Evidence map›Paper›PMID 26735223›Full record

SynthesisClinics (Sao Paulo, Brazil)2015

Neonatal Near Miss: the need for a standard definition and appropriate criteria and the rationale for a prospective surveillance system.

Juliana P Santos, José G Cecatti, Suzanne J Serruya, Paulo V Almeida, Pablo Duran, Bremen de Mucio, Cynthia Pileggi-Castro, PAHO Neonatal Near Miss Working Group

Open access · goldAbstract readSystematic Review
In one paragraph

Synthesis in Clinics (Sao Paulo, Brazil), 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 37 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
37citing papers in PubMed, 3 pooled it
5.5field-weighted citation impact, top 4% 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

37 citing papers in PubMed, 3 syntheses or guidelines pooled it, 79 citations in OpenAlex.

  1. Pooled it
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  3. Neonatal near miss: a systematic review.BMC pregnancy and childbirth · 2015
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  7. Clinical and epidemiological profile of pregnant and postpartum women affected by COVID-19 who required respiratory support.Revista brasileira de ginecologia e obstetricia : revista da Federacao Brasileira das Sociedades de Ginecologia e Obstetricia · 2025
    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

8 authors at 1 institution in 1 country.

Juliana P SantosDepartamento de Ginecologia e Obstetrícia, Faculdade de Ciências Médicas, Universidade de Campinas, Campinas, SP, Brazil.
José G CecattiDepartamento de Ginecologia e Obstetrícia, Faculdade de Ciências Médicas, Universidade de Campinas, Campinas, SP, Brazil.
Suzanne J SerruyaLatin American Center of Perinatology, Pan American Health Organization, Montevideo, Uruguay.
Paulo V AlmeidaMinistério da Saúde, Brasília, DF, Brazil.
Pablo DuranLatin American Center of Perinatology, Pan American Health Organization, Montevideo, Uruguay.
Bremen de MucioLatin American Center of Perinatology, Pan American Health Organization, Montevideo, Uruguay.
Cynthia Pileggi-CastroFaculdade de Medicina de Ribeirão Preto, Departamento de Pediatria, Universidade de São Paulo, Ribeirão Preto, SP, Brazil.
PAHO Neonatal Near Miss Working Group
Ministério da Saúde · BR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

In Latin American, there is currently a regional action with the main purposes of putting the concept of severe neonatal morbidity in practice and formulating proposals for interventions. A general overview of neonatal health conditions, including morbidity and mortality, is provided to update regional knowledge on the topic. An example of the development and implementation of the concept of maternal near miss is also provided, followed by results from a systematic review covering all previously published studies on Neonatal Near Miss. Finally, some proposals for building a common concept on the topic and for launching a prospective surveillance study are presented. A Neonatal Near Miss is a neonate who had a severe morbidity (organ dysfunction or failure) but who survived this condition within the first 27 days of life. The pragmatic criteria recommended to be used are as follows: birth weight below 1700 g, Apgar score below 7 at 5 minutes of life and gestational age below 33 weeks. As a proxy for organ dysfunction, the following management criteria are also confirmed: parenteral therapeutic antibiotics; nasal continuous positive airway pressure; any intubation during the first 27 days of life; phototherapy within the first 24 h of life; cardiopulmonary resuscitation; the use of vasoactive drugs, anticonvulsants, surfactants, blood products and steroids for refractory hypoglycemia and any surgical procedure. Although this study starts from a regional perspective, this topic is clearly globally relevant. All nations, especially low and middle-income countries, could benefit from the proposed standardization.

Indexed as

Epidemiological MonitoringInfant MortalityBrazilHumansInfantInfant, NewbornLatin AmericaMaternal HealthMorbidityPerinatal Care

Identifiers

PMID26735223
PMCPMC4676313
OpenAlexW2227122289

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

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.