Abstract
AbstractThe burden of hypoglycemia is high in resource limited countries, such as Ethiopia. However, there are no sufficient studies conducted in Ethiopia in general and in the study setting in particular in the previous era. Hence, this study aims to assess the proportion of hypoglycemia and associated factors among preterm neonates admitted to the neonatal intensive care unit at Debre Tabor Comprehensive Specialized Hospital, Ethiopia, in 2021. A hospital-based cross-sectional study was conducted from October 1 to December 30, 2021, at Debre Tabor Comprehensive Specialized Hospital in the neonatal intensive care unit ward. The data was entered in Epi-info 7 and exported to STATA version 14. A binary and multivariable logistic regression was computed at 95% confidence interval (CI). During bivariable analysis, variables having a p-value of less than 0.25 were chosen for multivariable logistic regression analysis, and variables having a p-value of less than 0.05 in multivariable analysis, were significant associations with the dependent variable. The study included 267 preterm neonates, and 23.59% (95% CI 18.9–29.1) were develop hypoglycemia. Moreover, 49 (18.35%) preterm neonates died during the study period. In this study, preterm neonates with hypothermia [Adjusted Odds Ratio (AOR = 4.5; 95 CI 3.4, 7.2)], birth asphyxia (AOR = 5.1; 95 CI 3.9, 27.1), seizure (AOR = 4.7; 95 CI 2.8, 17.8), and also preterm neonates born from diabetic mothers (AOR = 6.7; 95 CI 3.3, 27.2) were significantly associated with the occurrence of hypoglycemia in the neonatal intensive care. The proportion of hypoglycemia and associated factors among preterm neonates admitted to the neonatal intensive care unit at Debre Tabor Comprehensive Specialized Hospital was found to be high. The associated factors for the occurrence of hypoglycemia were discovered to be neonates with hypothermia, birth asphyxia, seizure, and neonates born with a diabetes mother. Thus, recognizing and treating the above associated factors is essential to preventing, and controlling hypoglycemia.
Publisher
Springer Science and Business Media LLC
Reference43 articles.
1. Hypoglycemia—Symptoms and causes - Mayo Clinic [Internet]. [cited 2022 Aug 15]. Available from: https://www.mayoclinic.org/diseases-conditions/hypoglycemia/symptoms-causes/syc-20373685.
2. Neonatal hypoglycemia: Practice essentials, background, etiology [Internet]. [cited 2022 Aug 15]. Available from: https://emedicine.medscape.com/article/802334-overview.
3. Mukunya, D. et al. Prevalence and factors associated with neonatal hypoglycemia in Northern Uganda: A community-based cross-sectional study. Trop. Med. Health 48(1), 89 (2020).
4. Stanescu, A. & Stoicescu, S. Neonatal hypoglycemia screening in newborns from diabetic mothers—Arguments and controversies. J. Med. Life 7(Spe Iss 3), 51 (2014).
5. Edwards, T. & Harding, J. E. Clinical aspects of neonatal hypoglycemia: A mini review. Front. Pediatr. https://doi.org/10.3389/fped.2020.562251 (2021).
Cited by
1 articles.
订阅此论文施引文献
订阅此论文施引文献,注册后可以免费订阅5篇论文的施引文献,订阅后可以查看论文全部施引文献