{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,10,24]],"date-time":"2025-10-24T17:32:01Z","timestamp":1761327121251,"version":"build-2065373602"},"reference-count":31,"publisher":"Public Library of Science (PLoS)","issue":"10","license":[{"start":{"date-parts":[[2025,10,24]],"date-time":"2025-10-24T00:00:00Z","timestamp":1761264000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["www.plosone.org"],"crossmark-restriction":false},"short-container-title":["PLoS One"],"abstract":"<jats:sec id=\"sec001\">\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Dehydration is one of the causes of preterm morbidity and mortality. Many efforts are being implemented to decrease the cause of preterm mortality, but there is a gap regarding dehydration in generating research-supported evidence. Therefore, this study aimed to investigate the incidence and predictors of dehydration among preterm neonates admitted to the neonatal intensive care units of Southern Ethiopia hospitals.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"sec002\">\n                    <jats:title>Methodology<\/jats:title>\n                    <jats:p>A prospective, institution-based follow-up study was conducted among 363 maternal-preterm neonatal pairs. Data were collected using a checklist and entered into Epidata version 4.4.2.1, and analyzed using STATA version 14. Bi-variable and multivariable regression were computed using the Cox regression model. A statistical significance was declared at a p-value of &lt;0.05 in line with a 95% confidence interval (CI) and hazard ratios.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"sec003\">\n                    <jats:title>Result<\/jats:title>\n                    <jats:p>This study was conducted among 363 maternal-neonatal pairs. The incidence of dehydration was 41 per 1000 patient-days, with a total of 3546 patient-days observed. Maternal hypertension (AHR) = 2.95, CI: 1.56, 5.58), phototherapy (AHR\u2009=\u20092.71, 95% CI: 1.37, 5.39), nurse to patient ration 1:2 (AHR\u2009=\u20092.62, 95% CI: 1.5, 4.6), kept in incubator (AHR\u2009=\u20093.38, 95% CI: 1.77, 6.45), asphyxia (AHR\u2009=\u20091.58, CI: 1.09\u20132.30) and absence of every four hour dehydration assessment (AHR\u2009=\u20091.62, CI: 1.42, 3.62) were predictors for incidence of dehydration among neonates admitted in NICU.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"sec004\">\n                    <jats:title>Conclusion and recommendation<\/jats:title>\n                    <jats:p>In this study, the incidence of dehydration among preterm neonates was high (41 per 1000 patient-days observation). The major associated factors were being under phototherapy, kept in an incubator, maternal hypertension, nurse-to-patient ratio, dehydration assessment practice, and asphyxia. So, establishing strategies on these identified predictor variables could be essential to reduce the suffering of preterm neonates\u2019 dehydration.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1371\/journal.pone.0333045","type":"journal-article","created":{"date-parts":[[2025,10,24]],"date-time":"2025-10-24T17:26:51Z","timestamp":1761326811000},"page":"e0333045","update-policy":"https:\/\/doi.org\/10.1371\/journal.pone.corrections_policy","source":"Crossref","is-referenced-by-count":0,"title":["Incidence and predictors of dehydration among preterm neonates admitted to the neonatal intensive care unit of Southern Ethiopia hospitals: A prospective follow-up study"],"prefix":"10.1371","volume":"20","author":[{"ORCID":"https:\/\/orcid.org\/0009-0006-9352-3880","authenticated-orcid":true,"given":"Mequanint Ayehu","family":"Akele","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Dires Birhanu","family":"Mihretie","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mitsiwa","family":"Ruffo","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Tamalew Alemie","family":"Tegegn","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Migbar Sibhat","family":"Mekonnen","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Abraham Dessie","family":"Gessesse","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2913-7233","authenticated-orcid":true,"given":"Abel Desalegn","family":"Demeke","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kassa Genetu","family":"Alem","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"340","published-online":{"date-parts":[[2025,10,24]]},"reference":[{"key":"pone.0333045.ref001","volume-title":"Dehydration: Pediatric. 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