This paper concerns the Log-rank test for comparing survival curves of neonatal mortality characteristic groups in River Nile State, Sudan. In this paper, log-rank test is used to compare two or more survival curves for the characteristics of newborn associated with newborn death after using Kaplan-Meier methods to estimate and graph survival curves for the variable of interest as (sex of newborn, weight of newborn, gestational age, mode of delivery and resident type), at the hospital of River Nile state-Sudan, with a sample size 700 of newborn in which the admission to the Neonatal Intensive Care Unit (NICU) of those hospitals during the period 2018-2020. In term of risk of death for newborn we found that 25% of sample study for newborns who were born in River Nile State-Sudan died. In addition, we conclude that after the log-rank statistics and Kaplan-Meier methods were applied, gender does not affect the newborn's risk of survival, while the risk of survival increases when the birth weight is greater than 4.35 kg and the gestational age is greater than 42 weeks. There is no difference in the probability of survival for newborns whether the delivery is normal or cesarean. However, newborns are significantly more likely to survive in urban areas than in rural areas.
Cox Proportional Hazard model is a popular statistical technique for exploring the relationship between the survival time of neonates and several explanatory variables. It provides an estimate of the study variables' effect on survival after adjustment for other explanatory variables, and allows us to estimate the hazard (or risk) of death of newborn in NICU of hospitals in River Nile State-Sudan for the period (2018)(2019)(2020). Study Data represented (neonate gender, mode of delivery, birth type, neonate weight, resident type, gestational age, and survival time). Kaplan-Meier method is used to estimate survival and hazard function for survival times of newborns that have not completed their first month. Of 700 neonates in the study area, 25% of them died during 2018-2020. Variables of interest that had a significant effect on neonatal death by Cox Proportional Hazard Model analysis were neonate weight, resident type, and gestational age. In Cox Proportional Hazard Model analysis all the variables of interest had an effect on neonatal death, but the variables with a significant effect included, weight of neonate, resident type and gestational age.
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