Demographics, clinical characteristics and neonatal outcomes in a rural Ugandan NICU
Ninety-six percent of the world's 3 million neonatal deaths occur in developing countries where the majority of births occur outside of a facility. Community-based approaches to the identification and management of neonatal illness have reduced neonatal mortality over the last decade. To furthe...
Saved in:
Published in | BMC pregnancy and childbirth Vol. 14; no. 1; p. 327 |
---|---|
Main Authors | , , , , , , |
Format | Journal Article |
Language | English |
Published |
England
BioMed Central
19.09.2014
BioMed Central Ltd |
Subjects | |
Online Access | Get full text |
Cover
Loading…
Abstract | Ninety-six percent of the world's 3 million neonatal deaths occur in developing countries where the majority of births occur outside of a facility. Community-based approaches to the identification and management of neonatal illness have reduced neonatal mortality over the last decade. To further expand life-saving services, improvements in access to quality facility-based neonatal care are required. Evaluation of rural neonatal intensive care unit referral centers provides opportunities to further understand determinants of neonatal mortality in developing countries. Our objective was to describe demographics, clinical characteristics and outcomes from a rural neonatal intensive care unit (NICU) in central Uganda from 2005-2008.
The NICU at Kiwoko hospital serves as a referral center for three rural districts of central Uganda. For this cross sectional study we utilized a NICU clinical database that included admission information, demographics, and variables related to hospital course and discharge. Descriptive statistics are reported for all neonates (<28 days old) admitted to the NICU between December 2005 and September 2008, disaggregated by place of birth. Percentages reported are among neonates for which data on that indicator were available.
There were 809 neonates admitted during the study period, 68% (490/717) of whom were inborn. The most common admission diagnoses were infection (30%, 208/699), prematurity (30%, 206/699), respiratory distress (28%, 198/699) and asphyxia (22%, 154/699). Survival to discharge was 78% (578/745). Mortality was inversely proportional to birthweight and gestational age (P-value test for trend <0.01). This was true for both inborn and outborn infants (p < 0.01). Outborn infants were more likely to be preterm (44%, (86/192) vs. 33%, (130/400), P-value <0.01) and to be low birthweight (58%, (101/173) vs. 40%, (190/479), P-value <0.01) than inborn infants. Outborn neonates had almost twice the mortality (33%, 68/208) as inborn neonates (17%, 77/456) (P-value <0.01).
Understanding determinants of neonatal survival in facilities is important for targeting improvements in facility based neonatal care and increasing survival in low and middle income countries. |
---|---|
AbstractList | BACKGROUNDNinety-six percent of the world's 3 million neonatal deaths occur in developing countries where the majority of births occur outside of a facility. Community-based approaches to the identification and management of neonatal illness have reduced neonatal mortality over the last decade. To further expand life-saving services, improvements in access to quality facility-based neonatal care are required. Evaluation of rural neonatal intensive care unit referral centers provides opportunities to further understand determinants of neonatal mortality in developing countries. Our objective was to describe demographics, clinical characteristics and outcomes from a rural neonatal intensive care unit (NICU) in central Uganda from 2005-2008. METHODSThe NICU at Kiwoko hospital serves as a referral center for three rural districts of central Uganda. For this cross sectional study we utilized a NICU clinical database that included admission information, demographics, and variables related to hospital course and discharge. Descriptive statistics are reported for all neonates (<28 days old) admitted to the