Evidence map›Paper›PMID 26359230›Full record

Observational studyBMC public health2015

Level of mortality risk for babies born preterm or with a small weight for gestation in a tertiary hospital of Nepal.

Ashish Kc, Johan Wrammert, Viktoria Nelin, Uwe Ewald, Robert Clark, Mats Målqvist

Open access · goldAbstract readObservational Study
In one paragraph

Observational study in BMC public health, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 26 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
26citing papers in PubMed, 1 pooled it
1.4field-weighted citation impact, top 17% of its field
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

26 citing papers in PubMed, 1 synthesis or guideline pooled it, 48 citations in OpenAlex.

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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

6 authors at 3 institutions in 4 countries.

Ashish KcInternational Maternal and Child Health, Department of Women's and Children's Health, Uppsala University, Uppsala, Sweden. aaashis7@yahoo.com.
Johan WrammertInternational Maternal and Child Health, Department of Women's and Children's Health, Uppsala University, Uppsala, Sweden. johan.wrammert@kbh.uu.se.
Viktoria NelinInternational Maternal and Child Health, Department of Women's and Children's Health, Uppsala University, Uppsala, Sweden. viktorianelin@gmail.com.
Uwe EwaldInternational Maternal and Child Health, Department of Women's and Children's Health, Uppsala University, Uppsala, Sweden. uwe.ewald@kbh.uu.se.
Robert ClarkLatter Day Saints Charities, Salt Lake City, Utah, USA. robclarkmd@outlook.com.
Mats MålqvistInternational Maternal and Child Health, Department of Women's and Children's Health, Uppsala University, Uppsala, Sweden. mats.malqvist@kbh.uu.se.
Uppsala University · SECatholic Charities · USUnited Nations Children's Fund India · IN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundGlobally, 15 million babies were born prematurely in 2012, with 37.6 % of them in South Asia. About 32.4 million infants were born small for gestational age (SGA) in 2010, with more than half of these births occurring in South Asia. In Nepal, 14 % of babies were born preterm and 39.3 % were born SGA in 2010. We conducted a study in a tertiary hospital of Nepal to assess the level of risk for neonatal mortality among babies who were born prematurely and/or SGA.

methodsThis case-control study was completed over a 15-month period between July 2012 and September 2013. All neonatal deaths that occurred during the study period were included as cases and 20 % of women with live births were randomly selected as referents. Information on potential risk factors was taken from medical records and interviews with the women. Logistic regression analyses were conducted to determine the level of risk for neonatal mortality among babies born preterm and/or SGA.

resultsDuring this period, the hospital had an incidence of preterm birth and SGA of 8.1 and 37.5%, respectively. In the multivariate model, there was a 12-fold increased risk of neonatal death among preterm infants compared to term. Babies who were SGA had a 40 % higher risk of neonatal death compared to those who were not. Additionally, babies who were both preterm and SGA were 16 times more likely to die during the neonatal period.

conclusionsOur study showed that the risk of neonatal mortality was highest when the baby was born both preterm and SGA, followed by babies who were born preterm, and then by babies who were SGA in a tertiary hospital in Nepal. In tertiary care settings, the risk of mortality for babies who are born preterm and/or SGA can be reduced with low-cost interventions such as Kangaroo Mother Care or improved management of complications through special newborn care or neonatal intensive care units. The risk of death for babies who are born prematurely and/or SGA can thus be used as an indicator to monitor the quality of care for these babies in health facility settings. CLINICAL

trial registrationISRCTN97846009.

Indexed as

Birth WeightInfant MortalityInfant, PrematureInfant, Small for Gestational AgePerinatal DeathPremature BirthTertiary Care CentersAdultAsiaCase-Control StudiesFemaleHumansIncidenceInfantInfant, NewbornLogistic Models

Identifiers

PMID26359230
PMCPMC4566363
OpenAlexW2103270414

What OpenQuestion holds

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LicenceCC BY
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Registered trials

None linked

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.