Evidence map›Paper›PMID 41993895›Full record

ReviewFrontiers in pediatrics2026

Prevalence and risk factors for neonatal sepsis among very preterm infants in China: a systematic review and meta-analysis.

Yuanyuan Li, Xin Guo, Kanghua Zhou, Jing Feng, Dandan Rao, Guilian Du, Zhangbin Yu, Huaiwu Zheng

Abstract readReview
In one paragraph

Review in Frontiers in pediatrics, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed, 1 pooled it
–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

1 citing paper in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
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

8 authors.

Yuanyuan LiNeonatology, The People's Hospital of Baoan Shenzhen, Shenzhen, Guangdong, China.
Xin GuoNeonatology, Longgang District Maternity & Child Healthcare Hospital of Shenzhen City (Longgang Maternity and Child Institute of Shantou University Medical College), Shenzhen, Guangdong, China.
Kanghua ZhouNeonatology, Shenzhen Baoan Women's and Children's Hospital, Shenzhen, Guangdong, China.
Jing FengNeonatology, Longgang District Maternity & Child Healthcare Hospital of Shenzhen City (Longgang Maternity and Child Institute of Shantou University Medical College), Shenzhen, Guangdong, China.
Dandan RaoNeonatology, Shenzhen Luohu People's Hospital, Shenzhen, Guangdong, China.
Guilian DuNeonatology, Shenzhen Bao'an District Songgang People's Hospital, Shenzhen, Guangdong, China.
Zhangbin YuDepartment of Neonatology, Shenzhen People's Hospital, The Second Clinical Medical College, Jinan University; The First Affiliated Hospital, Southern University of Science and Technology, Shenzhen, Guangdong, China.
Huaiwu ZhengNeonatology, The People's Hospital of Baoan Shenzhen, Shenzhen, Guangdong, China.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Neonatal sepsis poses a significant risk to very preterm infants (VPIs, gestational age < 32 weeks) in China, with limited nationwide data on its incidence and risk factors. This study aimed to address this gap through a systematic review and meta-analysis to inform prevention strategies. Methods: We searched PubMed, Embase, Web of Science, Scopus, CNKI, CBM, CSTJ, and WanFang up to March 31, 2025. Study quality was evaluated using the Newcastle-Ottawa Scale (NOS). Data extraction was performed with Microsoft Excel, and Stata 18.0 was used for meta-analysis. Heterogeneity was assessed using Cochran's Results: This systematic review encompassed 43 studies involving a total of 138,613 VPIs. The incidence of unclassified sepsis was determined to be 16.41% (95% CI: 11.80%-21.62%), while the incidence rates for early-onset sepsis (EOS) and late-onset sepsis (LOS) were 16.11% (95% CI: 9.52%-24.01%) and 15.10% (95% CI: 12.07%-18.40%), respectively. The study identified six significant risk factors for EOS among VPIs: lower gestational age [Hedges' Conclusions: Sepsis imposes a substantial burden on Chinese VPIs, characterized by a highly heterogeneous incidence. The principal risk factors for EOS include lower gestational age, lower birth weight, chorioamnionitis, PROM, antenatal antibiotic administration, and endotracheal intubation. These findings furnish essential evidence for the development of risk prediction models and stratified management strategies for EOS in VPIs. Systematic trial registration: The systematic review and meta-analysis were registered with PROSPERO (ID: CRD420251018993).

Indexed as

Chinaprevalencerisk factorssepsisvery preterm infants

Identifiers

PMID41993895
PMCPMC13079635

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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.