Factors Responsible for the Prolonged Stay of Surgical Neonates in Intensive Care Units
Journal Title: Sultan Qaboos University Medical Journal - Year 2015, Vol 15, Issue 1
Abstract
Objectives: Te length of hospital stay (HS) for patients is a major concern due to its social, economic and administrative implications; this is particularly important for neonates admitted to intensive care units (ICUs). Tis study aimed to determine the factors responsible for prolonged HS in surgical neonates. Methods: Tis retrospective study was conducted at Sultan Qaboos University Hospital, in Muscat, Oman. Te medical records of 95 neonates admitted to the neonatal ICU who underwent general surgical procedures between July 2009 and June 2013 were reviewed. Mann-Whitney U and Pearson’s Chi-squared tests were used for non-parametric numerical and categorical variables, respectively. A multiple regression analysis was performed to fnd a relationship between the variables and to detect the most important factor responsible for prolonged HS. A P value of <0.05 was considered statistically signifcant. Results: Gestational age, birth weight, number of days on a ventilator and postoperative morbidity were associated with prolonged HS. Furthermore, the age of neonates at frst full enteral feed was associated with increased HS using both independent and multiple regression analyses. Conclusion: Prolonged HS can occur as a result of many factors. In this study, a number of factors were identifed, including low gestational age, low birth weight, increased number of days on a ventilator and postoperative morbidity. Additionally, neonate age at frst full enteral feeds also correlated with increased HS. Further research on this topic is suggested to explore this correlation in more detail and to inform future practices.
Authors and Affiliations
Khalid M. Bhatti| Departments of Surgery, Sultan Qaboos University Hospital, Muscat, Oman, Zainab N. Al-Balushi| Departments of Surgery, Sultan Qaboos University Hospital, Muscat, Oman, Mahmoud H. Sherif| Departments of Surgery, Sultan Qaboos University Hospital, Muscat, Oman, Sareyah M. Al-Sibai| Departments of Surgery, Sultan Qaboos University Hospital, Muscat, Oman, Ashfaq A. Khan| Departments of Child Health, Sultan Qaboos University Hospital, Muscat, Oman, Mazen A. Mohammed| Departments of Child Health, Sultan Qaboos University Hospital, Muscat, Oman, Maria F. Batacalan| Departments of Child Health, Sultan Qaboos University Hospital, Muscat, Oman, Cheryl C. Montemayor| Departments of Child Health, Sultan Qaboos University Hospital, Muscat, Oman, Mohammad Fazalullah| Departments of Child Health, Sultan Qaboos University Hospital, Muscat, Oman, Masood Ahmed| Departments of Child Health, Sultan Qaboos University Hospital, Muscat, Oman, Mathew Kripail| Departments of Child Health, Sultan Qaboos University Hospital, Muscat, Oman, Asad ur-Rahman| Departments of Child Health, Sultan Qaboos University Hospital, Muscat, Oman, Zenaida Reyes| Departments of Child Health, Sultan Qaboos University Hospital, Muscat, Oman, Mohamed Abdellatif| Departments of Child Health, Sultan Qaboos University Hospital, Muscat, Oman
Keywords
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