ArticleWorld journal of clinical pediatrics2026
Patterns of preterm admission, morbidity, and mortality in a tribal-district neonatal intensive care unit: A retrospective cohort study.
Article in World journal of clinical pediatrics, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
backgroundPreterm birth remains the leading cause of neonatal morbidity and mortality worldwide. Data from tribal-district neonatal intensive care units (NICUs) in India are scarce, despite these populations bearing a disproportionate burden of adverse perinatal outcomes.
aimTo evaluate morbidity patterns and identify predictors of mortality among preterm neonates in a tribal-district NICU.
methodsThe present retrospective cohort study included total 1438 preterm neonates admitted between January 2022 and December 2024 to the tribal-district NICU. Clinical data were extracted from medical records. Mortality was analyzed by gestational age. Multivariable logistic regression, with multiple imputation for missing data, was used to identify independent predictors of in-hospital mortality.
resultsMortality demonstrated a steep inverse gradient with gestational age, decreasing from 49% among extremely preterm neonates to 4.6% among late preterm infants. The most common morbidities were respiratory distress syndrome (42%-55%) and neonatal sepsis (32%-45%). Early continuous positive airway pressure (CPAP) initiation (< 1 hour) was associated with reduced need for mechanical ventilation (
conclusionLower gestational age, lower birth weight, infection, and delayed respiratory stabilization are associated with mortality. Strengthening early neonatal care may improve survival in tribal settings.
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