Survival Analysis of Preterm and Severe Birth Asphyxia Infants. A Case of Bindura Provincial Hospital
- Author
- Chomunorwira, Simbarashe
- Title
- Survival Analysis of Preterm and Severe Birth Asphyxia Infants. A Case of Bindura Provincial Hospital
- Abstract
- Prematurity is the major cause of neonatal death world-wide. In Zimbabwe, the neonatal mortality has increased dramatically from 19 deaths per 1000 live births in 2020 to 30 deaths per 1000 live birth in 2021. The main objective of this study was to determine the survival rate of preterm and birth asphyxia infants admitted at Bindura Provincial Hospital. The study also aimed at assessing the risk factors associated with death of these infants. In this study, primary data from January-December 2021 obtained from the Neonatal Unit about premature infants and birth asphyxia was used to determine the survival rate as well as to determine the risk factors associated with infants’ deaths. The study was a hospital-based cross-sectional retrospective chart review analysis where data for all preterm infants admitted and discharged at Bindura Provincial Hospital Neonatal Unit from 1st January 2021 to 31st December 2021 was extracted from files and analysed. The Statistical Package for Social Sciences (SPSS), was used to analyse the data and Kaplan Meier survival estimator was used to estimate the survival rate of preterm and birth asphyxia infants. A total of 930 available files for infants admitted at Bindura Provincial Hospital – Neonatal Unit (NNU) were analysed. Overall, a high survival rate was observed (89.4% survived) and a low death rate was observed (10.6% died). Low survival rates were observed for infants with high fetal ages, that is birth asphyxia full term infants and also for those infants with moderate birth weight The survival rate of preterm and birth asphyxia infants in our study was high (89.4%), similar to the findings from comparable studies in other resource-limited settings. Findings from this study have identified respiratory distress syndrome, severe prematurity, low birth weight, and severe birth asphyxia as the main causes of death of preterm and birth asphyxia infants. Findings have also found that “the higher the fetal age coupled with lower birth weight, the lower the chance of new-born infants to survive”.
- Date
- 2023
- Publisher
- BUSE
- Keywords
- Survival Analysis
- Supervisor
- Ms. Pagan’a
- Item sets
- Department of Statistics and Mathematics
- Media
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Chomu Maths & Stats.pdf