A Study of Prevalence and Risk Factors of Polycythemia in Neonatal Nursery in Duhok
Journal Title: Isra Medical Journal - Year 2018, Vol 10, Issue 2
Abstract
OBJECTIVE: To find the prevalence of neonatal polycythemia among neonates admitted to the neonatal nursery, the predisposing factors and the leading causes of admission associated with polycythemia. STUDY DESIGN: A retrospective cross sectional study PLACE AND DURATION: All neonates admitted to the Neonatal Nursery at a Maternity Hospital in Duhok, Iraq from 1st June to 31st December 2015. METHODOLOGY: The diagnosis of polycythemia is made when venous hematocrit = or >65%. The data about all patients included: age, sex, birth weight, gestational age, weight for gestational age, APGAR score, Oxygen saturation SPO2. The patients were sent for chest X ray, serum bilirubin, complete blood count and blood culture as indicated by clinical picture. Patients were divided into two groups i.e. with polycythemia and without polycythemia and predisposing factors causing polycythemia were assessed. RESULTS: Among 149 patients 21.47% had polycythemia. Most common age is in the first two days of life in both groups of patients with and without polycythemia with predominance of male sex among both groups. Among 56.25% of polycythemic and 64.19% of non polcythemic patients were full term (P=0.256). In polycythemic patients, 43.75% and in non polycythemic 49.38% were small-for-gestational age P=0.269.In 6.25% of polcythemic and 7.5% of nonpolycythemic had low oxygen saturation (P=0.585). In 34.37% of polycythemic and 33.9% of non polycythemic there was respiratory distress (P=0.557). Low apgar score was present in 12.5% of polycythemic and 13.6% of non polycythemic (P=0.566). The leading causes of admission in polycythemic patients were Respiratory distress syndrome 37.5%, transient tachypnea of newborn 24.87% and hyperbilirubinemia 15.62%. CONCLUSION: The prevalence of polycythemia is higher than in other studies. Respiratory distress syndrome, transient tachypnea of newborn and hyperbilirubinemia were the three leading causes of admission of polycythemic patients. KEY WORDS: Polycythemia, Neonate, Prevalence, Nursery, Predisposing Factors HOW TO CITE THIS: Mostefa AM. A Study of Prevalence and Risk Factors of Polycythemia in Neonatal Nursery in Duhok. Isra Med J. 2018; 10(2):113-117.
Authors and Affiliations
Akrem Mohammad Mostefa
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