Prevalence of Admission Hypoglycemia and Its Association With Transport Variables and Clinical Parameters

Sujit Kumar Sahoo, Nihar Ranjan Mishra

Abstract

Background: Hypoglycemia is commonly seen in referred neonates, especially in cases where prereferral stabilization and care during transport are inadequate. This not only affects their immediate but also long-term neurologic outcomes. 

Aim: To study the prevalence of hypoglycemia on admission in outborn neonates and analyze its association with various transport variables and clinical parameters 

Materials and Methods: The study enrolled 394 outborn neonates. The admitting physician clinically examined all neonates, checked their vitals, and recorded all values in the master chart and observation table. The persons accompanying the neonates were interviewed and data regarding transport characteristics were collected. All relevant data were imported to Microsoft Excel and statistically analyzed using SPSS version 24 software.

Results: A significant association (P < .05) was found between admission hypoglycemia and variables such as birth asphyxia, temperature on admission, capillary filling time, oxygen saturation, maternal literacy < class 7, type of transport vehicle, duration of transport, and warming and clothing during transport (P < .05). Building a logistic regression model using the variable that shows a strong association with admission hypoglycemia, the probability of correctly predicting hypoglycemia on admission was 81%. 

Conclusions: Prevalence of hypoglycemia and values of clinical parameters on admission were no different than in previous similar studies. Significant improvement was observed with regard to neonatal transport in an ambulance. Further specialization in terms of transport equipment, availability of skilled persons, and care during transport is needed.

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