ArticleSage open pediatrics
Outcome and Associated Factors of Neonatal Surgeries at University of Gondar Comprehensive Specialized Hospital, Northwest Ethiopia, A 7-Year Period.
Article in Sage open pediatrics. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.
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Who cites it
3 citing papers in PubMed.
- Mortality and Factors Associated with Death in Children with Congenital Gastrointestinal Malformations-A Five-Year Retrospective Study from Romania (2020-2024).Children (Basel, Switzerland) · 2026Article
- Perioperative mortality in pediatric non-cardiac surgery in Ethiopia: a systematic review and meta-analysis.Perioperative medicine (London, England) · 2026Article
- Balancing two defects: surgical decision-making in low-birth-weight neonates with esophageal atresia and tetralogy of Fallot-a case series.BMC pediatrics · 2026Article
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Authors and funding
8 authors.
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No grant is acknowledged in the PubMed record.
Abstract
Introduction: Neonatal surgery is complex and time-sensitive, with a narrow margin for error. While neonatal surgical conditions account for approximately 11% of the global disease burden, data on their impact in Ethiopia remains limited. Methods: A hospital-based cross-sectional study was conducted at the University of Gondar Comprehensive Specialized Hospital by reviewing medical records of 268 neonates who underwent surgery between 2017 and 2023. Data were analyzed using Stata version 14. Multivariable logistic regression was used to identify predictors of mortality. Statistical significance was set at Results: The overall mortality rate was 14.18%. Key predictors of mortality included preoperative sepsis (AOR: 4.45; 95% CI: 1.49-13.27), postoperative hypothermia (AOR: 3.19; 95% CI: 1.17-8.71), low birth weight (AOR: 3.7; 95% CI: 1.12-12.43), preterm birth (AOR: 3.88; 95% CI: 1.04-14.46), and prolonged hospital stay (AOR: 3.34; 95% CI: 1.15-9.84). Conversely, neonates aged 9 to 28 days had significantly lower odds of death (AOR: 0.22; 95% CI: 0.05-0.998). Conclusion: Neonatal surgical mortality was significantly influenced by preoperative, intraoperative, and postoperative factors. Targeted interventions focusing on infection control, thermal regulation, and care of preterm and low birth weight neonates may improve outcomes.
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