Evidence map›Paper›PMID 32365073›Full record

ArticlePloS one2020

The pattern of neonatal admissions and mortality at a regional and district hospital in the Upper West Region of Ghana; a cross sectional study.

Edem M A Tette, Edmund T Nartey, Benjamin D Nuertey, Emmanuel A Azusong, Dominic Akaateba, Judith Yirifere, Augustine Alandu, Nana Ayegua Hagan Seneadza, Naa Barnabas Gandau, Lorna A Renner

Open access · goldAbstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in PloS one, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
18citing papers in PubMed, 3 pooled it
6.5field-weighted citation impact, top 3% 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

18 citing papers in PubMed, 3 syntheses or guidelines pooled it, 33 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

10 authors at 2 institutions in 1 country.

Edem M A TetteDepartment of Community Health, University of Ghana Medical School, Accra, Ghana.ORCID 0000-0001-8219-6980
Edmund T NarteyCentre for Tropical Clinical Pharmacology and Therapeutics, University of Ghana Medical School, Accra, Ghana.
Benjamin D NuerteyDepartment of Community Health, University of Ghana Medical School, Accra, Ghana.
Emmanuel A AzusongUpper West Regional Hospital, Wa, Ghana.
Dominic AkaatebaUpper West Regional Hospital, Wa, Ghana.
Judith YirifereUpper West Regional Hospital, Wa, Ghana.
Augustine AlanduSt. Joseph's Hospital, Jirapa, Ghana.
Nana Ayegua Hagan SeneadzaDepartment of Community Health, University of Ghana Medical School, Accra, Ghana.
Naa Barnabas GandauUpper West Regional Hospital, Wa, Ghana.
Lorna A RennerDepartment of Child Health, University of Ghana Medical School, Accra, Ghana.
University of Ghana · GHWest End Hospital · GH

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundHigh global neonatal deaths have triggered efforts to improve facility-based care. However, the outcomes achievable at different levels of care are unclear. This study compared morbidity and mortality patterns of newborns admitted to a regional and a district hospital in Ghana to determine outcome, risk and modifiable factors associated with mortality.

objectiveThis study compared morbidity and mortality patterns of newborns admitted to a regional and a district hospital in Ghana to determine outcome, risk and modifiable factors associated with mortality.

methodsA cross-sectional study involving a records-review over one year at the Upper West Regional Hospital, and three years at St Joseph's District Hospital, Jirapa was carried out. Age, sex, gestational age, weight, duration of admission, diagnosis, among others were examined. The data were analysed and statistical inference made.

resultsAltogether, 2004 newborns were examined, comprising 1,241(62%) from St Joseph's District Hospital and 763(38%) from Upper West Regional Hospital. The proportion of neonatal deaths was similar, 8.94% (St Joseph's District Hospital) and 8.91% (Upper West Regional Hospital). Prematurity, neonatal sepsis, birth asphyxia, low birth weight, neonatal jaundice and pneumonia contributed the most to mortality and suspected infections including malaria accounted for almost half (45.5%). Mortality was significantly associated with duration of stay of 48 hours, being premature, and being younger than 3 days.

conclusionMajority of the mortality among the neonates admitted was due to preventable causes. Better stabilization and further studies on the epidemiology of sepsis, prematurity, low birth weight, including the contribution of malaria to these and outcome of transferred neonates are needed.

Indexed as

HospitalizationInfant MortalityAsphyxia NeonatorumCross-Sectional StudiesFemaleGhanaHospital MortalityHospitals, DistrictHumansInfantInfant, Low Birth WeightInfant, NewbornInfant, PrematureMaleNeonatal SepsisPatient Admission

Identifiers

PMID32365073
PMCPMC7197810
OpenAlexW3020974864

What OpenQuestion holds

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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.