Observational studyPloS one2025
Predictors of early newborn deaths at Dar es Salaam public regional referral hospitals: A prospective observational hospital-based study.
Observational study in PloS one, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.
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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.
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Who cites it
1 citing paper in PubMed.
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Authors and funding
5 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
introductionNewborn deaths are still a concern to global health systems. Increased rates of documented hospital-based births are incongruent to newborn survival chances worldwide. Factors for that rather paradoxical observation are largely unknown. We aimed to assess predictors of early newborn deaths at representative metropolitan referral health facilities in Africa. MATERIALS &
methodsWe designed a prospective, analytical, hospital-based study in neonatal units at Dar es Salaam public regional referral hospitals, Tanzania. Neonates who died within the first 7 days of life were the target population. A pre-designed Case Report Form was the main tool for data collection. Multivariable binary logistic regression model was fitted to account for predictors of early newborn deaths after appropriate linear model validation. Proportion of early newborn deaths was the outcome variable.
resultsWe recruited and analysed 2212 neonate-days of follow-up. Prevalence of early newborn deaths was 28.1%. Birth asphyxia (χ2 = 20.4, df = 1), preterm delivery (χ2 = 5.36, df = 1) and respiratory distress syndrome (χ2 = 30.94, df = 1) were associated with early neonatal outcomes. Predictors of early newborn deaths were neonatal respiratory rate (Tachypnoea - A.O.R.: 2.28 (95% CI.: 1.44-5.79); Bradypnoea - A.O.R.: 1.9 (95% C.I.: 1.02-12.3) and gestational age (Preterm delivery - A.O.R.: 1.48, 95% CI.: 1.11-2.09 and Post-term delivery - A.O.R.: 5.05, 95% C.I.: 4.49-32.0).
conclusionsEarly newborn deaths rate was relatively high in this study population. Newborns' respiratory rates and gestational age at delivery were significant clinical factors associated with early newborn deaths in this study.
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