NICU between December 2005 and September 2008, disaggregated by place of birth. Percentages reported are among neonates for which data on that indicator were available. RESULTSThere were 809 neonates admitted during the study period, 68% (490/717) of whom were inborn. The most common admission diagnoses were infection (30%, 208/699), prematurity (30%, 206/699), respiratory distress (28%, 198/699) and asphyxia (22%, 154/699). Survival to discharge was 78% (578/745). Mortality was inversely proportional to birthweight and gestational age (P-value test for trend <0.01). This was true for both inborn and outborn infants (p < 0.01). Outborn infants were more likely to be preterm (44%, (86/192) vs. 33%, (130/400), P-value <0.01) and to be low birthweight (58%, (101/173) vs. 40%, (190/479), P-value <0.01) than inborn infants. Outborn neonates had almost twice the mortality (33%, 68/208) as inborn neonates (17%, 77/456) (P-value <0.01). CONCLUSIONSUnderstanding determinants of neonatal survival in facilities is important for targeting improvements in facility based neonatal care and increasing survival in low and middle income countries. Doc number: 327 Abstract Background: Ninety-six percent of the world's 3 million neonatal deaths occur in developing countries where the majority of births occur outside of a facility. Community-based approaches to the identification and management of neonatal illness have reduced neonatal mortality over the last decade. To further expand life-saving services, improvements in access to quality facility-based neonatal care are required. Evaluation of rural neonatal intensive care unit referral centers provides opportunities to further understand determinants of neonatal mortality in developing countries. Our objective was to describe demographics, clinical characteristics and outcomes from a rural neonatal intensive care unit (NICU) in central Uganda from 2005-2008. Methods: The NICU at Kiwoko hospital serves as a referral center for three rural districts of central Uganda. For this cross sectional study we utilized a NICU clinical database that included admission information, demographics, and variables related to hospital course and discharge. Descriptive statistics are reported for all neonates (<28 days old) admitted to the NICU between December 2005 and September 2008, disaggregated by place of birth. Percentages reported are among neonates for which data on that indicator were available. Results: There were 809 neonates admitted during the study period, 68% (490/717) of whom were inborn. The most common admission diagnoses were infection (30%, 208/699), prematurity (30%, 206/699), respiratory distress (28%, 198/699) and asphyxia (22%, 154/699). Survival to discharge was 78% (578/745). Mortality was inversely proportional to birthweight and gestational age (P-value test for trend <0.01). This was true for both inborn and outborn infants (p < 0.01). Outborn infants were more likely to be preterm (44%, (86/192) vs. 33%, (130/400), P-value <0.01) and to be low birthweight (58%, (101/173) vs. 40%, (190/479), P-value <0.01) than inborn infants. Outborn neonates had almost twice the mortality (33%, 68/208) as inborn neonates (17%, 77/456) (P-value <0.01). Conclusions: Understanding determinants of neonatal survival in facilities is important for targeting improvements in facility based neonatal care and increasing survival in low and middle income countries. Ninety-six percent of the world's 3 million neonatal deaths occur in developing countries where the majority of births occur outside of a facility. Community-based approaches to the identification and management of neonatal illness have reduced neonatal mortality over the last decade. To further expand life-saving services, improvements in access to quality facility-based neonatal care are required. Evaluation of rural neonatal intensive care unit referral centers provides opportunities to further understand determinants of neonatal mortality in developing countries. Our objective was to describe