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Factors Associated With Length of Stay in a Neonatal Intensive Care Unit in Iran Publisher



Kheiry F1 ; Mohammadbeigi A2 ; Afrashteh S3 ; Kargarianmarvasti S4 ; Naderi S5 ; Saadat H5 ; Nazari LN6
Authors
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Authors Affiliations
  1. 1. Pediatrics Hospital, Hormozgan University of Medical Sciences, Bandar Abbas, Iran
  2. 2. Research Centre Environmental pollutants, Qom University of Medical Sciences, Qom, Iran
  3. 3. Bushehr University of Medical Sciences, Bushehr, Iran
  4. 4. Isfahan University of Medical Sciences, Isfahan, Iran
  5. 5. Department of Pediatrics, Faculty of Medicine, Clinical Research Development Centre of Children Hospital, Hormozgan University of Medical Sciences, Bandar Abbas, Iran
  6. 6. Vice-Chancellor for Public Health, Bushehr University of Medical Sciences, Bushehr, Iran

Source: Sri Lanka Journal of Child Health Published:2019


Abstract

Background: The length of stay (LOS) is a useful indicator of health and prediction of the LOS in the neonatal intensive care unit (NICU) has drawn increasing attention over the past years. Objectives: To determine factors associated with infant's LOS in the NICU in Bandar Abbas city, Southern Iran, between 2016 and 2017. Method: This cohort study reviewed 603 medical records of all NICU admitted newborns. Data were collected using data collection forms. The Cox multiple hazards regression model determined the factors associated with the infant's LOS. Data was analysed using SPSS, version 21. The significance level was set at 0.05. Results: The median LOS in NICU was 9 days. The results of multiple Cox proportional hazards regression model showed that type of feeding, umbilical and central venous catheterization, mechanical ventilation, nosocomial infection, acute renal failure, blood transfusion, and antibiotic therapy were significantly associated with LOS in the NICU (p < 0.05). Conclusions: The type of feeding, umbilical and central venous catheterization, mechanical ventilation, nosocomial infection, acute renal failure, blood transfusion, and antibiotic therapy were significantly associated with LOS in the NICU. © 2019, Sri Lanka College of Paediatricians.
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