Evidence map›Paper›PMID 36631234›Full record

ArticleBMJ open2023

Trends in inpatient and post-discharge mortality among young infants admitted to Kilifi County Hospital, Kenya: a retrospective cohort study.

Alison Talbert, Moses Ngari, Christina Obiero, Amek Nyaguara, Martha Mwangome, Neema Mturi, Nelson Ouma, Mark Otiende, James Berkley

Abstract read
In one paragraph

Article in BMJ open, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing 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

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

4 citing papers in PubMed.

  1. Observational
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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

9 authors.

Alison TalbertKEMRI-Wellcome Trust Research Programme, Kilifi, Kenya ATalbert@kemri-wellcome.org.ORCID 0000-0002-9328-6903
Moses NgariKEMRI-Wellcome Trust Research Programme, Kilifi, Kenya.
Christina ObieroKEMRI-Wellcome Trust Research Programme, Kilifi, Kenya.
Amek NyaguaraKEMRI-Wellcome Trust Research Programme, Kilifi, Kenya.
Martha MwangomeKEMRI-Wellcome Trust Research Programme, Kilifi, Kenya.
Neema MturiKEMRI-Wellcome Trust Research Programme, Kilifi, Kenya.
Nelson OumaKEMRI-Wellcome Trust Research Programme, Kilifi, Kenya.
Mark OtiendeKEMRI-Wellcome Trust Research Programme, Kilifi, Kenya.
James BerkleyKEMRI-Wellcome Trust Research Programme, Kilifi, Kenya.ORCID 0000-0002-1236-849X

Funding

Medical Research Council MR/M007367/1Wellcome Trust 203077_Z_16_ZWellcome Trust 221997/Z/20/Z
6 · The paper itself

Abstract

objectivesTo describe admission trends and estimate inpatient and post-discharge mortality and its associated exposures, among young infants (YI) admitted to a county hospital in Kenya.

designRetrospective cohort study.

settingSecondary level hospital.

participantsYI aged less than 60 days admitted to hospital from January 2009 to December 2019: 12 271 admissions in 11 877 individuals. YI who were resident within a Kilifi Health and Demographic Surveillance System (KHDSS): n=3625 with 4421 admissions were followed-up for 1 year after discharge. PRIMARY AND SECONDARY OUTCOME MEASURES: Inpatient and 1-year post-discharge mortality, the latter in KHDSS residents.

resultsOf 12 271 YI admissions, 4421 (36%) were KHDSS-resident. Neonatal sepsis, preterm complications and birth asphyxia accounted for 83% of the admissions. The proportion of YI among under-5s admissions increased from 19% in 2009 to 34% in 2019 (P

conclusionsYIs accounted for an increasing proportion of paediatric admissions and their overall mortality remains high. Post-discharge mortality accounts for a lower proportion of deaths but mortality rate is higher than among children aged 2-59 months. Services to address post-discharge mortality are needed and should focus on infants at higher risk.

Indexed as

Maternal Health ServicesPatient DischargeAftercareChildChild, PreschoolFemaleHospitalizationHospital MortalityHospitals, CountyHumansInfantInfant, NewbornInpatientsKenyaPregnancyRetrospective Studiesepidemiologyneonatologypaediatrics

Identifiers

PMID36631234
PMCPMC9835934

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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.