Evidence map›Paper›PMID 41082719›Full record

SynthesisJournal of global health2025

Estimating the number of hospital beds for the care of sick and small newborns: an evidence-based systematic approach.

Bireshwar Sinha, Mohan Kumar, Deena Thomas, Natalie Strobel, Gagan Gupta, Karen Edmond, M Jeeva Sankar

Abstract readMeta-AnalysisSystematic Review
In one paragraph

Synthesis in Journal of global health, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing 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

2 citing papers in PubMed.

  1. Review
  2. Review
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

7 authors.

Bireshwar SinhaSociety for Applied Studies, New Delhi, India.
Mohan KumarDepartment of Community Medicine, KMCH Institute of Health Sciences and Research, Coimbatore, India.
Deena ThomasDepartment of Pediatrics, Government Medical College, Kottayam, India.
Natalie StrobelKurongkurl Katitjin | Centre for Indigenous Australian Education and Research, Edith Cowan University, Perth, Australia.
Gagan GuptaHealth Programme, UNICEF, New York, NY, USA.
Karen EdmondWorld Health Organization, Newborn and Child Health and Development Unit, Geneva, Switzerland.
M Jeeva SankarDepartment of Pediatrics, All India Institute of Medical Sciences, New Delhi, India.

Funding

World Health Organization 001
6 · The paper itself

Abstract

Background: Current recommendations for neonatal bed requirements are largely assumption-based rather than data-driven. We aimed to estimate the number of beds per 1000 live births needed for the care of small and sick newborns. Methods: We first extracted data from studies published between 2018 and May 2023. Then, due to considerable heterogeneity in the data, we performed a meta-analysis using a random effects model to estimate the number of neonatal admissions and the length of stay. We divided the total patient days (admission rate multiplied by the length of stay) by 365 to estimate the annual number of beds per 1000 live births. Results: We include 54 included studies, of which 46 provided data on the incidence of neonatal admissions and 20 on length of stay. The pooled analysis indicated that the number of neonates requiring admission ranged from 126 to 143 per 1000 live births. Admission rates were higher in the African region (160.5; 95% confidence interval (CI) = 122.2-198.7), in low-income countries (175.3; 95% CI = 102.8 to 247.8), in tertiary care settings (147.5; 95% CI = 115.9-179.1), and in settings with a high neonatal mortality rate (149.4; 95% CI = 90.5-218.2). The pooled length of stay was estimated to be 6.4 days (95% CI = 5.7-7.1). The overall estimated number of beds needed for the care of small and sick newborns was 2.4 (95% CI = 2.0-2.8) per 1000 live births, with regional variations. Conclusions: This method estimates the required neonatal care beds using admission rates and hospital stay data, aiding healthcare planning. Refinements and local adaptations are needed for effective policy decisions. Registration: PROSPERO: CRD42023417847.

Indexed as

Hospital Bed CapacityInfant, Newborn, DiseasesIntensive Care Units, NeonatalHumansInfant, NewbornLength of Stay

Identifiers

PMID41082719
PMCPMC12517701

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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.