Factors associated with neonatal jaundice in a regional high-altitude hospital: a crosssectional study

• Autor: Cordova-Cairampoma, Luis
• Formato: artículo
• Fecha de Publicación: 2024
• Institución: Instituto Nacional de Salud del Niño San Borja
• Repositorio: INSNS - Revistas
• Lenguaje: español
• OAI Identifier: oai:ojs.pkp.sfu.ca:article/99
• Enlace del recurso: https://investigacionpediatrica.insnsb.gob.pe/index.php/iicqp/article/view/99
• Nivel de acceso: acceso abierto
• Materia: Ictericia neonatal; Altitud; Recién Nacido; Sistema del Grupo Sanguíneo ABO; Jaundice, Neonatal; Altitude; Infant, Newborn; ABO Blood-Group System

Neonatal jaundice is a condition characterized by elevated bilirubin levels in newborns, which, if left untreated, can lead to serious neurological complications. This study aimed to identify factors associated with neonatal jaundice in newborns at a regional referral hospital located at a high altitude (4338 meters above sea level) in Peru. A cross sectional observational study was conducted, reviewing the medical records of 206 newborns treated during the last half of 2022. Factors associated with neonatal jaundice were evaluated using logistic regression, and odds ratios (OR) were calculated as measures of association. Significant associations were found between neonatal jaundice and male gender (OR = 2.01; 95 % CI = 1.05-3.83; p = 0.034), preterm gestational age (OR = 2.91; 95 % CI = 1.41-6.00; p = 0.003), dystocic delivery (OR = 3.81; 95 % CI = 1.95-7.42; p = 0.001), A+ blood group and Rh factor (OR = 2.90; 95 % CI = 1.16-4.22; p = 0.019), and low birth weight (OR = 2.38; 95 % CI = 1.19-4.74; p = 0.012). Future studies should include larger cohorts and further explore the impact of high altitude geography on the development of neonatal jaundice.