MỘT SỐ YẾU TỐ LIÊN QUAN ĐẾN KẾT QUẢ CHĂM SÓC TRẺ SƠ SINH VÀNG DA TĂNG BILIRUBIN GIÁN TIẾP TẠI BỆNH VIỆN VINMEC TIMES CITY NĂM 2022

Abstract

Objective: To analyze several factors associated with the care outcomes of neonates presenting with jaundice due to elevated indirect bilirubin levels. Subjects and Methods: A descriptive study was conducted on 157 neonates treated at Vinmec Times City International General Hospital who met the inclusion criteria. Results: The mean age of mothers was 29.8 ± 5.05 years. The proportion of neonates with good care outcomes was 90.4%, while 9.6% had suboptimal care outcomes. The rate of suboptimal outcomes was higher among neonates with a gestational age of less than 37 weeks compared to those ≥ 37 weeks, and among those with a birth weight under 2.5 kg compared to those over 2.5 kg. Neonates whose mothers had a history of illness had higher rates of suboptimal care outcomes than those whose mothers had no such history. Particularly, the presence of comorbidities in neonates was significantly associated with a higher rate of suboptimal care outcomes compared to those without comorbid conditions (p < 0.05). In addition, neonates who received combined phototherapy and intravenous fluid therapy had significantly higher rates of suboptimal outcomes compared to those who received phototherapy alone (p < 0.05). Conclusion: The study found that the majority of neonates with jaundice due to indirect hyperbilirubinemia achieved good care outcomes (90.4%). However, 9.6% had suboptimal outcomes, primarily among neonates with gestational age < 37 weeks, birth weight < 2.5 kg, or whose mothers had a history of illness. Importantly, the presence of comorbidities was significantly associated with poorer care outcomes (p < 0.05). Furthermore, suboptimal outcomes were more common in the group receiving combined phototherapy and intravenous fluid therapy compared to phototherapy alone (p < 0.05).