Evidence map›Paper›PMID 29080284›Full record

ArticleJournal of paediatrics and child health2018

Pulse oximetry values of neonates admitted for care and receiving routine oxygen therapy at a resource-limited hospital in Kenya.

Melissa C Morgan, Beth Maina, Mary Waiyego, Catherine Mutinda, Jalemba Aluvaala, Michuki Maina, Mike English

Open access · hybridAbstract read
In one paragraph

Article in Journal of paediatrics and child health, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
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

6 citing papers in PubMed, 12 citations in OpenAlex.

  1. Trial
  2. Review
  3. Using intermittent pulse oximetry to guide neonatal oxygen therapy in a low-resource context.Archives of disease in childhood. Fetal and neonatal edition · 2020
    Article
  4. Article
  5. Article
  6. Article
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

7 authors at 5 institutions in 3 countries.

Melissa C MorganDepartment of Paediatrics, University of California San Francisco, San Francisco, California, United States.ORCID http://orcid.org/0000-0003-3457-8452
Beth MainaDepartment of Paediatrics, Pumwani Maternity Hospital, Nairobi, Kenya.
Mary WaiyegoDepartment of Paediatrics, Pumwani Maternity Hospital, Nairobi, Kenya.
Catherine MutindaDepartment of Paediatrics, Pumwani Maternity Hospital, Nairobi, Kenya.
Jalemba AluvaalaDepartment of Paediatrics and Child Health, University of Nairobi, Nairobi, Kenya.
Michuki MainaKenya Medical Research Institute, Wellcome Trust Research Programme, Nairobi, Kenya.
Mike EnglishKenya Medical Research Institute, Wellcome Trust Research Programme, Nairobi, Kenya.
Nairobi Hospital · KEKenya Medical Research Institute · KENuffield Orthopaedic Centre · GBUniversity of California, San Francisco · USUniversity of Nairobi · KE

Funding

Wellcome Trust 092654Wellcome Trust 097170
6 · The paper itself

Abstract

aimThere are 2.7 million neonatal deaths annually, 75% of which occur in sub-Saharan Africa and South Asia. Effective treatment of hypoxaemia through tailored oxygen therapy could reduce neonatal mortality and prevent oxygen toxicity.

methodsWe undertook a two-part prospective study of neonates admitted to a neonatal unit in Nairobi, Kenya, between January and December 2015. We determined the prevalence of hypoxaemia and explored associations of clinical risk factors and signs of respiratory distress with hypoxaemia and mortality. After staff training on oxygen saturation (SpO

resultsA total of 477 neonates were enrolled. Prevalence of hypoxaemia was 29.2%. Retractions (odds ratio (OR) 2.83, 95% CI 1.47-5.47), nasal flaring (OR 2.68, 95% CI 1.51-4.75), and grunting (OR 2.47, 95% CI 1.27-4.80) were significantly associated with hypoxaemia. Nasal flaring (OR 2.85, 95% CI 1.25-6.54), and hypoxaemia (OR 3.06, 95% CI 1.54-6.07) were significantly associated with mortality; 64% of neonates receiving oxygen were out of range at ≥2 time points and 43% at ≥3 time points.

conclusionThere is a high prevalence of hypoxaemia at admission and a strong association between hypoxaemia and mortality in this Kenyan neonatal unit. Many neonates had out of range SpO

Indexed as

OximetryOxygen Inhalation TherapyFemaleHealth ResourcesHospitals, MaternityHumansHypoxiaInfant, NewbornInfant, Newborn, DiseasesKenyaMaleOdds RatioOxygenPrevalenceProspective StudiesOxygenKenyaneonateoxygen saturationoxygen therapypulse oximetry

Identifiers

PMID29080284
PMCPMC5873449
OpenAlexW2766040572

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.