ArticleItalian journal of pediatrics2017
A cohort analysis of neonatal hospital mortality rate and predictors of neonatal mortality in a sub-urban hospital of Cameroon.
Article in Italian journal of pediatrics, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 45 papers.
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45 citing papers in PubMed, 77 citations in OpenAlex.
- Observational
- Time to death and its predictors of mortality among neonates admitted to neonatal intensive care unit in public general hospitals of central zone of Tigray, Ethiopia 2024: a retrospective cohort study.Maternal health, neonatology and perinatology · 2026Article
- Impact of maternal and neonatal factors on mortality in the first six weeks of life: A comprehensive cohort study in Kinshasa, DR Congo.PLOS global public health · 2026Article
- Predictors of preterm neonatal mortality in the neonatal intensive care unit at a tertiary medical institution in Ethiopia.Frontiers in pediatrics · 2025Article
- Special care baby unit neonatal disease outcomes in a tertiary hospital in Nigeria: 2-year retrospective cross-sectional analysis.BMJ public health · 2025Article
- Incidence of Neonatal Mortality and the Factors Influencing Neonate Mortality in Neonatal Intensive Care Unit in Northern Ethiopia: A Prospective Cohort Study.Ethiopian journal of health sciences · 2025Article
- Clinical profiles, incidence and predictors of early neonatal mortality at Mbarara Regional Referral Hospital, south-western Uganda.BMC pediatrics · 2024Article
- Predictors of neonatal mortality among neonates admitted to NICU at Dubti General hospital, Northeast Ethiopia.Heliyon · 2024Article
- Neonatal mortality and associated factors among newborns in Mogadishu, Somalia: a multicenter hospital-based cross-sectional study.BMC public health · 2024Article
- Magnitude of neonatal asphyxia and its predictors among newborns at public hospitals of Wolaita Zone in Southern Ethiopia, 2023.BMC pediatrics · 2024Article
- Time to Death and Its Predictors among Neonates Hospitalized with Sepsis in Eastern Ethiopia.BioMed research international · 2024Article
- Predictors of neonatal mortality among neonates in Tigray regional state, Ethiopia: A cross-sectional study.PloS one · 2024Article
- Article
- Smaller babies at risk: birth weight impacts neonatal survival status in Silte zone, Central Ethiopia. A survival analysis of prospective cohort study.Frontiers in pediatrics · 2024Article
- Determinants of mortality among neonates admitted to neonatal intensive care unit at public hospitals, in the Somali region, eastern Ethiopia: unmatched case-control study.The Pan African medical journal · 2024Article
- 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.Global pediatric health · 2024Article
- Mortality rate and predictors among neonates admitted to a neonatal intensive care unit in Addis Ababa, Ethiopia: a retrospective follow-up study.Frontiers in pediatrics · 2024Article
- Global, Regional and National Trends in the Burden of Neonatal Respiratory Failure and essentials of its diagnosis and management from 1992 to 2022: a scoping review.European journal of pediatrics · 2024Article
- Trends in Neonatal Mortality at Princess Marie Louise Children's Hospital, Accra, and the Newborn Strategic Plan: Implications for Reducing Mortality in Hospital and the Community.Children (Basel, Switzerland) · 2023Article
- Neonatal Mortality and Associated Factors in the Neonatal Intensive Care Unit of Gadarif Hospital, Eastern Sudan.Children (Basel, Switzerland) · 2022Article
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Authors and funding
7 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundIn Cameroon, sustainable effort needs to be done to reduce the current neonatal mortality rate from 21 deaths per 1000 live births to the global target of fewer than ten deaths per 1000 live births by 2035. We aimed to determine the neonatal hospital mortality rate and predictors of neonatal hospital mortality (NHM) in a major referral sub-urban hospital of Cameroon in a bit to formulate interventions to curb this burden.
methodsThis was a prospective cohort study consecutively enrolling all neonates admitted into the neonatology unit of the Bamenda Regional Hospital (BRH) from November 2015 to February 2016. Through interviewed questionnaires to parents and physical examination of neonates, we studied socio-demographic characteristics, antenatal history, intrapartum history and clinical findings of neonates. Neonates further underwent relevant laboratory investigations for diagnosis. All neonates were followed up till 28 days after the post-menstrual term for the neonatal outcomes. Multiple logistic regression was used to determine predictors of NHM.
resultsWe enrolled 332 out of 337 neonates admitted to the neonatology unit of BRH during the study period. Fifty-three percent (53%) were males. Their mean gestational age and birth weight were 36.9 ± 3.9 weeks and 2677.2 ± 923 g, respectively. The main causes of neonatal admissions were complications of preterm birth (32.2%), neonatal infections (31.3%), and birth asphyxia (14.5%). The neonatal hospital mortality rate was 15.7%. NHM was related to complications of preterm birth (69%), birth asphyxia (23%) and neonatal infections (6%). A five-minute Apgar score less than seven was the only predictor of NHM (aOR: 16.41; CI 95%: 6.35-42.47; p < 0.01).
conclusionNeonatal mortality still remains a significant health problem in sub-urban Cameroon, mainly as a result of three pathologies; complications of preterm birth, birth asphyxia, and infections. There is an urgent need to revamp the current health policies through the improvement of antenatal care, skilled birth attendants, neonatal resuscitation, timely detection and treatment of complications of preterm births, birth asphyxia, and infections.
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