Facteurs associés à la mortalité des urgences néonatales dans deux Hôpitaux de Yaounde de 2020 à 2025
Keywords:
Neonatal emergencies; mortality; CameroonAbstract
Background: Neonatal emergencies remain a leading cause of neonatal mortality in sub-Saharan Africa. This study aimed to identify factors associated with mortality among neonatal emergencies in Yaoundé.
Methods: This was a multicenter retrospective analytical study conducted from January 2020 to December 2025 in two university hospitals in Yaoundé. Neonates admitted for neonatal emergencies were included. Binary logistic regression was used to identify factors associated with death.
Results: A total of 231 neonates were included. The in-hospital mortality rate was 31.2%. Factors associated with mortality included birth weight <2000 g(ORa:2.54[1.36-3.40], p=0.001), prematurity (ORa: 1,15[1,03-2,29], p=0,004), neonatal asphyxia (ORa: 5,05 [3,17-7,16], p<0,001), neonatal infection (ORa: 4,75[2,57-11,16], p< 0,001), and respiratory distress (ORa: 1,27[1,03-7,16], p =0,002).
Conclusion: Mortality from neonatal emergencies remains high in Yaoundé. Strengthening perinatal care and neonatal emergency management is essential.
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