The Median Survival Recovery Time and Associated Factors among Admitted Neonate in Intensive Care Units of Dire Dawa Public Hospitals, East Ethiopia, 2019 - Abstract
Background: Neonate is any infants from the birth to 28 days. Most of the neonatal deaths occur in developing countries particularly in sub-Saharan African and south central Asian countries. The ability to predict Length of stay would be valuable to parents and families, clinicians and service providers. Timely Management and treatment of birth complication are important factors in reducing new born mortality.
Objective: To assess median Survival Recovery time and associated factors among admitted neonate in intensive care units of Dire Dawa Governmental Hospitals, East Ethiopia, 2019.
Methods: Facility based retrospective cohort study design was employed to assess median Survival recovery time and associated factors of neonate among a total of 499 selected 0-28 days of neonates from two public Hospitals and validated Checklist were used to assess data. Data were entered in to Epi-data version 3.1 and exported to SPSS window version 21.0. Descriptive data were presented by table and graph. To determine the associated factors, Cox regression model was computed with 95% CI and P-value <0.05 level of significance. Ethical clearance was taken from Dire Dawa University research and technology interchange office and given for all concerned body.
Result: The overall median survival recovery time of neonates admitted in neonatal intensive care units of Dire Dawa public hospital was 7 Days with 95% CI (6.525-7.475). Among the neonates that admitted in neonatal intensive care units, neonates those who have weight <2500g had 1.648 times higher hazard risks to recovery compared to that neonates who have weight greater than or equal to 4000g with [AHR 1.648 95% CI (1.246-2.179)]. Those neonates who were none intubated had 6.725 higher hazard risks compared to that of intubates neonates [AHR 6.725 95% CI (1.616- 27.978)], and those neonates who were not supply oxygen continuously had 1.336 times low probability of recovery [AHR 1.336 95% CI (1.030-1.733)]. But, the neonates that admitted between 1-6 days after birth had 0.521 times higher probability for recovery compared to the neonate with those admitted between 7-28 days of after birth [AHR 0.521 95% CI (0.355-0.763)].
Conclusion: Overall median survival recovery time was 7 Days and Birth weight of neonates, Oxygen supply, and Intubation and admission time of neonate between 1-6 days of after birth were factors that significantly associated with recovery time of neonates. Compared to the other study the recovery time of neonates in this study were short and better.