadj=0.06, 95%CI=0.01- 0.32), and Apgarscore at 5 minute 8-10 score (HRadj=0.05, 95%CI= 0.01-0.32)
Conclusion: Survival factors among ELBW infants in this study were female,Birth weight ≥ 750 grams, Apgar score ≥ 4 at 5 minute and Gravida ≤ 3.
Keywords: Survival rate, extremely low birth weight, survival factor
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References
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