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The Global Network Neonatal Cause of Death algorithm for low-resource settings.
Garces, Ana L; McClure, Elizabeth M; Pérez, Wilton; Hambidge, K Michael; Krebs, Nancy F; Figueroa, Lester; Bose, Carl L; Carlo, Waldemar A; Tenge, Constance; Esamai, Fabian; Goudar, Shivaprasad S; Saleem, Sarah; Patel, Archana B; Chiwila, Melody; Chomba, Elwyn; Tshefu, Antoinette; Derman, Richard J; Hibberd, Patricia L; Bucher, Sherri; Liechty, Edward A; Bauserman, Melissa; Moore, Janet L; Koso-Thomas, Marion; Miodovnik, Menachem; Goldenberg, Robert L.
Afiliação
  • Garces AL; INCAP, Guatemala City, Guatemala.
  • McClure EM; RTI International, Durham, NC, USA.
  • Pérez W; INCAP, Guatemala City, Guatemala.
  • Hambidge KM; University of Colorado, Denver, CO, USA.
  • Krebs NF; University of Colorado, Denver, CO, USA.
  • Figueroa L; INCAP, Guatemala City, Guatemala.
  • Bose CL; University of North Carolina at Chapel Hill, Chapel Hill, NC, USA.
  • Carlo WA; University of Alabama at Birmingham, Birmingham, AL, USA.
  • Tenge C; Moi University School of Medicine, Eldoret, Kenya.
  • Esamai F; Moi University School of Medicine, Eldoret, Kenya.
  • Goudar SS; KLE University's JN Medical College, Belgaum, India.
  • Saleem S; Aga Khan University, Karachi, Pakistan.
  • Patel AB; Lata Medical Research Foundation, Nagpur, India.
  • Chiwila M; CIDRZ, Lusaka, Zambia.
  • Chomba E; University of Zambia, Lusaka, Zambia.
  • Tshefu A; Kinshasa School of Public Health, Kinshasa, DRC.
  • Derman RJ; Thomas Jefferson University, Philadelphia, PA, USA.
  • Hibberd PL; Boston University, Boston, MA, USA.
  • Bucher S; Indiana University, Indianapolis, IN, USA.
  • Liechty EA; Indiana University, Indianapolis, IN, USA.
  • Bauserman M; University of North Carolina at Chapel Hill, Chapel Hill, NC, USA.
  • Moore JL; RTI International, Durham, NC, USA.
  • Koso-Thomas M; NICHD, Bethesda, MD, USA.
  • Miodovnik M; NICHD, Bethesda, MD, USA.
  • Goldenberg RL; Columbia University Medical Center, New York, NY, USA.
Acta Paediatr ; 106(6): 904-911, 2017 Jun.
Article em En | MEDLINE | ID: mdl-28240381
AIM: This study estimated the causes of neonatal death using an algorithm for low-resource areas, where 98% of the world's neonatal deaths occur. METHODS: We enrolled women in India, Pakistan, Guatemala, the Democratic Republic of Congo, Kenya and Zambia from 2014 to 2016 and tracked their delivery and newborn outcomes for up to 28 days. Antenatal care and delivery symptoms were collected using a structured questionnaire, clinical observation and/or a physical examination. The Global Network Cause of Death algorithm was used to assign the cause of neonatal death, analysed by country and day of death. RESULTS: One-third (33.1%) of the 3068 neonatal deaths were due to suspected infection, 30.8% to prematurity, 21.2% to asphyxia, 9.5% to congenital anomalies and 5.4% did not have a cause of death assigned. Prematurity and asphyxia-related deaths were more common on the first day of life (46.7% and 52.9%, respectively), while most deaths due to infection occurred after the first day of life (86.9%). The distribution of causes was similar to global data reported by other major studies. CONCLUSION: The Global Network algorithm provided a reliable cause of neonatal death in low-resource settings and can be used to inform public health strategies to reduce mortality.
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Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Mortalidade Infantil / Causas de Morte / Países em Desenvolvimento Tipo de estudo: Prognostic_studies / Qualitative_research Aspecto: Determinantes_sociais_saude Limite: Female / Humans / Infant / Newborn / Pregnancy Idioma: En Revista: Acta Paediatr Ano de publicação: 2017 Tipo de documento: Article País de afiliação: Guatemala País de publicação: Noruega

Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Mortalidade Infantil / Causas de Morte / Países em Desenvolvimento Tipo de estudo: Prognostic_studies / Qualitative_research Aspecto: Determinantes_sociais_saude Limite: Female / Humans / Infant / Newborn / Pregnancy Idioma: En Revista: Acta Paediatr Ano de publicação: 2017 Tipo de documento: Article País de afiliação: Guatemala País de publicação: Noruega