Abstracts

Backgrounds: Premature neonatal death is a global burden both in developed and developing countries. Different strategies had been implemented to reduce premature neonatal complications in Ethiopia. But, the rate of NM is still high. Even though published research in developing countries are increasing, scarcity of data regarding to this area is still observed. Therefore, this study was aimed to provide data about the incidence and predictors of mortality among premature neonates.

Objectives: To determine survival status and predictor of mortality among premature neonates admitted to neonatal intensive care unit from 2013-2017 at TASH, Addis Ababa, Ethiopia, 2018.

Methods: institution based retrospective cohort was conducted among neonates who were admitted in the last five years at TASH, Addis Ababa, Ethiopia. Data were collected by reviewing patients chart using systematic sampling with checklist; entered using Epi-data 3.1 and analyzed with STATA 14.  Kaplan Meier and long rank test was used. Cox proportional hazard were fitted to identify predictors.

Results: In this study, 571 cards who fulfill inclusion criteria. A total of 29.7% neonates were died during the follow up period with incidence rate of 39.1 per 1000-PDO with overall median survival of 21 days. Rural residency (AHR:0.67(95%CI:0.49,0.98),maternal diabetic mellitus (AHR:2.29(95%CI:1.43,3.65), neonatal sepsis(AHR:1.62(95%CI:1.11,2.37), RD (AHR: 1.54(95%CI=1.03,2.31), extremely prematurity(AHR:2.87(95%CI:1.61,5.11)was found to be were predictors of mortality mortality.

Conclusion: The main factors for death were being male, living in rural, maternal DM, sepsis, RD and low APGAR score. Therefore, motionless efforts have to be made to reduce the incidence of death and for timely management of mother with diabetic mellitus.

Keywords: time to death, preterm , Ethiopia