Proportion and factors associated with low fifth minute Apgar score among singleton newborn babies in Gondar University referral hospital; North West Ethiopia

Abstract Background: Each year 15 million preterm babies are born. Pre-term birth complications account for 35% of the estimated 3.1 million global neonatal deaths and are the second leading cause of death in children less than 5 years aged.Objective: we assessed the magnitude of preterm birth admissions, immediate outcomes and their predictors in Debre Markos Referral Hospital, North West, Ethiopia, 2019. Methodology: An institutional based retrospective cross- sectional study design was conducted among 212 neonates registered from January 1, 2014, to January 1, 2019. Data was entered using Epidata version 3.1 and exported to SPSS version 20 for analysis. Bivariable and multivariable logistic regressional analysis were done. Variables with p value <0.05 in multivariate analysis were declared as statistically significant at a 95% confidence interval. Results: Out of 212 neonates involved in the study, 27.8% were preterm birth admissions. From this 36.3% of neonates was died before discharge. In the final multivariate analysis hypertension during pregnancy was significantly associated for preterm admissions (P= 0.013, AOR= 4.464, 95% CI: (1.375, 14.498)) and being extreme low and very low birth weight (P= 0.005, AOR= 2.107, 95% CI: (0.023, 0.508)) and those with low APGAR score (P= 0.016, AOR= 3.113, 95% CI: (0.019, 0.669)) was significantly associated with death before discharge. Conclusion: Preterm admissions accounted for a significant percentage of neonatal admissions with significant death outcomes. Maternal medical problems like hypertension during pregnancy, premature rupture of membrane had significant association for preterm admissions. Also, being extreme low weight and very low weight baby, low APGAR score had significant association with death outcome of preterm neonates. Therefor, strategies should be designed to prevent preterm birth and their complications. Special attention should be given for pregnant mothers having medical problems especially hypertension. Furthermore, health institutions should have organised ANC follow up for regular screening of pregnant mothers for medical and obstetric complications.

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Magnitude of Preterm Birth Admissions, Immediate Outcomes And Their Predictors In Debre Markos Referral Hospital, North West, Ethiopia, 2019.

10.21203/rs.3.rs-787534/v1 ◽

2021 ◽

Author(s):

Birtukan Assefa ◽

Abebe Abate ◽

Tadesse Yirga

Keyword(s):

Birth Weight ◽

Preterm Birth ◽

Low Birth Weight ◽

Apgar Score ◽

Very Low Birth Weight ◽

Referral Hospital ◽

North West ◽

North West Ethiopia ◽

Preterm Babies ◽

Debre Markos

Abstract Background: Each year 15 million preterm babies are born. Pre-term birth complications account for 35% of the estimated 3.1 million global neonatal deaths and are the second leading cause of death in children less than 5 years aged.Objective: we assessed the magnitude of preterm birth admissions, immediate outcomes and their predictors in Debre Markos Referral Hospital, North West, Ethiopia, 2019. Methodology: An institutional based retrospective cross- sectional study design was conducted. Bivariable and multivariable logistic regression analysis were done. Variables with p value <0.05 in multivariate analysis were declared as statistically significant at a 95% confidence interval. Results: Out of 212 neonates involved in the study, 27.8% were preterm birth admissions. From this 36.3% of neonates was died before discharge. Hypertension during pregnancy was significantly associated with preterm admissions (P= 0.013, AOR= 4.464, 95% CI: (1.375, 14.498)) and being extreme low and very low birth weight (P= 0.005, AOR= 2.107, 95% CI: (0.023, 0.508)), and those preterm babies with low APGAR score (P= 0.016, AOR= 3.113, 95% CI: (0.019, 0.669)) were significantly associated with death before discharge. Conclusion: Preterm admissions accounted for a significant percentage of neonatal admissions with significant death outcomes. Maternal medical problems like hypertension during pregnancy was significantly associated with preterm admissions. Also, preterm babies with extreme low birth weight and very low birth weight, low APGAR score were significantly associated with death outcome. Therefore, strategies should be designed to prevent preterm birth and their complications.

