Evidence map›Paper›PMID 25841436›Full record

ArticleJournal of tropical pediatrics2015

Delivery outcomes and patterns of morbidity and mortality for neonatal admissions in five Kenyan hospitals.

Jalemba Aluvaala, Dorothy Okello, Gatwiri Murithi, Leah Wafula, Lordin Wanjala, Newton Isika, Aggrey Wasunna, Fred Were, Rachael Nyamai, Mike English

Abstract read
In one paragraph

Article in Journal of tropical pediatrics, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

9 citing papers in PubMed.

  1. Trial
  2. Article
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  5. Review
  6. Observational
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

10 authors.

Jalemba AluvaalaKEMRI-Wellcome Trust Research Programme, Nairobi, Kenya Department of Paediatrics and Child Health, University of Nairobi, Nairobi, Kenya jaluvaala@kemri-wellcome.org.
Dorothy OkelloKenya Paediatric Association.
Gatwiri MurithiKenya Paediatric Association.
Leah WafulaKenya Paediatric Association.
Lordin WanjalaKenya Paediatric Association.
Newton IsikaKenya Paediatric Association.
Aggrey WasunnaDepartment of Paediatrics and Child Health, University of Nairobi, Nairobi, Kenya.
Fred WereDepartment of Paediatrics and Child Health, University of Nairobi, Nairobi, Kenya.
Rachael NyamaiMinistry of Health, Government of Kenya.
Mike EnglishKEMRI-Wellcome Trust Research Programme, Nairobi, Kenya Nuffield Department of Medicine, University of Oxford, Oxford, UK Department of Paediatrics, University of Oxford, Oxford, UK.

Funding

Wellcome Trust 076827Wellcome Trust 084538Wellcome Trust 092654Wellcome Trust 097170
6 · The paper itself

Abstract

A cross-sectional survey was conducted in neonatal and maternity units of five Kenyan district public hospitals. Data for 1 year were obtained: 3999 maternal and 1836 neonatal records plus tallies of maternal deaths, deliveries and stillbirths. There were 40 maternal deaths [maternal mortality ratio: 276 per 100 000 live births, 95% confidence interval (CI): 197-376]. Fresh stillbirths ranged from 11 to 43 per 1000 births. A fifth (19%, 263 of 1384, 95% CI: 11-30%) of the admitted neonates died. Compared with normal birth weight, odds of death were significantly higher in all of the low birth weight (LBW, <2500 g) categories, with the highest odds for the extremely LBW (<1000 g) category (odds ratio: 59, 95% CI: 21-158, p < 0.01). The observed maternal mortality, stillbirths and neonatal mortality call for implementation of the continuum of care approach to intervention delivery with particular emphasis on LBW babies.

Indexed as

Infant MortalityMaternal MortalityAsphyxiaCause of DeathCross-Sectional StudiesDelivery, ObstetricFemaleHospitalizationHospitals, UrbanHumansInfantInfant, NewbornKenyaLogistic ModelsMaleMorbiditydeveloping countrieshospital carematernal mortalityNeonatal morbidity and mortalitystill births

Identifiers

PMID25841436
PMCPMC4514903

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.