Volume 24, Issue 104, July - August, 2020

How are preterm neonates treated in intensive care units? An overview from a central specialized hospital in southern Vietnam

Xuan Minh Ngo^1♦, Trung Nguyen Nhat Le²

¹Faculty of Medicine, Pham Ngoc Thach University of Medicine, Ho Chi Minh city, Vietnam
²Hanh Phuc international Hospital, Ho Chi Minh city, Vietnam

^♦Corresponding author
Faculty of Medicine, Pham Ngoc Thach University of Medicine, Ho Chi Minh city, Vietnam; Email: xuanlien62@pnt.edu.vn

ABSTRACT

Introduction: Premature births account for more than 10% of infant births worldwide annually. Preterm care and treatment are faced with difficulties given the lack of medical facilities and well-qualified healthcare personnel. This study investigated transferred preterm cases in a pediatric central hospital in Vietnam. Methods: This cross-sectional study was conducted at Children’s Hospital Number 2 from June 2017 to May 2018. Preterm infants (aged 26–32 weeks) who were transferred to the hospital within 72 hours after birth and satisfied criteria were included in the research. Cox and logistic regressions were conducted to predict mortality risk among the infants. Results: The highest mortality rate was 10.2%, observed among the group aged 26 to 28 weeks (48.3%). From 50 to 80 days after birth, this risk increased to 50%. The factors associated with infant death were ages between 26 and 28 weeks, intracerebral hemorrhage, patent ductus arteriosus, platelet transfusion, and parenteral nutrition >7 and >14 days. Conclusion: Low birth age, parenteral nutrition >14 days, and complications due to preterm birth significantly increased the mortality risk of the preterm infants.

Keywords: childcare, child mortality, complication, parenteral nutrition, hospital transfer, Vietnam

Medical Science, 2020, 24(104), 1878-1886

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