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Magnitude of visual impairment and associated factors among patients attending ophthalmic clinics of Debre Markos referral hospital, north West Ethiopia

BMC Ophthalmology ◽

10.1186/s12886-021-01863-0 ◽

2021 ◽

Vol 21 (1) ◽

Author(s):

Haimanot Abebe ◽

Fasil Wagnew ◽

Haymanot Zeleke ◽

Bitew Tefera ◽

Shegaw Tesfa ◽

...

Keyword(s):

Visual Impairment ◽

Associated Factors ◽

Care Service ◽

Referral Hospital ◽

Multivariable Logistic Regression Analysis ◽

North West ◽

Rural Residency ◽

North West Ethiopia ◽

Debre Markos ◽

Study Participants

Abstract Background Globally, visual impairment affects about 285 million (4.25%) people, of those, 266.4 million were adults aged 18 years and above. Ethiopia is one of developing countries estimated to have high prevalence of visual impairment which have an enormous socio-economic impact. Also there is limited available information regarding with the magnitude of visual impairment among adults in our country at large and east Gojjam zone in specific. Therefore the aim of this study was to assess the magnitude of visual impairment and its associated factors among patients attending Debre Markos Referral Hospital ophthalmic clinics in east Gojjam zone, North West Ethiopia. Methods An institutional-based cross-sectional study was conducted at Debre Markos Referral Hospital which is the only hospital in east gojjam zone with ophthalmic care service from March 1 to 30, 2020 by using systematic random sampling technique to select study participants after informed consent was obtained. Data were collected by interview with 5% pretested, structured questionnaire and ocular examinations. Data were cleaned, coded and entered to Epi-data version-3.1, and analyzed using Statistical Package for Social Science software version 26. The descriptive statistics was presented in tables, text and graphs. Bivariable and multivariable logistic regression analysis to identify factors associated with visual impairment was conducted. Covariates with P-value < 0.05 were considered statistically significant. Results A study was conducted among 312 study participants with 96% response rate. The magnitude of visual impairment was 114 (36.5%) [95% CI, (33.8, 39.2%)]. Age > 50 years [AOR = 3.82; 95% CI (1.56, 9.35)], rural residency [AOR = 4.33 95% CI (1.30, 14.44)], inability to read and write [AOR = 3.21; 95% CI (1.18, 8.73)] and Cataract [AOR = 4.48; 95% CI (1.91, 10.52)] were factors significantly associated with visual impairment. Conclusions The overall magnitude of visual impairment was found to be high. Older age, rural residency, inability to read and write and cataract were associated with visual impairment. Increasing literacy, expanded cataract surgery, as well as community based visual acuity screening especially for elders and rural residents is crucial. Zonal police makers should give emphasis on prevention of visual impairment to decrease economic, social and political burden of visual disability.

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Neonatal Seizures II. A Multivariate Analysis of Factors Associated with Outcome

PEDIATRICS ◽

10.1542/peds.70.2.177 ◽

1982 ◽

Vol 70 (2) ◽

pp. 177-185 ◽

Cited By ~ 3

Author(s):

E. David Mellits ◽

Kenton R. Holden ◽

John M. Freeman

Keyword(s):

Multivariate Analysis ◽

Apgar Score ◽

Onset Time ◽

Adverse Outcomes ◽

Neonatal Seizures ◽

Prediction Of Outcome ◽

Factors Associated ◽

Early Predictors ◽

Neurologic Sequelae ◽

Minute Apgar Score

A multivariate analysis of perinatal events occurring in infants with neonatal seizures who were enrolled in the National Collaborative Perinatal Project allowed prediction of outcome. This prediction of death or of mental retardation, cerebral palsy, or epilepsy was empirically confirmed 64% to 83% of the time. In an infant with neonatal seizures, a five-minute Apgar score of less than 7, the need for resuscitation after 5 minutes of age, the onset time of the seizures, and a seizure lasting more than 30 minutes are the best early predictors of which infants will die or will have significant neurologic sequelae. It is hypothesized that neonatal seizures may be a better indicator of the severity or duration of intrauterine asphyxia than the Apgar score. In the neonate with seizures, the use of the formula may allow identification of infants at high risk for adverse outcomes.

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