{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,10]],"date-time":"2026-07-10T22:58:03Z","timestamp":1783724283560,"version":"3.55.0"},"reference-count":27,"publisher":"Springer Science and Business Media LLC","issue":"1","license":[{"start":{"date-parts":[[2024,7,15]],"date-time":"2024-07-15T00:00:00Z","timestamp":1721001600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"},{"start":{"date-parts":[[2024,7,15]],"date-time":"2024-07-15T00:00:00Z","timestamp":1721001600000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["BMC Pediatr"],"abstract":"<jats:title>Abstract<\/jats:title><jats:sec>\n                <jats:title>Introduction<\/jats:title>\n                <jats:p>Ethiopia implemented measures to reduce preterm mortality, and much is currently being done to avoid preterm death, yet preterm death remains the top cause of infant death. As a result, evaluating median time of recovery and determinants will provide information to planners and policymakers to design strategies to improve preterm survival.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Methods<\/jats:title>\n                <jats:p>Hospital-based retrospective follow-up study was conducted in four selected public hospitals of Addis Ababa from September 2018 to August 2021. Data were collected using a pretested structured questionnaire. Epi-data 4.6 and STATA Version 16 were used for data entry and analysis. Kaplan-Meier survival curve, log-rank test, and median time were computed. To find predictors of time to recovery, a multivariable Cox proportional hazards regression model was fitted, and variables with a p-value less than 0.05 were considered statistically significant.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Results<\/jats:title>\n                <jats:p>A total of 466 preterm babies were included in the study of which 261 (56.1%) preterm neonates survived and were discharged from NICUs. The median time to recovery was 10 days (95% CI: 9\u201312). Low birth weight (Adjusted hazard-ratio [AHR]: 1.91, 95% CI: 1.2\u20133.06), normal birth weight (AHR: 2.09, 95% CI: 1.16\u20133.76), late preterm (AHR: 1.91, 95% CI: 1.02\u20133.55), no hospital-acquired infection (AHR: 2.19, 95% CI: 1.36\u20133.5), no thrombocytopenia (AHR: 1.96, 95% CI: 1.27\u20133.02), continuous positive airway pressure (AHR: 0.66, 95% CI: 0.48\u20130.91), and kangaroo mother care (AHR: 2.04, 95% CI: 1.48\u20132.81) were found to be independent predictors of time to recovery of preterm babies.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Discussion\/Conclusion<\/jats:title>\n                <jats:p>The recovery rate was found relatively low. Several predictors of preterm recovery time were discovered in the study. The majority of predictors were preventable or treatable. Therefore, emphasis should be given towards prevention and early anticipation, and management of these predictors. Studies to assess the quality of care and cause of low survival rate of preterm infants are recommended.<\/jats:p>\n              <\/jats:sec>","DOI":"10.1186\/s12887-024-04933-6","type":"journal-article","created":{"date-parts":[[2024,7,15]],"date-time":"2024-07-15T08:09:57Z","timestamp":1721030997000},"update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":4,"title":["Time to recovery and predictors among admitted preterm neonates in the neonatal intensive care units of public hospitals of Addis Ababa, Ethiopia, 2021"],"prefix":"10.1186","volume":"24","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-8729-1784","authenticated-orcid":false,"given":"Fekadeselassie Belege","family":"Getaneh","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Natnael","family":"Moges","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Dires Birhanu","family":"Mihretie","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Zebenay Workneh","family":"Bitew","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2024,7,15]]},"reference":[{"issue":"49","key":"4933_CR1","doi-asserted-by":"publisher","first-page":"6047","DOI":"10.1016\/j.vaccine.2016.03.045","volume":"34","author":"JA Quinn","year":"2016","unstructured":"Quinn JA, Munoz FM, Gonik B, Frau L, Cutland C, Mallett-Moore T, et al. 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Iran pan Afr Med. 2018;8688:1\u20138.","journal-title":"Iran pan Afr Med"}],"container-title":["BMC Pediatrics"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1186\/s12887-024-04933-6.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/article\/10.1186\/s12887-024-04933-6\/fulltext.html","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1186\/s12887-024-04933-6.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2024,7,15]],"date-time":"2024-07-15T08:13:18Z","timestamp":1721031198000},"score":1,"resource":{"primary":{"URL":"https:\/\/bmcpediatr.biomedcentral.com\/articles\/10.1186\/s12887-024-04933-6"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024,7,15]]},"references-count":27,"journal-issue":{"issue":"1","published-online":{"date-parts":[[2024,12]]}},"alternative-id":["4933"],"URL":"https:\/\/doi.org\/10.1186\/s12887-024-04933-6","relation":{},"ISSN":["1471-2431"],"issn-type":[{"value":"1471-2431","type":"electronic"}],"subject":[],"published":{"date-parts":[[2024,7,15]]},"assertion":[{"value":"12 December 2023","order":1,"name":"received","label":"Received","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"5 July 2024","order":2,"name":"accepted","label":"Accepted","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"15 July 2024","order":3,"name":"first_online","label":"First Online","group":{"name":"ArticleHistory","label":"Article History"}},{"order":1,"name":"Ethics","group":{"name":"EthicsHeading","label":"Declarations"}},{"value":"In accordance with the ethical principles outlined in the Declaration of Helsinki, the authors made every effort to address the guidelines for medical research. Given the authors\u2019 lack of direct contact with the neonates and their families, obtaining informed consent was not feasible. Consequently, the data were collected retrospectively from the neonates\u2019 medical charts after their discharge. Ethics approval and consent to participate for this study were obtained from the Institutional Review Boards (IRBs) of the relevant institutions: Nigusie Tadele, Chairperson of the Institutional Review Board of Addis Ababa University (reference number: IRB03-008\/2021); Dr. Yohanes Woldekidan, Chairperson of the Institutional Review Board of Addis Ababa Health Bureau (reference number: IRB 7512\/227); and Dr. Million Mola, Chairperson of the Institutional Review Board of St. Peters Specialized Hospital (reference number: V250\/18\/03\/2021). The need for consent to participate was waived by the Institutional Review Boards as the study involved retrospective data collection from medical records. A formal letter of cooperation was submitted to the Neonatal Department and Card Room, and permission was obtained before commencing data collection. To maintain confidentiality, the patient records were anonymized, ensuring the privacy of the individuals involved.","order":2,"name":"Ethics","group":{"name":"EthicsHeading","label":"Statement of ethics"}},{"value":"Not applicable.","order":3,"name":"Ethics","group":{"name":"EthicsHeading","label":"Consent for publication"}},{"value":"The authors declare no competing interests.","order":4,"name":"Ethics","group":{"name":"EthicsHeading","label":"Competing interests"}},{"value":"The authors declare that they have no conflict of interest.","order":5,"name":"Ethics","group":{"name":"EthicsHeading","label":"Conflict of interest"}}],"article-number":"452"}}