ArticleWorld journal of pediatrics : WJP2018
Trend and causes of neonatal mortality in a level III children's hospital in Shanghai: a 15-year retrospective study.
Article in World journal of pediatrics : WJP, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.
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5 citing papers in PubMed, 19 citations in OpenAlex.
- Evaluation of infants aged 0-12 months admitted to the pediatric emergency department: the example of Batman Training And Research Hospital.Revista da Associacao Medica Brasileira (1992) · 2026Article
- Determinants of neonatal mortality at Kamenge Teaching Hospital, Burundi: a prospective cohort study.BMC public health · 2025Article
- Analysis of the causes of neonatal death and genetic variations in congenital anomalies: a multi-center study.Frontiers in pediatrics · 2024Article
- Temporal analysis of mortality from preventable causes in the first 24 hours of life, 2000-2021.Revista latino-americana de enfermagem · 2023Article
- [Clinical features of very preterm infants with prelabor rupture of membranes and predictive factors for major adverse outcomes].Zhongguo dang dai er ke za zhi = Chinese journal of contemporary pediatrics · 2021Article
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6 authors at 2 institutions in 1 country.
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Abstract
backgroundTo determine the trend and causes of neonatal mortality in a large level III neonatal intensive care unit in Shanghai during a 15-year period.
methodsThis is a retrospective, single-centered study. All neonates who died during the period from January 1, 1999 to December 31, 2013 at Children's Hospital of Fudan University were included. We extracted relevant clinical information from their medical records, analyzed neonatal mortality rate and the characteristics of these patients, and compared neonatal deaths between different periods and populations.
resultsAmong a total of 50,957 admissions during the study period, there were 929 neonatal deaths. The neonatal mortality rate was 1.82%. Trends in neonatal mortality rate showed an increase in the period from 1.0% in 2003 to 2.2% in 2013. The main causes of neonatal mortality were complications of preterm birth (33.6%), congenital anomalies (21.3%), infections (12.6%), and birth asphyxia (9.1%). The proportions of complications of preterm birth (P < 0.001) and congenital anomalies (P = 0.018) increased yearly, while the proportions of birth asphyxia (P < 0.001) and infections (P < 0.001) decreased. Proportions of deaths caused by birth asphyxia (P = 0.005) and infections (P < 0.001) were both higher in the migrating population than in the permanent residents.
conclusionsNeonatal mortality rate increased from 2003 to 2013 in our study. The proportion of preterm infants in neonatal deaths also increased within the same period. Complications of preterm birth were the main cause of neonatal mortality and the percentage increased year by year. Neonates in the migrating population appeared to be at a higher risk of death during the neonatal period compared to those in the permanent residents, and efforts should be made towards improving perinatal care to prevent infections and birth asphyxia in this vulnerable population.
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