Evidence map›Paper›PMID 26272911›Full record

ArticleArchives of disease in childhood2015

Why do young children die in the UK? A comparison with Sweden.

Parag Tambe, Helen M Sammons, Imti Choonara

Abstract readComparative Study
In one paragraph

Article in Archives of disease in childhood, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed, 1 pooled it
–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

13 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Article
  3. Article
  4. Article
  5. Inequalities in the Universal Right to Health.International journal of environmental research and public health · 2021
    Article
  6. Article
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  12. Child health: what should be done?BMJ paediatrics open · 2017
    Article
  13. Common respiratory conditions of the newborn.Breathe (Sheffield, England) · 2016
    Review
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

3 authors.

Parag TambeAcademic Unit of Child Health, University of Nottingham, Derbyshire Children Hospital, Derby, UK.
Helen M SammonsAcademic Unit of Child Health, University of Nottingham, Derbyshire Children Hospital, Derby, UK.
Imti ChoonaraAcademic Unit of Child Health, University of Nottingham, Derbyshire Children Hospital, Derby, UK.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe UK has a high child mortality rate, whereas Sweden's is lower (under-five mortality rates of five and three, respectively, in 2011).We therefore wished to compare causes of death in young children aged <5 years in the two countries.

methodsUnder-five mortality data were obtained from the Office of National Statistics for each of the individual countries within the UK for 3 years (2006-2008). Data for Sweden for the same period were obtained from the National Board of Health and Welfare. Causes of death were compared statistically using χ(2) test.

resultsThere were a total of 14,104 and 1036 deaths aged <5 years in the UK and Sweden, respectively, between 2006 and 2008. The total numbers of live births during the same period were 2,295,964 and 315,884, respectively. The overall mortality rate in the UK was 614 per 100,000 children which was significantly higher than that in Sweden (328; p<0.001). The mortality rates for the three main causes of death in the UK (prematurity, congenital malformations and infections) were 138.5, 112.1 and 63.9, respectively, per 100,000 children. The mortality rates for the same three conditions in Sweden were 10.1, 88.6 and 34.8, respectively. They were all significantly more frequent in the UK than in Sweden (p<0.001), as were the majority of the disorders. Treatable infections, such as pneumonia, meningitis and septicaemia, in both neonates and young children had significantly higher mortality rates in the UK than in Sweden (p<0.001).

conclusionsIn order to reduce the mortality rate in the UK, we need to try and reduce the causes of prematurity. Additionally, the care of children with treatable infections should be reviewed to understand ways in which to reduce the differences in mortality seen.

Indexed as

Cause of DeathChildChild MortalityChild, PreschoolFemaleHumansInfantInfant MortalityInfant, NewbornMaleSwedenUnited KingdomComm Child HealthHealth services researchOutcomes researchPharmacology

Identifiers

PMID26272911
PMCPMC4602244

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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.