demographics, clinical characteristics and outcomes from a rural neonatal intensive care unit (NICU) in central Uganda from 2005-2008. The NICU at Kiwoko hospital serves as a referral center for three rural districts of central Uganda. For this cross sectional study we utilized a NICU clinical database that included admission information, demographics, and variables related to hospital course and discharge. Descriptive statistics are reported for all neonates (<28 days old) admitted to the NICU between December 2005 and September 2008, disaggregated by place of birth. Percentages reported are among neonates for which data on that indicator were available. There were 809 neonates admitted during the study period, 68% (490/717) of whom were inborn. The most common admission diagnoses were infection (30%, 208/699), prematurity (30%, 206/699), respiratory distress (28%, 198/699) and asphyxia (22%, 154/699). Survival to discharge was 78% (578/745). Mortality was inversely proportional to birthweight and gestational age (P-value test for trend <0.01). This was true for both inborn and outborn infants (p < 0.01). Outborn infants were more likely to be preterm (44%, (86/192) vs. 33%, (130/400), P-value <0.01) and to be low birthweight (58%, (101/173) vs. 40%, (190/479), P-value <0.01) than inborn infants. Outborn neonates had almost twice the mortality (33%, 68/208) as inborn neonates (17%, 77/456) (P-value <0.01). Understanding determinants of neonatal survival in facilities is important for targeting improvements in facility based neonatal care and increasing survival in low and middle income countries. BACKGROUND: Ninety-six percent of the world's 3 million neonatal deaths occur in developing countries where the majority of births occur outside of a facility. Community-based approaches to the identification and management of neonatal illness have reduced neonatal mortality over the last decade. To further expand life-saving services, improvements in access to quality facility-based neonatal care are required. Evaluation of rural neonatal intensive care unit referral centers provides opportunities to further understand determinants of neonatal mortality in developing countries. Our objective was to describe demographics, clinical characteristics and outcomes from a rural neonatal intensive care unit (NICU) in central Uganda from 2005-2008. METHODS: The NICU at Kiwoko hospital serves as a referral center for three rural districts of central Uganda. For this cross sectional study we utilized a NICU clinical database that included admission information, demographics, and variables related to hospital course and discharge. Descriptive statistics are reported for all neonates (<28 days old) admitted to the NICU between December 2005 and September 2008, disaggregated by place of birth. Percentages reported are among neonates for which data on that indicator were available. RESULTS: There were 809 neonates admitted during the study period, 68% (490/717) of whom were inborn. The most common admission diagnoses were infection (30%, 208/699), prematurity (30%, 206/699), respiratory distress (28%, 198/699) and asphyxia (22%, 154/699). Survival to discharge was 78% (578/745). Mortality was inversely proportional to birthweight and gestational age (P-value test for trend <0.01). This was true for both inborn and outborn infants (p < 0.01). Outborn infants were more likely to be preterm (44%, (86/192) vs. 33%, (130/400), P-value <0.01) and to be low birthweight (58%, (101/173) vs. 40%, (190/479), P-value <0.01) than inborn infants. Outborn neonates had almost twice the mortality (33%, 68/208) as inborn neonates (17%, 77/456) (P-value <0.01). CONCLUSIONS: Understanding determinants of neonatal survival in facilities is important for targeting improvements in facility based neonatal care and increasing survival in low and middle income countries. |
ArticleNumber | 327 |
Author | Lester, Deborah McAdams, Ryan M Otai, Christine Hedstrom, Anna Ryman, Tove Nyonyintono, James Batra, Maneesh |
