Evidence map›Paper›PMID 31619198›Full record

ArticleBMC public health2019

Determinants of neonatal mortality in the largest international border of Brazil: a case-control study.

Suzana de Souza, Etienne Duim, Fernando Kenji Nampo

Abstract read
In one paragraph

Article in BMC public health, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers.

0numbers the graph read from it
0cells of the map it votes in
17citing papers in PubMed
–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

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3 · Its place in the literature

Who cites it

17 citing papers in PubMed.

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4 · The record

Corrections and comments

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5 · Who and what money

Authors and funding

3 authors.

Suzana de SouzaLatin-American Institute of Life and Nature Sciences, Federal University of Latin-American Integration, 1000 Tarquínio Joslin dos Santos Ave ZIP, Foz do Iguassu, PR, 85870-650, Brazil.
Etienne DuimSchool of Public Health, Department of Epidemiology, University of Sao Paulo, 715 Dr. Arnaldo Ave ZIP, São Paulo, SP, 01246-000, Brazil.
Fernando Kenji NampoLatin-American Institute of Life and Nature Sciences, Federal University of Latin-American Integration, 1000 Tarquínio Joslin dos Santos Ave ZIP, Foz do Iguassu, PR, 85870-650, Brazil. fernando.nampo@unila.edu.br.ORCID http://orcid.org/0000-0001-6411-6131

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundFoz do Iguassu is a Brazilian municipality located in the most populous international border of the country and provides medical care to foreigners. Neonatal mortality in the city is higher than Brazil's average and corresponds to 61% of all deaths in children under five. The current study aimed to identify the determinants of neonatal mortality in Foz do Iguassu.

methodsIn this case-control study, we analyzed all neonatal deaths occurred in Foz do Iguassu from 2012 to 2016. Birth and mortality data were extracted from two national governmental databases (SINASC and SIM). We extracted data on (i) maternal sociodemographic characteristics, (ii) pregnancy care, and (iii) newborn characteristics. Multiple logistic regression with the conceptual framework was applied to examine the factors associated with neonatal mortality.

resultsMost of the deaths occurred in the early neonatal period (65.9%). The factors associated with neonatal death were fetal congenital anomaly (OR 22.49; CI 95% 7.44-67.95; p = < 0.001); low birth weight (OR 17.15; CI 95% 8.56-34.37; p = < 0.001), first minute Apgar score under 7 (OR 15.60; CI 95% 8.23-29.67; p = < 0.001); zero to 3 prenatal appointments (OR 3.34; CI 95% 1.28-8.73; p = 0.014) and prematurity (OR 3.60; CI 95% 1.87-7.11; p = < 0.001).

conclusionThe high rate of neonatal death in Foz do Iguassu is strongly associated with newborn characteristics and not associated with maternal sociodemographic characteristics. Thus, the health services in the Brazilian side of this international borders should be aware of the quality of the prenatal care and childbirth attention provided.

Indexed as

AdolescentAdultBrazilCase-Control StudiesFemaleHumansInfantInfant MortalityInfant, NewbornMalePregnancyRisk FactorsYoung AdultBorder regionDeterminantsNeonatal mortality

Identifiers

PMID31619198
PMCPMC6796356

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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.