FACTORS INFLUENCING SURVIVAL RATES AMONG REFERRED NEONATES: A BANJARMASIN TERTIARY HOSPITAL PERSPECTIVE
DOI:
https://doi.org/10.37268/mjphm/vol.25/no.1/art.2584Keywords:
Neonatal care, referral process, survival neonates, IndonesiaAbstract
The referral process in neonatal care presents significant challenges and various factors that influence the expected outcomes. This study aims to analyze the characteristics and factors associated with the survival of neonates referred to Ulin General Hospital Banjarmasin. A cross-sectional study was conducted using secondary data from the emergency and referred neonatal registry from August to December 2021 at Ulin General Hospital Banjarmasin. Subjects were selected using purposive sampling. Statistical analysis was performed using IBM SPSS 21, employing chi-square test for categorical variables and either the T-test or Mann-Whitney test for continuous variables. The study included a total of 46 neonates, 29 of whom survived and 17 did not. The median (IQR) age of the neonates was 5(3-9) days. The survived group had a higher median age at referral [8 (4–12) days compared to 3 (1–5) days, p = 0.031], more mothers with college education (48.2% compared to 17.7%, p = 0.037), and higher notification status (89.6% compared to 58.8%, p = 0.02). Meanwhile, non-survived patients had higher rates of oxygenation use (82.4% compared to 51.7%, p = 0.038), severe respiratory distress (29.4% compared to 0%, p = 0.004), and hypoglycemia (35.3% compared to 10.3%, p = 0.045). The study concluded that the neonatal age at referral, mother’s education level, notification prior to referral, hypoglycemia, respiratory distress, and the need for oxygen therapy are associated with mortality of the referred neonates.
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