Browsing by Author "Gemechis Kabe"

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    Survival Status and Predictors of Early Neonatal Mortality Among Admitted to Neonatal Intensive Care Units in Public Hospitals in Addis Ababa, Ethiopia, Between January 1-2022 to January1-2023 (Retrospective Cohort Study
    (Addis Ababa University, 2023-07-13) Gemechis Kabe; Meron Abram; Ashenafi Seifu
    The first week following birth is the time when there is a greater chance that a child will die. Early infant mortality is still a problem for worldwide public health, particularly in sub-Saharan African nations like Ethiopia. Most neonatal deaths—roughly 75%—occur within the first seven days of delivery, but there limited evidence on retrospective cohort follow-up studies and little evidence of how to determine the factors that may determine when someone die in Ethiopia, specifically in this study area. Objective: The aim of the study was to assess survival status and predictors of early neonatal mortality among admitted to Neonatal Intensive Care Unit of Addis Ababa public Hospitals, Ethiopia, 2023 Methods In four public hospitals in Addis Ababa, Ethiopia, a retrospective cohort analysis was conducted. For a total sample size of 375 neonate’s data collected through document review and checklists using conventional random selection approaches. Following coding, cleaning, and revision, the data were entered into Epic Data Version 3.1. Data then imported into SPSS 26 for analysis. The Kaplan-Meier survival curve with log rank test was applied to compare the survival rates between groups. Furthermore, bivariate and multivariate Cox proportional hazard regression analyses were conducted to identify the predictive components. The assumption of the model was verified. Figures and tables were used to describe the results. Results The study included 375 eligible neonates in total. A total incidence rate of 37.1 deaths per 1000 was found (95% CI: 25.5, 40.9), with 75 of them (20%) died. Premature birth [AHR: 4 (with 95% CI: 1.234, 5.80)], preeclampsia [AHR: 2.4 (95% CI: 1.16, 4.98)], fifth-minute Apgar score [AHR: 3.93 (95% CI: 1.76, 8.77)], initiation exclusive of breast feeding [AHR: 3.69 (95% CI: 1.14, 9.02)], and low birth weight [AHR: 2.01 (95% CI; 1.28, 3.43) Conclusion: Early neonatal mortality is high in NICU at Addis Ababa's public hospitals. Gestational age, preeclampsia, the five-minute Apgar score, the initiating of exclusive breast feeding, low birth weight were found to be independent predictors of early neonatal death. Magnificent care and attention to a neonate with a low Apgar score who is not breastfeeding, premature, has a low birth weight, and whose mother has pregnancy-induced hypertension.