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 The 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 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 < 2500 g had 1.648 times higher hazard risks to recovery compared to that neonates who have weight greater than or equal to 4000 g 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 to for recovery [AHR 1.336 95% CI (1.030–1.733)]. But, the neonates admitted between 1–6 days after birth had 0.521 times higher probability for recovery compared to the neonate with those neonate 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.

Survival and predictors of asphyxia among neonates admitted in neonatal intensive care units of public hospitals of Addis Ababa, Ethiopia, 2021: a retrospective follow-up study

“…The overall median recovery time of NICUs admitted asphyxiated newborns in the cohort was found to be 8 days (95% CI: 7.527–8.473). This finding was consistent with the median time of recovery in studies performed in Dire-Dawa (7 days) and India (8 days), [ 21 , 22 ]. However, it is longer than studies undertaken in Nigeria (3.8 days) [ 24 ] and Bangladesh (4.84 days) [ 25 ].…”

“…From the total of 411 asphyxiated babies enrolled in this study 305(74.2%), neonates were survived and discharged from the NICUs. This finding is comparable with a cohort study conducted in Dire-Dawa public hospitals which were 74.3% [ 21 ].…”

Time to recovery of neonatal sepsis and determinant factors among neonates admitted in Public Hospitals of Central Gondar Zone, Northwest Ethiopia, 2021

“…On the other way, LBW is associated with protracted time to recovery. This study finding is supported by the study conducted in India [61], the Dire Dawa Public Hospitals [59], Mexico [27], the systematic review [16], Indonesia [30], Iraq [29], and the systematic review of prognosis [50]. The possible reason is related to immunological deficiency.…”

“…This finding is in line with the finding from the Dire Dawa Public Hospitals, which was 7 days. This study has similar characteristics with the present study, such as it is done among neonates admitted in Public Hospitals, the age limit of neonates was from 0-28 days, it has almost similar sample size (n = 499), and considered both confirmed and clinically diagnosed cases [59]. Besides, it compares to the study conducted in Central India, the mean time of surviving neonates was 9.67 days [14].…”

Incidence, time to recovery and predictors among neonates admitted with respiratory distress to the neonatal intensive care unit at the University of Gondar Comprehensive Specialized Hospital, Northwest Ethiopia, 2021

“…In this study,the median recovery time from RD was 7 days (IQR = 3–13). This study is in line with the overall median survival recovery time of all neonates of admission in neonatal intensive care units of Dire Dawa l Hospital, which is 7 days.This study shares similarities with it in that it was conducted among neonates admitted to hospitals, the age range,and the sample size was nearly the same, and both confirmed and clinically diagnosed cases were taken into account [ 23 ].…”