Outcome of Care and Factors Associated with Mortality in Neonates with Hypoglycemia in the Neonatal Intensive Care Unit, Ramathibodi Chakri Naruebodindra Hospital
Keywords:
outcomes of care, neonatal hypoglycemia, NICU, patient documentAbstract
This retrospective descriptive study aimed to investigate outcomes of care and factors associated with mortality in neonates with hypoglycemia in the neonatal intensive care unit. A purposive sampling of 100 newborns with hypoglycemia. Data were collected from electronic medical records through the hospital’s three-level data verification system. Statistical analyses included descriptive statistics (percentages, means, and standard deviations) and association tests using Chi-squared and Fisher’s exact tests.
The results showed that neonates had a mean blood glucose level of 31.79 ± 12.81 mg/dL, with 13 deaths (13% mortality rate). Twelve factors were significantly associated with neonatal mortality (P<.05), comprising: 1) eleven neonatal factors including birth weight <1,500 g, Apgar scores <7 at 1 and 5 minutes, respiratory distress syndrome, endotracheal intubation, pneumothorax, intraventricular hemorrhage, congenital heart disease, neonatal sepsis, blood transfusion, and phototherapy; and 2) one maternal factor: gestational diabetes mellitus. This research findings indicated that the neonates with hypoglycemia had a high mortality and complication rate.
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