{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,25]],"date-time":"2026-03-25T17:28:18Z","timestamp":1774459698561,"version":"3.50.1"},"reference-count":31,"publisher":"Wiley","license":[{"start":{"date-parts":[[2022,10,8]],"date-time":"2022-10-08T00:00:00Z","timestamp":1665187200000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["International Journal of Pediatrics"],"published-print":{"date-parts":[[2022,10,8]]},"abstract":"<jats:p>Background. Limited knowledge on the proportion of admission hypothermia and factors of death in hypothermic preterm neonates is hindering early and appropriate interventions in Ethiopia. Thus, studies on the proportion of admission hypothermia and factors of death in hypothermic preterm neonates are critical to enhancing preterm infants\u2019 survival. Methods. Hospital-based cross-sectional study was conducted on 398 participants using the systematic sampling method from October 10, 2021, to December 15, 2022. A pretested data extraction tool was used to collect data. EpiData version 4.6 and STATA version 16 were used for data entry and analysis. Multivariable logistic regression analysis evaluated the association between independent and outcome variables with a 95% confidence interval (CI). Hosmer and Lemeshow test and variance inflation factor were assessed to check model fitness and collinearity, respectively. <jats:inline-formula>\n                     <a:math xmlns:a=\"http:\/\/www.w3.org\/1998\/Math\/MathML\" id=\"M1\">\n                        <a:mi>P<\/a:mi>\n                     <\/a:math>\n                  <\/jats:inline-formula>\n                  <jats:inline-formula>\n                     <c:math xmlns:c=\"http:\/\/www.w3.org\/1998\/Math\/MathML\" id=\"M2\">\n                        <c:mtext>value<\/c:mtext>\n                        <c:mo>&lt;<\/c:mo>\n                        <c:mn>0.05<\/c:mn>\n                     <\/c:math>\n                  <\/jats:inline-formula> was considered statistically significant. Result. Of the 398 admitted preterm neonates, 331(83.2%) had hypothermia at admission. Factors that were significantly associated with mortality included outborn babies [Adjusted hazard ratio <jats:inline-formula>\n                     <e:math xmlns:e=\"http:\/\/www.w3.org\/1998\/Math\/MathML\" id=\"M3\">\n                        <e:mfenced open=\"(\" close=\")\">\n                           <e:mrow>\n                              <e:mtext>AOR<\/e:mtext>\n                           <\/e:mrow>\n                        <\/e:mfenced>\n                        <e:mo>=<\/e:mo>\n                        <e:mn>2.18<\/e:mn>\n                        <e:mo>:<\/e:mo>\n                        <e:mn>95<\/e:mn>\n                        <e:mi>%<\/e:mi>\n                     <\/e:math>\n                  <\/jats:inline-formula> CI (1.03-4.62)], GA less than 32 weeks [<jats:inline-formula>\n                     <i:math xmlns:i=\"http:\/\/www.w3.org\/1998\/Math\/MathML\" id=\"M4\">\n                        <i:mtext>AOR<\/i:mtext>\n                        <i:mo>=<\/i:mo>\n                        <i:mn>6.64<\/i:mn>\n                        <i:mo>:<\/i:mo>\n                        <i:mn>95<\/i:mn>\n                        <i:mi>%<\/i:mi>\n                     <\/i:math>\n                  <\/jats:inline-formula> CI (1.87-13.58)], weight less than 1500 gram [<jats:inline-formula>\n                     <k:math xmlns:k=\"http:\/\/www.w3.org\/1998\/Math\/MathML\" id=\"M5\">\n                        <k:mtext>AOR<\/k:mtext>\n                        <k:mo>=<\/k:mo>\n                        <k:mn>7.91<\/k:mn>\n                        <k:mo>:<\/k:mo>\n                        <k:mn>95<\/k:mn>\n                        <k:mi>%<\/k:mi>\n                     <\/k:math>\n                  <\/jats:inline-formula> CI (1.21-15.38)], thrombocytopenia [<jats:inline-formula>\n                     <m:math xmlns:m=\"http:\/\/www.w3.org\/1998\/Math\/MathML\" id=\"M6\">\n                        <m:mtext>AOR<\/m:mtext>\n                        <m:mo>=<\/m:mo>\n                        <m:mn>3.36<\/m:mn>\n                        <m:mo>:<\/m:mo>\n                        <m:mn>95<\/m:mn>\n                        <m:mi>%<\/m:mi>\n                     <\/m:math>\n                  <\/jats:inline-formula> CI (1.49-7.58)], and kangaroo mother care [<jats:inline-formula>\n                     <o:math xmlns:o=\"http:\/\/www.w3.org\/1998\/Math\/MathML\" id=\"M7\">\n                        <o:mtext>AOR<\/o:mtext>\n                        <o:mo>=<\/o:mo>\n                        <o:mn>0.38<\/o:mn>\n                        <o:mo>:<\/o:mo>\n                        <o:mn>95<\/o:mn>\n                        <o:mi>%<\/o:mi>\n                     <\/o:math>\n                  <\/jats:inline-formula> CI (0.16-0.88)]. Conclusion. The proportion of admission hypothermia was high. Outborn babies, birth weight less than 1500 gram, gestational <jats:inline-formula>\n                     <q:math xmlns:q=\"http:\/\/www.w3.org\/1998\/Math\/MathML\" id=\"M8\">\n                        <q:mtext>age<\/q:mtext>\n                        <q:mo>&lt;<\/q:mo>\n                        <q:mn>32<\/q:mn>\n                     <\/q:math>\n                  <\/jats:inline-formula> weeks, being thrombocytopenic, and lack of kangaroo mother care were identified as risk factors for hypothermic preterm neonatal mortality. Preterm labor prevention, improved inborn delivery, and kangaroo mother care may alleviate the high proportion of admission hypothermia and related mortalities in preterm neonates.<\/jats:p>","DOI":"10.1155\/2022\/8078628","type":"journal-article","created":{"date-parts":[[2022,10,9]],"date-time":"2022-10-09T06:50:10Z","timestamp":1665298210000},"page":"1-9","source":"Crossref","is-referenced-by-count":9,"title":["Admission Hypothermia and Factors Associated with Mortality among Admitted Hypothermic Preterm Neonates in Neonatal Intensive Care Units of Public Hospitals of Addis Ababa, Ethiopia"],"prefix":"10.1155","volume":"2022","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-8729-1784","authenticated-orcid":true,"given":"Fekadeselassie Belege","family":"Getaneh","sequence":"first","affiliation":[{"name":"College of Medicine and Health Sciences, Wollo University, Dessie, Ethiopia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Natnael Moges","family":"Misganaw","sequence":"additional","affiliation":[{"name":"College of Health Sciences, Debre Tabor University, Debre Tabor, Ethiopia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Dires Birhanu","family":"Mihretie","sequence":"additional","affiliation":[{"name":"College of Health Sciences, Dilla University, Dilla, Ethiopia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5695-3896","authenticated-orcid":true,"given":"Zebenay Workneh","family":"Bitew","sequence":"additional","affiliation":[{"name":"College of Health Sciences, St. Paul\u2019s Hospital Millennium Medical College, Addis Ababa, Ethiopia"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","reference":[{"key":"1","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(14)60496-7"},{"key":"2","first-page":"1074","volume-title":"Fanaroff and Martin\u2019sNeonatal-Perinatal Medicine 10th Edition Diseases of the Fetus and Infant","author":"R. 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