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. 2024 Aug 30:11:2333794X241275264.
doi: 10.1177/2333794X241275264. eCollection 2024.

Early Neonatal Mortality and Predictors in Newborns Admitted to the Neonatal Intensive Care Unit at Public Hospitals in Hadiya Zone, Central Ethiopia: A Retrospective Cohort Study

Desta Osamo Kelbore  1 , Dejene Ermias Mekango  2 , Tegegn Tadesse Arficho  2 , Bisrat Feleke Bubamo  2 , Desta Erkalo Abame  2
Affiliations

Early Neonatal Mortality and Predictors in Newborns Admitted to the Neonatal Intensive Care Unit at Public Hospitals in Hadiya Zone, Central Ethiopia: A Retrospective Cohort Study

Desta Osamo Kelbore et al. Glob Pediatr Health. .

Abstract

Background. Despite numerous life-saving measures, neonatal mortality remains high. This research aims to investigate the incidence and predictors of early neonatal mortality among newborns admitted to intensive care units in public hospitals in Hadiya Zone, Ethiopia. Methods. A retrospective cohort study was conducted on 689 neonates admitted to the neonatal intensive care unit. Cox proportional hazard regression by STATA was used. Results. This study followed for 3439 person-days found an incidence rate of 16.9 deaths per 1000 person-days. Birth weight [AHR = 4.4, 95% CI; 1.29, 14.94], APGAR score at the fifth minute 4 to 6 [AHR = 0.42, 95% CI; 0.2, 0.87], hypoglycemia [AHR = 8.1, 95% CI; 2.17, 30.43], no treated with oxygen [AHR = 2.6, 95% CI; 1.1, 5.9], and obstetric complications [AHR = 0.41, 95% CI; 0.18, 0.93] predicted early neonatal mortality. Conclusion. The study revealed a high neonatal mortality rate, necessitating increased focus on oxygen treatment for newborns and improved early diagnosis and treatment of obstetric complications.

Keywords: Central Ethiopia; early neonatal mortality; intensive care unit; neonate; predictors.

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Conflict of interest statement

The author(s) declared no potential conflicts of interest with respect to the research, authorship, and/or publication of this article.

Figures

Figure 1.
Figure 1.
Schematic presentation of sampling procedure.
Figure 2.
Figure 2.
Admission diagnosis of early neonates.
Figure 3.
Figure 3.
Kaplan-Meier survival curves compare neonate survival times.
Figure 4.
Figure 4.
The survival curves of Kaplan-Meier compare survival time of neonate with different birth weight group.
Figure 5.
Figure 5.
The Kaplan-Meier survival curves compare neonate survival time with hypoglycemia.
See this image and copyright information in PMC

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