Abo El Naga, A., Hafez, M., El Bana, E., Shehata, A. (2022). Study of Some Predictors of Neonatal Mortality among Preterm Newborn at Zagazig University Hospital. The Egyptian Journal of Hospital Medicine, 88(1), 2677-2682. doi: 10.21608/ejhm.2022.241116
Amr Mgahed Abo El Naga; Mohammed Othman Hafez; Ehab Abdelmonem El Bana; Aya Mohammed Ibrahim Shehata. "Study of Some Predictors of Neonatal Mortality among Preterm Newborn at Zagazig University Hospital". The Egyptian Journal of Hospital Medicine, 88, 1, 2022, 2677-2682. doi: 10.21608/ejhm.2022.241116
Abo El Naga, A., Hafez, M., El Bana, E., Shehata, A. (2022). 'Study of Some Predictors of Neonatal Mortality among Preterm Newborn at Zagazig University Hospital', The Egyptian Journal of Hospital Medicine, 88(1), pp. 2677-2682. doi: 10.21608/ejhm.2022.241116
Abo El Naga, A., Hafez, M., El Bana, E., Shehata, A. Study of Some Predictors of Neonatal Mortality among Preterm Newborn at Zagazig University Hospital. The Egyptian Journal of Hospital Medicine, 2022; 88(1): 2677-2682. doi: 10.21608/ejhm.2022.241116
Study of Some Predictors of Neonatal Mortality among Preterm Newborn at Zagazig University Hospital
Background: Birth before the 37th week (259th day) of pregnancy, measured from the first day of the last menstrual cycle, is referred to as preterm. Objective: Early prediction of neonatal outcome in preterm neonate. Patients and Methods: This was a prospective cohort study carried out in Neonatal Intensive Care Unit in Zagazig University Children Hospitals for 6 months. The estimated sample was 58 neonates. Results: About65.5% died and 34.5% were discharged alive. There was statistically significant relation between outcome and maternal age. Singleton pregnancy represented 92.1% and 95% of those died and discharged respectively. There was statistically significant relation between outcome and order in family. Mortality was significantly higher among those with first order (42.1% and 15% within who died and discharged respectively). There was statistically significant relation between outcome and Apgar score at 1 minute, at 5 minutes and at 10 minutes. The best cutoff of Apgar at 1 minute in prediction of mortality was ≤6.5 with area under curve 0.961, sensitivity 92.1%, and specificity 90%. The best cutoff of Apgar at 5 minutes in prediction of mortality was ≤7.5 with area under curve 0.944, sensitivity 84.2%, and specificity 95%. The best cutoff of Apgar at 10 minutes in prediction of mortality was ≤8.5 with area under curve 0.914, with sensitivity 84.2%, and specificity 90%. Conclusion: Premature infants with a low Apgar score have a higher mortality rate.
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