Study of Some Predictors of Neonatal Mortality among Preterm Newborn at Zagazig University Hospital | ||||
The Egyptian Journal of Hospital Medicine | ||||
Article 62, Volume 88, Issue 1, July 2022, Page 2677-2682 PDF (564.64 K) | ||||
Document Type: Original Article | ||||
DOI: 10.21608/ejhm.2022.241116 | ||||
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Authors | ||||
Amr Mgahed Abo El Naga ; Mohammed Othman Hafez; Ehab Abdelmonem El Bana; Aya Mohammed Ibrahim Shehata | ||||
Abstract | ||||
Background: Birth before the 37th week (259th day) of pregnancy, measured from the first day of the last menstrual cycle, is referred to as preterm. Objective: Early prediction of neonatal outcome in preterm neonate. Patients and Methods: This was a prospective cohort study carried out in Neonatal Intensive Care Unit in Zagazig University Children Hospitals for 6 months. The estimated sample was 58 neonates. Results: About65.5% died and 34.5% were discharged alive. There was statistically significant relation between outcome and maternal age. Singleton pregnancy represented 92.1% and 95% of those died and discharged respectively. There was statistically significant relation between outcome and order in family. Mortality was significantly higher among those with first order (42.1% and 15% within who died and discharged respectively). There was statistically significant relation between outcome and Apgar score at 1 minute, at 5 minutes and at 10 minutes. The best cutoff of Apgar at 1 minute in prediction of mortality was ≤6.5 with area under curve 0.961, sensitivity 92.1%, and specificity 90%. The best cutoff of Apgar at 5 minutes in prediction of mortality was ≤7.5 with area under curve 0.944, sensitivity 84.2%, and specificity 95%. The best cutoff of Apgar at 10 minutes in prediction of mortality was ≤8.5 with area under curve 0.914, with sensitivity 84.2%, and specificity 90%. Conclusion: Premature infants with a low Apgar score have a higher mortality rate. | ||||
Keywords | ||||
Apgar Score; Neonatal Mortality; Predictors; Preterm Newborn | ||||
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