ArticleBMC pediatrics2020
Cause and predictors of neonatal mortality among neonates admitted to neonatal intensive care units of public hospitals in eastern Ethiopia: a facility-based prospective follow-up study.
Article in BMC pediatrics, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 74 papers, 4 of them syntheses that pooled it.
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Who cites it
74 citing papers in PubMed, 4 syntheses or guidelines pooled it, 92 citations in OpenAlex.
- Clinical Signs Associated With Mortality and Sepsis in Young Infants: A Systematic Review and Meta-Analysis.JAMA pediatrics · 2026Pooled it
- Incidence and predictors of mortality among low birth weight neonates in Africa: a systematic review and meta-analysis.Frontiers in pediatrics · 2025Pooled it
- Impact of COVID-19 on Maternal Health Service Uptake and Perinatal Outcomes in Sub-Saharan Africa: A Systematic Review.International journal of environmental research and public health · 2024Pooled it
- Effect of Preterm Birth on the Risk of Adverse Perinatal and Neonatal Outcomes in Ethiopia: A Systematic Review and Meta-Analysis.Inquiry : a journal of medical care organization, provision and financingPooled it
- Health interventions and stakeholder roles in neonatal mortality reduction within low-income countries: A scoping review.Public health in practice (Oxford, England) · 2026Review
- Factors associated with mortality among neonates admitted to Special Care Baby Unit: evidence from a matched case-control study in a rural general hospital in Northern Uganda.Maternal health, neonatology and perinatology · 2026Article
- Patterns of preterm admission, morbidity, and mortality in a tribal-district neonatal intensive care unit: A retrospective cohort study.World journal of clinical pediatrics · 2026Article
- Neonatal Mortality and Its Associated Factors Among Neonates in Ethiopia: A Systematic Review and Meta-Analysis.Public health challenges · 2026Article
- A machine learning approach to identify key socio-economic and demographic factors associated with neonatal mortality in Ethiopia.BMC public health · 2026Article
- 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
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- Outborn Neonates in Nairobi's Public Hospitals: Mortality Burden and Risk Factors.Wellcome open research · 2026Article
- Article
- Survival Status and Predictors of Mortality Among Preterm Neonates Admitted to the Neonatal Intensive Care Units in Central Ethiopia: A Prospective Follow-Up Study.Public health challenges · 2025Article
- Neonatal mortality and survival of low-birth-weight infants at hospitals in indonesia, a multi center study.Scientific reports · 2025Article
- Prevalence and factors associated with neonatal mortality at the neonatal intensive care unit at St. Mary's Hospital Lacor, Northern Uganda.BMC pediatrics · 2025Article
- Factors associated with quality of intrapartum care in Kenya: a complex samples analysis of the 2022 Kenya demographic and health survey.BMC pregnancy and childbirth · 2025Article
- Time to death and its predictors among neonates admitted to the neonatal intensive care unit at Boru Meda General Hospital, Northeast Ethiopia.Scientific reports · 2025Article
- Article
- Beliefs and perceptions towards congenital anomalies in Dilla town, Gedeo Zone, Southern Ethiopia; a qualitative study.BMC pediatrics · 2025Article
14 more citing papers are in PubMed but not listed here.
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Authors and funding
8 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundThe first month is the most crucial period for child survival. Neonatal mortality continues to remain high with little improvement over the years in Sub-Saharan Africa, including Ethiopia. This region shows the least progress in reducing neonatal mortality and continues to be a significant public health issue. In this study setting, the causes and predictors of neonatal death in the neonatal intensive care units are not well documented. Hence, this study aimed to determine the causes and predictors of neonatal mortality among infants admitted to neonatal intensive care units in eastern Ethiopia.
methodsA facility-based in prospective follow-up study was conducted among neonates admitted to neonatal intensive care units of public hospitals of eastern Ethiopia from November 1 to December 30, 2018. Data were collected using a pre-tested structured questionnaire and a follow-up checklist. The main outcomes and causes of death were set by pediatricians and medical residents. EpiData 3.1 and Statistical Package for Social Sciences Version 25 software were used for data entry and analysis, respectively. Multivariable logistic regression was used to identify the predictors of facility-based neonatal mortality.
resultsThe proportion of facility-based neonatal mortality was 20% (95% CI:16.7-23.8%). The causes of death were complications of preterm birth (28.58%), birth asphyxia (22.45%), neonatal infection (18.36%), meconium aspiration syndrome (9.18%), respiratory distress syndrome (7.14%), and congenital malformation (4.08%). Low birth weight, preterm births, length of stay of the neonatal intensive care unit, low 5 min APGAR score, hyperthermia, and initiation of feeding were predictors of neonatal death among infants admitted to the neonatal intensive care units of public hospitals in eastern Ethiopia.
conclusionsThe proportion of facility-based neonatal deaths was unacceptably high. The main causes of death were preventable and treatable. Hence, improving the timing and quality of antenatal care is essential for early detection, anticipating high-risk newborns, and timely interventions. Furthermore, early initiation of feeding and better referral linkage to tertiary health facilities could lead to a reduction in neonatal death in this setting.
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