Author_xml | – sequence: 1 givenname: Anna surname: Hedstrom fullname: Hedstrom, Anna email: hedstrom@uw.edu organization: Department of Pediatrics, Division of Neonatology, University of Washington, Seattle, USA. hedstrom@uw.edu – sequence: 2 givenname: Tove surname: Ryman fullname: Ryman, Tove – sequence: 3 givenname: Christine surname: Otai fullname: Otai, Christine – sequence: 4 givenname: James surname: Nyonyintono fullname: Nyonyintono, James – sequence: 5 givenname: Ryan M surname: McAdams fullname: McAdams, Ryan M – sequence: 6 givenname: Deborah surname: Lester fullname: Lester, Deborah – sequence: 7 givenname: Maneesh surname: Batra fullname: Batra, Maneesh |
BackLink | https://www.ncbi.nlm.nih.gov/pubmed/25234069$$D View this record in MEDLINE/PubMed |
BookMark | eNp1Uc1LwzAcDTLRTb17koIXD1bz3fYiyPwE0Ys7hzRNt4w2mUkr-N-bMh1O9JTH7728vLzfBIyssxqAYwQvEMr5JaIZSjEpSIpoSnC2A8ab0egH3geTEJYQoixncA_sY4YJhbwYg9cb3bq5l6uFUeE8UY2xRskmUQvppeq0N6GLTCJtlVjtrOwi6fpOuVaHxNhEJr73cTabR4m0yfPjdHYIdmvZBH30dR6A2d3t6_QhfXq5f5xeP6UlzWmXlppQViBUFVxXspKMVVVFcY0KRqiSnGe4xpxhSDJUlzUtchYRhgXLJNI5Jgfgau276stWV0rbLkYRK29a6T-Ek0ZsM9YsxNy9C4oyyiGLBtO1QWncPwbbTPy2GFoVQ6sRiVh6dDn7iuHdW69DJ1oTlG4aGRvrg0CMMwYxp8ODp7-kS9d7G0saVDRuhZJBBdcq5V0IXtebRAiKYfF_ZTj5WcXmwvemySdmA6o5 |
CitedBy_id | crossref_primary_10_1016_j_ijgo_2016_01_009 crossref_primary_10_2147_PHMT_S266675 crossref_primary_10_1186_s12887_020_02051_7 crossref_primary_10_3389_fped_2022_853831 crossref_primary_10_1016_j_heliyon_2019_e01446 crossref_primary_10_1177_09732179211065393 crossref_primary_10_1186_s12887_017_0941_6 crossref_primary_10_1186_s12887_020_02107_8 crossref_primary_10_1016_j_jnn_2023_11_003 crossref_primary_10_3390_children7030022 crossref_primary_10_12688_wellcomeopenres_18871_3 crossref_primary_10_12688_wellcomeopenres_18871_2 crossref_primary_10_12688_wellcomeopenres_18871_1 crossref_primary_10_1186_s12887_015_0449_x crossref_primary_10_35366_99412 crossref_primary_10_3390_children7020015 crossref_primary_10_1371_journal_pone_0301512 crossref_primary_10_32677_IJCH_2018_v05_i05_007 crossref_primary_10_1093_tropej_fmw071 crossref_primary_10_5385_nm_2022_29_1_1 crossref_primary_10_1213_ANE_0000000000002432 crossref_primary_10_1590_1984_0462_2020_38_2018134 crossref_primary_10_1186_s12884_018_1831_0 crossref_primary_10_1371_journal_pgph_0002669 crossref_primary_10_4103_jcn_JCN_14_19 crossref_primary_10_1186_s12887_022_03779_0 crossref_primary_10_1177_23779608231187480 crossref_primary_10_12688_wellcomeopenres_15302_1 crossref_primary_10_33805_2638_8073_109 crossref_primary_10_1371_journal_pone_0259310 crossref_primary_10_1371_journal_pgph_0002261 crossref_primary_10_1080_20469047_2018_1528757 crossref_primary_10_1111_jpc_14699 |
Cites_doi | 10.1056/NEJMsa0806033 10.1016/S0140-6736(05)71088-6 10.1016/S0140-6736(12)60560-1 10.1016/S0140-6736(08)60835-1 10.1186/1471-2458-11-S3-S13 10.1371/journal.pone.0017155 10.1097/00005237-200212000-00009 10.1007/BF02761140 10.1093/heapol/czs053 10.1371/journal.pmed.1001080 10.1179/027249303225007806 10.1016/j.ijgo.2009.07.016 10.1016/S0140-6736(05)71048-5 10.1038/jp.2008.177 10.1093/heapol/czm009 10.1001/archpedi.162.7.603 10.1186/1471-2458-10-591 10.1258/004947507781524683 |
ContentType | Journal Article |
Copyright | 2014 Hedstrom et al.; licensee BioMed Central Ltd. This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/2.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly credited. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated. Hedstrom et al.; licensee BioMed Central Ltd. 2014 |
Copyright_xml | – notice: 2014 Hedstrom et al.; licensee BioMed Central Ltd. This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/2.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly credited. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated. – notice: Hedstrom et al.; licensee BioMed Central Ltd. 2014 |
DBID | CGR CUY CVF ECM EIF NPM AAYXX CITATION 3V. 7RV 7X7 7XB 88E 8FI 8FJ 8FK ABUWG AFKRA AZQEC BENPR CCPQU DWQXO FYUFA GHDGH K9- K9. KB0 M0R M0S M1P NAPCQ PIMPY PQEST PQQKQ PQUKI PRINS 7X8 5PM |
DOI | 10.1186/1471-2393-14-327 |
