Evidence map›Paper›PMID 38048757›Full record

Observational studyNeonatology2024

Neonatal Respiratory Support Utilization in Low- and Middle-Income Countries: A Registry-Based Observational Study.

Nora Switchenko, Vivek Shukla, Musaku Mwenechanya, Elwyn Chomba, Archana Patel, Patricia L Hibberd, Namasivayam Ambalavanan, Lester Figueroa, Manolo Mazariegos, Nancy F Krebs and 15 more

Open access · greenAbstract readObservational Study
PubMed Full text at PMC Publisher
In one paragraph

Observational study in Neonatology, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
0.8field-weighted citation impact, top 23% 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

1 citing paper in PubMed, 3 citations in OpenAlex.

  1. Optimising neonatal bubble continuous positive airway pressure: A Somaliland quality initiative.African journal of primary health care & family medicine · 2025
    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

25 authors at 13 institutions in 7 countries.

Nora SwitchenkoDepartment of Pediatrics, University of Alabama at Birmingham, Birmingham, Alabama, USA.
Vivek ShuklaDepartment of Pediatrics, University of Alabama at Birmingham, Birmingham, Alabama, USA.
Musaku MwenechanyaDepartment of Pediatrics, University Teaching Hospital, Lusaka, Zambia.
Elwyn ChombaDepartment of Pediatrics, University Teaching Hospital, Lusaka, Zambia.
Archana PatelLata Medical Research Foundation, India and Datta Meghe Institute of Medical Sciences, Nagpur, India.
Patricia L HibberdDepartment of Pediatrics, Boston University, Boston, Massachusetts, USA.
Namasivayam AmbalavananDepartment of Pediatrics, University of Alabama at Birmingham, Birmingham, Alabama, USA.
Lester FigueroaINCAP, Guatemala City, Guatemala.
Manolo MazariegosINCAP, Guatemala City, Guatemala.
Nancy F KrebsDepartment of Pediatrics, University of Colorado, Aurora, Colorado, USA.
Shivaprasad S GoudarKLE Academy of Higher Education and Research's J. N. Medical College, Belagavi, India.
Richard DermanDepartment of Pediatrics, Thomas Jefferson University, Philadelphia, Pennsylvania, USA.
Fabian EsamaiDepartment of Pediatrics, Moi University, Eldoret, Kenya.
Edward A LiechtyDepartment of Pediatrics, Indiana University, Bloomington, Indiana, USA.
Sheri BucherDepartment of Pediatrics, Indiana University, Bloomington, Indiana, USA.
Sarah SaleemDepartment of Community Health Sciences, Aga Khan University, Karachi, Pakistan.
Robert L GoldenbergDepartment of Obstetrics/Gynecology, Columbia University, New York, New York, USA.
Adrien LokangakaKinshasa School of Public Health, Kinshasa, Democratic Republic of the Congo.
Antoinette TshefuKinshasa School of Public Health, Kinshasa, Democratic Republic of the Congo.
Carl L BoseDepartment of Pediatrics, University of North Carolina, Chapel Hill, North Carolina, USA.
Marion Koso-ThomasEunice Kennedy Shriver National Institute of Child Health and Human Development, Bethesda, Maryland, USA.
Sylvia TanRTI International, Durham, North Carolina, USA.
Tracy NolenRTI International, Durham, North Carolina, USA.
Elizabeth M McClureRTI International, Durham, North Carolina, USA.
Waldemar A CarloDepartment of Pediatrics, University of Alabama at Birmingham, Birmingham, Alabama, USA.
University of Alabama at Birmingham · USRTI International · USInstitute of Nutrition of Central America and Panama · GTMinistry of Public Health · CDUniversity Teaching Hospital · ZMAga Khan University · PKBoston University · USEunice Kennedy Shriver National Institute of Child Health and Human Development · USLata Medical Research Foundation · INMoi University · KEThomas Jefferson University · USUniversity of Colorado Anschutz Medical Campus · USUniversity of North Carolina at Chapel Hill · US

Funding

Global Network for Women's and Children's Health Research Data Coordinating CenterU24HD092094 · NICHD · RESEARCH TRIANGLE INSTITUTE · PI Elizabeth M McClure · 2017 to 2026
$17.8M
Nutrition-specific interventions to improve long-term maternal-child health outcomesUG1HD076474 · NICHD · UNIVERSITY OF COLORADO DENVER · PI Edwin Jose Asturias, NANCY F KREBS · 2018 to 2026
$5.4M
The Global Network and Preconception Maternal NutritionU10HD076474 · NICHD · UNIVERSITY OF COLORADO DENVER · PI KREBS, NANCY F · 2013 to 2017
$5.1M
NICHD NIH HHS U10 HD076474NICHD NIH HHS U24 HD092094NICHD NIH HHS UG1 HD076474
6 · The paper itself

Abstract

backgroundNewborns with hypoxemia often require life-saving respiratory support. In low-resource settings, it is unknown if respiratory support is delivered more frequently to term infants or preterm infants. We hypothesized that in a registry-based birth cohort in 105 geographic areas in seven low- and middle-income countries, more term newborns received respiratory support than preterm newborns.

methodsThis is a hypothesis-driven observational study based on prospectively collected data from the Maternal and Newborn Health Registry of the NICHD Global Network for Women's and Children's Health Research. Eligible infants enrolled in the registry were live-born between 22 and 44 weeks gestation with a birth weight ≥400 g and born from January 1, 2015, to December 31, 2018. Frequency data were obtained to report the number of term and preterm infants who received treatment with oxygen only, CPAP, or mechanical ventilation. Test for trends over time were conducted using robust Poisson regression.

results177,728 (86.3%) infants included in this study were term, and 28,249 (13.7%) were preterm. A larger number of term infants (n = 5,108) received respiratory support compared to preterm infants (n = 3,287). Receipt of each mode of respiratory support was more frequent in term infants. The proportion of preterm infants who received respiratory support (11.6%) was higher than the proportion of term infants receiving respiratory support (2.9%, p < 0.001). The rate of provision of respiratory support varied between sites.

conclusionsRespiratory support was more frequently used in term infants expected to be at low risk for respiratory disorders compared to preterm infants.

Indexed as

Infant, PrematureRespiratory Distress Syndrome, NewbornChildChild HealthDeveloping CountriesFemaleHumansInfantInfant, NewbornRegistriesWomen's HealthInfantsLow- and middle-income countriesLow birth weightLow-resource settingPreterm infantsRespiratory distress

Identifiers

PMID38048757
PMCPMC11339912
OpenAlexW4389296187

What OpenQuestion holds

Textmetadata
LicenceTDM
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.