Abstract:
Abstract
Introduction: - Jaundice is a yellowish discoloration of the skin in the early neonatal
period. It is a common problem that affects up to 50-60% of full-term babies and 80%
of preterm babies. Jaundice has a good treatment outcome when detected and treated
early, but sometimes it can lead to serious complications and death if not treated
appropriately and on time. To improve the treatment outcome of jaundice, identifying
the factors affecting it is crucial. So, this study aimed to assess the treatment outcome
of jaundice and its associated factors among neonates.
Objective: -To determine the treatment outcome of jaundice and its associated factors
among neonates admitted to NICU in University CSH of SNNPR, Ethiopia, 2022.
Method: - An institution-based retrospective cross-sectional study was conducted
among neonates admitted to NICU in University CSH of SNNPR, Ethiopia from April
to May 2022. Data was collected by trained nurses using a pretested data extraction
tool. Study participants were selected by using a simple random sampling method.
The data was checked for completeness and then entered into Epi-data version 4.6
and exported to STATA version 14. The results were presented in frequencies and
percentages for categorical variables, and mean and median were computed for
continuous variables. A binary logistic regression model was used to estimate the
strength of the association between an independent variable and the outcome
variable.
Result: - A total of 423 charts were reviewed. Overall, 416 (98%) charts were included
in the final analysis. Almost 91.7% (95%CI: 88.2, 93.7) of neonates had improved.
The following factors were significantly associated with the treatment outcome of
jaundice: residence, rural (AOR = 0.36, 95%CI: 0.2, 0.8), origin of admission, out born
(OR = 0.35, 95%CI: 0.2, 0.8), gestational age 37 weeks (AOR = 0.26, 95%CI: 0.1,
0.8), and TSB 20mg/dl (AOR = 0.40, 95%CI: 0.2, 0.9).
Conclusion and Recommendation: - The improvement rate of jaundice by treatment
was low, so emphasis needs to be given to improving the treatment outcome of
jaundice in hospitals.
Key words: - Jaundice, Treatment outcome, Neonatal Intensive Care Unit.
