Abstract:
The first 28-days of life, particularly the day of birth, are the most challenging
and vulnerable time for a child’s survival and health. Neonatal deaths as a share of under-five
deaths decreased more slowly than mortality among children aged 1–59 months and accounted
for 47 percent of all under-five deaths. Moreover, Ethiopia is still on the 4
rank of
global and sub-Saharan Africa neonatal mortality rate, respectively, which indicates neonatal
death is a critical problem which needs farther studying of the underline predictors. Even though,
some studies were conducted on predictors and determinants of neonatal mortality in Ethiopia,
little is known about the time to neonatal death and its predictors. Therefore, this study aimed
to assess the survival status and predictors of mortality among neonates admitted to NICU in
Dessie Referral Hospital. Objectives: To determine the survival status and predictors of
mortality among neonates admitted to NICU from 01/01/2018-31/12/2020 in Dessie Referral
Hospital, Northeast Ethiopia, 2021. Methods: An institution-based retrospective cohort study
was used among 542 neonates admitted from 2018-2020 in NICU of Dessie Referral Hospital,
Northeast Ethiopia. Medical record numbers were obtained from patient register logbooks. Then
data was collected from patient cards by using a systematic sampling method with pretested
checklist. Data was entered using Epi-data 4.6 and analyzed using STATA 16. Kaplan Meier
was used to estimating median survival time and cumulative probability of survival, and the logrank
test
was
used
to
compare
survival
curves.
The
Cox
proportional
hazard
regression
model
was used to analyze the relationship between independent and outcome variables.