CÁC YẾU TỐ LIÊN QUAN ĐẾN TỬ VONG TRẺ SƠ SINH NON THÁNG DƯỚI 32 TUẦN TẠI BỆNH VIỆN HÙNG VƯƠNG

Abstract

Aim: Determine the mortality rate and associated risk factors of epidemiological, clinical, and paraclinical characteristics 24 hours after birth of premature newborns under 32 weeks. Materials and methods: Premature newborns under 32 weeks were admitted to the neonatal department of Hung Vuong Hospital from September 2023 to February 2024, a longitudinal study collecting epidemiological characteristics, clinical and subclinical at 24 hours, and following the outcome to 40 weeks of adjustment. Results: 180 infants were identified, and the mortality rate is 20%. Associated factors in multivariate analysis gestational age (OR 0,54, 95% CI (0,38-0,75), male sex (OR 4,7, 95% CI (1,46-15,35), and shock 24 hours (OR 42,9, 95% CI (2,52-731,2) were factors independently associated with mortality. Conclusion: The mortality rate of premature newborns under 32 weeks is still high, gestational age, male sex, and shock at 24 hours after birth are associated factors. This study suggests the importance of prenatal care to reduce preterm birth, infection control, early diagnosis, and shock treatment 24 hours after birth to help reduce mortality.