Prediction of Neonatal Intensive Care Unit Admission in Late Preterm Infants
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Abstract
Background: Late preterm infants, born between 34 0/7 and 36 6/7 weeks of gestation, have higher rates of complications compared to full-term infants and often require admission to the neonatal intensive care unit (NICU).
Objective: To identify antenatal factors predicting NICU admission among late preterm infants born at Chaiyaphum Hospital.
Materials and Methods: This case-control study included late preterm infants born at Chaiyaphum Hospital between June 1, 2022, and December 31, 2023. Data were retrospectively collected, and infants were categorized into two groups: those who required NICU admission and those who did not. Descriptive statistics were used, and comparisons between groups were performed using the exact probability test, independent t-test, and Mann-Whitney U test. Multivariable risk ratio regression was used to identify predictors of NICU admission.
Results: A total of 244 late preterm infants were included in the study, with 48 cases (19.7%) requiring NICU admission due to respiratory distress. Infants admitted to the NICU had significantly lower birth weight, gestational age, and APGAR scores at 1 and 5 minutes compared to those not admitted. Multivariable regression analysis revealed that maternal syphilis infection during pregnancy and gestational age at 34 and 35 weeks were significant predictors of NICU admission, with adjusted risk ratios of 3.48 (95% CI: 1.32–9.19, p=0.012), 4.56 (95% CI: 2.47–8.42, p<0.001), and 2.07 (95% CI: 1.03–4.16, p=0.041), respectively.
Conclusion: Maternal syphilis infection and gestational age of 34 and 35 weeks were significant predictors of NICU admission in late preterm infants.
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บทความที่ส่งมาลงพิมพ์ต้องไม่เคยพิมพ์หรือกำลังได้รับการพิจารณาตีพิมพ์ในวารสารอื่น เนื้อหาในบทความต้องเป็นผลงานของผู้นิพนธ์เอง ไม่ได้ลอกเลียนหรือตัดทอนจากบทความอื่น โดยไม่ได้รับอนุญาตหรือไม่ได้อ้างอิงอย่างเหมาะสม การแก้ไขหรือให้ข้อมูลเพิ่มเติมแก่กองบรรณาธิการ จะต้องเสร็จสิ้นเป็นที่เรียบร้อยก่อนจะได้รับพิจารณาตีพิมพ์ และบทความที่ตีพิมพ์แล้วเป็นสมบัติ ของลำปางเวชสาร
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