{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,24]],"date-time":"2026-03-24T17:57:28Z","timestamp":1774375048980,"version":"3.50.1"},"reference-count":46,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2025,9,18]],"date-time":"2025-09-18T00:00:00Z","timestamp":1758153600000},"content-version":"vor","delay-in-days":17,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Public Health Challenges"],"published-print":{"date-parts":[[2025,9]]},"abstract":"<jats:title>ABSTRACT<\/jats:title><jats:sec><jats:title>Introduction<\/jats:title><jats:p>Globally, 17.7% of under\u20105 mortality and 36.1% of neonatal mortality occur due to preterm birth complications. Ethiopia is one of the top 10 countries with the highest neonatal mortality. Data on survival status and predictors of mortality among preterm neonates in Ethiopia remain limited. This study aimed to assess the survival status and predictors of mortality among preterm neonates admitted to the neonatal intensive care units of public hospitals in Central Ethiopia.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>A facility\u2010based prospective cohort study was conducted among 347 preterm neonates admitted to the neonatal intensive care units in selected public hospitals from October 1, 2022, to June 28, 2023. All admitted preterm neonates were enrolled. Data were collected using a structured questionnaire. The Kaplan\u2013Meier curve was used to estimate the mean survival time and cumulative survival probability. To declare the associations, the Cox proportional hazards model was used to identify mortality predictors with adjusted hazard ratios with 95% confidence interval (CI) and <jats:italic>p<\/jats:italic> value.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Of 347 preterm newborns, 104 (29.97%) died, resulting in an incidence rate of 39.88 (95% CI: 32.90\u201348.33) fatalities per 1000 person\u2010day observations. Born from mothers with chorioamnionitis (AHR 3.89; 95% CI: 2.44, 6.18), born from mothers with gestational diabetes mellitus (GDM) (AHR 2.01; 95% CI: 1.27, 3.17), Apgar score at fifth minute less than 7 (AHR 1.87; 95% CI: 1.04, 3.36), having respiratory distress syndrome (RDS) (AHR 2.03; 95% CI: 1.14, 3.61), receiving kangaroo mother care (KMC) (AHR 1.86; 95% CI: 1.18, 2.94), and born less than 32 weeks of gestation (AHR 2.52; 95% CI: 1.27, 3.17) were significant predictors of mortality.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>Around one\u2010third of preterm neonates died. Improving the survival status should emphasize high\u2010risk neonates, with low fifth\u2010minute Apgar scores, having RDS, not receiving KMC, and neonates born to mothers with chorioamnionitis or GDM.<\/jats:p><\/jats:sec>","DOI":"10.1002\/puh2.70123","type":"journal-article","created":{"date-parts":[[2025,9,18]],"date-time":"2025-09-18T17:46:02Z","timestamp":1758217562000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["Survival Status and Predictors of Mortality Among Preterm Neonates Admitted to the Neonatal Intensive Care Units in Central Ethiopia: A Prospective Follow\u2010Up Study"],"prefix":"10.1002","volume":"4","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-6795-6603","authenticated-orcid":false,"given":"Daniel","family":"Tsega","sequence":"first","affiliation":[{"name":"Department of Midwifery College of Medicine and Health Science Wolkite University  Wolkite Ethiopia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Shegaw Geze","family":"Tenaw","sequence":"additional","affiliation":[{"name":"Department of Midwifery College of Medicine and Health Science Wolkite University  Wolkite Ethiopia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Bogale","family":"Chekole","sequence":"additional","affiliation":[{"name":"Department of Nursing College of Medicine and Health Science Wolkite University  Wolkite Ethiopia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Abdulaziz","family":"Assefa","sequence":"additional","affiliation":[{"name":"Department of Midwifery College of Medicine and Health Science Wolkite University  Wolkite Ethiopia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mulugeta","family":"Animaw","sequence":"additional","affiliation":[{"name":"Department of Midwifery College of Medicine and Health Science Wolkite University  Wolkite Ethiopia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Aberash Beyene","family":"Derribow","sequence":"additional","affiliation":[{"name":"Department of Midwifery College of Medicine and Health Science Wolkite University  Wolkite Ethiopia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0009-0000-1942-5162","authenticated-orcid":false,"given":"Mangistu","family":"Abera","sequence":"additional","affiliation":[{"name":"Department of Midwifery College of Medicine and Health Science Wolkite University  Wolkite Ethiopia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Aynalem","family":"Belay","sequence":"additional","affiliation":[{"name":"Department of Midwifery College of Medicine and Health Science Wolkite University  Wolkite Ethiopia"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2025,9,18]]},"reference":[{"key":"e_1_2_12_2_1","volume-title":"World Health Statistics 2019: Monitoring Health for the SDGs, Sustainable Development Goals","author":"World Health Organization","year":"2019"},{"key":"e_1_2_12_3_1","doi-asserted-by":"publisher","DOI":"10.1016\/S2214-109X(15)00275-2"},{"key":"e_1_2_12_4_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12884-020-03089-2"},{"key":"e_1_2_12_5_1","doi-asserted-by":"publisher","DOI":"10.5334\/aogh.2348"},{"key":"e_1_2_12_6_1","unstructured":"WHO Preterm Birth(WHO 2016). 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