Evidence map›Paper›PMID 32923527›Full record

ArticleGlobal pediatric health2020

Minimally Invasive Tissue Sampling in Preterm Deaths: A Validation Study.

Rahell Hailu, Tigist Desta, Yonas Bekuretsion, Messele Bezabih, Addisu Alemu, Tiruzer Bekele, Bewketu Abebe, Mesfin Asefa, Zemene Tigabu, Yonas Girma and 7 more

Open access · goldAbstract read
In one paragraph

Article in Global pediatric health, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers.

0numbers the graph read from it
0cells of the map it votes in
19citing papers in PubMed
2.1field-weighted citation impact, top 10% 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

19 citing papers in PubMed, 27 citations in OpenAlex.

  1. Article
  2. [High diagnostic discrepancy in infectious diseases detected by autopsy].Revista medica del Instituto Mexicano del Seguro Social · 2026
    Article
  3. Article
  4. Observational
  5. Article
  6. Article
  7. "Ethiopian journal of health sciences · 2024
    Article
  8. Article
  9. Article
  10. Article
  11. Pathogens Identified by Minimally Invasive Tissue Sampling in India and Pakistan From Preterm Neonatal Deaths: The PURPOSE Study.Clinical infectious diseases : an official publication of the Infectious Diseases Society of America · 2023
    Observational
  12. Article
  13. Article
  14. Factors Associated With Parental Acceptance of Minimally Invasive Tissue Sampling to Identify the Causes of Stillbirth and Neonatal Death.Clinical infectious diseases : an official publication of the Infectious Diseases Society of America · 2021
    Article
  15. Cause of Death in Neonates With Neurological Insults in the Neonatal Intensive Care Unit: Insights From A MITS Pilot Study.Clinical infectious diseases : an official publication of the Infectious Diseases Society of America · 2021
    Article
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  19. 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

17 authors at 7 institutions in 2 countries.

Rahell HailuAddis Ababa University, Addis Ababa, Ethiopia.ORCID https://orcid.org/0000-0003-1711-3346
Tigist DestaAddis Ababa University, Addis Ababa, Ethiopia.
Yonas BekuretsionAddis Ababa University, Addis Ababa, Ethiopia.
Messele BezabihSt Paul's Hospital Millennium Medical College, Addis Ababa, Ethiopia.
Addisu AlemuJimma University, Jimma, Ethiopia.
Tiruzer BekeleUniversity of Gondar, Gondar, Ethiopia.
Bewketu AbebeUniversity of Gondar, Gondar, Ethiopia.
Mesfin AsefaSt Paul's Hospital Millennium Medical College, Addis Ababa, Ethiopia.
Zemene TigabuSt Paul's Hospital Millennium Medical College, Addis Ababa, Ethiopia.
Yonas GirmaAddis Ababa University, Addis Ababa, Ethiopia.
Beza EshetuSt Paul's Hospital Millennium Medical College, Addis Ababa, Ethiopia.ORCID https://orcid.org/0000-0001-5181-650X
Mahlet AbaynehJimma University, Jimma, Ethiopia.
Amha MekashaAddis Ababa University, Addis Ababa, Ethiopia.
Assaye Kassie NigussieBill and Melinda Gates Foundation, Seattle, WA, USA.
Elizabeth M McClureRTI International, Durham, NC, USA.
Robert L GoldenbergColumbia University, New York, NY, USA.
Lulu M MuheAddis Ababa University, Addis Ababa, Ethiopia.ORCID https://orcid.org/0000-0002-2776-9923
Addis Ababa University · ETSt. Paul's Hospital Millennium Medical College · ETJimma University · ETUniversity of Gondar · ETColumbia University · USGates Foundation · USRTI International · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Uncertainty about the causes of neonatal deaths impedes achieving global health targets to reduce mortality. Complete diagnostic autopsy (CDA) is the gold standard to determine cause of death. However, it is often difficult to perform in high-burden, low-income settings. Validations of more feasible methods to determine cause of death are needed. This prospective, multi-center study in Ethiopia assessed the validity of the minimally invasive tissue sampling (MITS) approach to contribute to causes of death in preterm neonates compared to CDA. The MITS and CDA of 105 cases were reviewed. The MITS sampling success for lungs and liver was 100% and 84%, respectively. The kidney and brain had sampling successes of 58% each. MITS showed good agreement with CDA for the diagnosis of hyaline membrane disease (kappa = 0.78), and moderate to substantial agreement for pneumonia and pulmonary hemorrhage (kappa = 0.59 and 0.68, respectively). Even though CDA is the gold standard in identifying the cause of death, we believe that the MITS method can be a useful alternative method in supporting determination of cause of death in low-resource settings.

Indexed as

autopsyEthiopiaMITSnewborn mortality

Identifiers

PMID32923527
PMCPMC7457683
OpenAlexW3081730396

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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.