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Neonatal hypothermia and associated factors among neonates admitted to neonatal intensive care unit of public hospitals in Addis Ababa, Ethiopia

机译:埃塞俄比亚亚的斯亚贝巴公立医院新生儿重症监护病房的新生儿体温过低及相关因素

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Neonatal hypothermia is a worldwide problem and an important contributing factor for Neonatal morbidity and mortality especially in developing countries. High prevalence of hypothermia has been reported from countries with the highest burden of Neonatal mortality. So the aim of this study was to assess the prevalence of Neonatal hypothermia and associated factors among newborn admitted to Neonatal Intensive Care Unit of Public Hospitals in Addis Ababa. An institutional based cross-sectional study was conducted from March 30 to April 30, 2016, in Public Hospitals in Addis Ababa and based on admission rate a total of 356 Neonates with their mother paired were enrolled for the study. Axillary temperate of the newborn was measured by a digital thermometer at the point of admission. Multivariate binary logistic regression, with 95% confidence interval and a p-value
机译:新生儿体温过低是一个全球性问题,并且是造成新生儿发病率和死亡率的重要因素,尤其是在发展中国家。据报道,新生儿死亡率负担最高的国家的体温过低患病率很高。因此,本研究的目的是评估亚的斯亚贝巴公立医院新生儿重症监护室收治的新生儿体温过低的患病率及其相关因素。 2016年3月30日至4月30日,在亚的斯亚贝巴的公立医院进行了一项基于机构的横断面研究,根据入院率,共有356例新生儿与母亲配对参加了该研究。在入院时用数字温度计测量新生儿的腋窝温度。使用具有95%置信区间和p值<?0.05的多元二元logistic回归来识别具有显着相关性的变量。研究区新生儿体温过低的患病率为64%。早产(AOR?=?4.81,95%CI:2.67,8.64),新生儿年龄≤24?h(AOR?=?2.26,95%CI:1.27,4.03),与母亲的皮肤无皮肤接触分娩后立即(AOR≥4.39,95%CI:2.38,8.11),延迟开始母乳喂养(AOR≥3.72,95%CI:2.07,6.65)和出生时复苏(AOR≥3.65,95) %CI:1.52,8.78)与体温过低显着相关。研究区新生儿体温过低的患病率很高。早产,年龄≤≤24h,分娩后立即没有皮肤接触,出生时延迟母乳喂养和复苏是新生儿体温过低的独立预测因素。因此,需要注意早产儿的热疗,并使用低成本的热链保暖原理,尤其是在提早开始母乳喂养,分娩后立即皮肤与皮肤接触以及进行温热复苏时。

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