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DC Field | Value | Language |
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dc.contributor.author | Nyandiko, W.M. | - |
dc.contributor.author | Ng’etich, E. | - |
dc.contributor.author | Sara, N.E. | - |
dc.date.accessioned | 2022-07-20T13:00:50Z | - |
dc.date.available | 2022-07-20T13:00:50Z | - |
dc.date.issued | 2018-01-01 | - |
dc.identifier.uri | http://ir.mu.ac.ke:8080/jspui/handle/123456789/6544 | - |
dc.description.abstract | Background: Globally, approximately over 4 million newborns die annually and the leading cause of death is directly from preterm complications which account for more than 1 million deaths. The most common complication is Respiratory distress syndrome (RDS). Objective: To determine short-term outcomes of premature neonates with RDS managed in the newborn unit (NBU) at Moi Teaching & Referral Hospital (MTRH), Eldoret. Design: Prospective descriptive study. Setting: Riley Mother Baby Hospital, NBU (MTRH), Eldoret. Participants: All admitted premature neonates clinically diagnosed with RDS. Main outcomes: Death/survival on day 10 and broncho-pulmonary dysplasia (BPD) at 6 weeks. Results: This study enrolled 94 premature neonates with RDS and 54 (57.4%) were females. Gestational age distribution: Below 28weeks (7.5%), 28-32weeks (54.3%) and 33-37 weeks (38.3%). Continuous Positive Airway Pressure was used on 62.8% (95% CI 52.2, 72.5), the rest received oxygen via nasal prongs and none received surfactant. Mortality at day 10 was 61% (0.61 95% CI: 0.51,0.71) with BPD reported in one neonate at 6weeks. Survival was 40% and 25% on day 10 and 40 respectively. Hypothermia and hyperglycemia were found in 65% and 55% respectively whereas suspected sepsis was treated in 77 (81.9%) of the neonates. None of the factors were independently associated with the outcome of death after adjusting by multiple logistic regression. Conclusion: There was a high mortality mainly occurring in the first 10 days of life. Hypothermia, hyperglycemia and neonatal sepsis were common co-morbidities. None of the factors were independently associated with the outcome of death. Chronic complications like BPD were rare. | en_US |
dc.language.iso | en | en_US |
dc.publisher | East african medical journal | en_US |
dc.subject | Premature neonates | en_US |
dc.subject | Respiratory distress syndrome | en_US |
dc.title | Outcomes and associated factors among premature neonates with respiratory distress syndrome managed at Moi Teaching and Referral Hospital, Eldoret, Kenya | en_US |
dc.type | Article | en_US |
Appears in Collections: | School of Medicine |
Files in This Item:
File | Description | Size | Format | |
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NYANDIKO.pdf | 472.69 kB | Adobe PDF | View/Open |
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