DatabaseName | Medline MEDLINE MEDLINE (Ovid) MEDLINE MEDLINE PubMed CrossRef ProQuest Central (Corporate) Nursing & Allied Health Database (ProQuest) ProQuest Health & Medical Collection ProQuest Central (purchase pre-March 2016) Medical Database (Alumni Edition) Hospital Premium Collection Hospital Premium Collection (Alumni Edition) ProQuest Central (Alumni) (purchase pre-March 2016) ProQuest Central (Alumni) ProQuest Central ProQuest Central Essentials ProQuest Central ProQuest One Community College ProQuest Central Health Research Premium Collection Health Research Premium Collection (Alumni) Consumer Health Database ProQuest Health & Medical Complete (Alumni) Nursing & Allied Health Database (Alumni Edition) Family Health Database (Proquest) Health & Medical Collection (Alumni Edition) PML(ProQuest Medical Library) Nursing & Allied Health Premium ProQuest - Publicly Available Content Database ProQuest One Academic Eastern Edition (DO NOT USE) ProQuest One Academic ProQuest One Academic UKI Edition ProQuest Central China MEDLINE - Academic PubMed Central (Full Participant titles) |
DatabaseTitle | MEDLINE Medline Complete MEDLINE with Full Text PubMed MEDLINE (Ovid) CrossRef Publicly Available Content Database ProQuest Central Essentials ProQuest Health & Medical Complete (Alumni) ProQuest Central (Alumni Edition) ProQuest One Community College ProQuest Family Health (Alumni Edition) ProQuest Central China ProQuest Central Health Research Premium Collection Health and Medicine Complete (Alumni Edition) ProQuest Central Korea ProQuest Medical Library (Alumni) ProQuest Family Health ProQuest One Academic Eastern Edition ProQuest Nursing & Allied Health Source ProQuest Hospital Collection Health Research Premium Collection (Alumni) ProQuest Hospital Collection (Alumni) Nursing & Allied Health Premium ProQuest Health & Medical Complete ProQuest Medical Library ProQuest One Academic UKI Edition ProQuest Nursing & Allied Health Source (Alumni) ProQuest One Academic ProQuest Central (Alumni) MEDLINE - Academic |
DatabaseTitleList | MEDLINE - Academic Publicly Available Content Database MEDLINE |
Database_xml | – sequence: 1 dbid: NPM name: PubMed url: https://proxy.k.utb.cz/login?url=http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=PubMed sourceTypes: Index Database – sequence: 2 dbid: EIF name: MEDLINE url: https://proxy.k.utb.cz/login?url=https://www.webofscience.com/wos/medline/basic-search sourceTypes: Index Database – sequence: 3 dbid: BENPR name: ProQuest Central url: https://www.proquest.com/central sourceTypes: Aggregation Database |
DeliveryMethod | fulltext_linktorsrc |
Discipline | Medicine |
EISSN | 1471-2393 |
EndPage | 327 |
ExternalDocumentID | oai_biomedcentral_com_1471_2393_14_327 3440086291 10_1186_1471_2393_14_327 25234069 |
Genre | Research Support, Non-U.S. Gov't Journal Article |
GeographicLocations | Uganda |
GeographicLocations_xml | – name: Uganda |
GroupedDBID | --- -A0 0R~ 23N 2WC 3V. 4.4 53G 5GY 5VS 6J9 6PF 7RV 7X7 88E 8FI 8FJ AAFWJ AAJSJ AAWTL ABDBF ABUWG ACGFO ACGFS ACRMQ ADBBV ADINQ ADRAZ ADUKV AENEX AFKRA AFPKN AHBYD AHMBA AHSBF AHYZX ALIPV ALMA_UNASSIGNED_HOLDINGS AMKLP AMTXH AOIJS AZQEC BAPOH BAWUL BCNDV BENPR BFQNJ BKNYI BMC BPHCQ BVXVI C24 C6C CCPQU CGR CS3 CUY CVF DIK DU5 E3Z EBD EBLON EBS ECM EIF EJD ESX F5P FYUFA GROUPED_DOAJ GX1 H13 HMCUK HYE IAO IHR INR K9- KQ8 M0R M1P M48 M~E N8Y NAPCQ NPM O5R O5S OK1 P2P PGMZT PIMPY PQQKQ PROAC PSQYO RBZ RNS ROL RPM RSV SMD SOJ TR2 TUS UKHRP W2D WOQ WOW XSB ~8M AAYXX CITATION 7XB 8FK DWQXO K9. PQEST PQUKI PRINS 7X8 AFGXO ITC ABVAZ AFNRJ 5PM |
ID | FETCH-LOGICAL-b484t-be345911d96edada55ddd42f19534ca6672f26520371fbf498537120957a1e823 |
IEDL.DBID | RBZ |
ISSN | 1471-2393 |
IngestDate | Tue Sep 17 21:11:48 EDT 2024 Wed May 22 07:12:18 EDT 2024 Fri Aug 16 04:55:42 EDT 2024 Tue Sep 24 20:07:41 EDT 2024 Thu Sep 26 18:20:17 EDT 2024 Sat Sep 28 08:15:55 EDT 2024 |
IsDoiOpenAccess | true |
IsOpenAccess | true |
IsPeerReviewed | true |
IsScholarly | true |
Issue | 1 |
Language | English |
License | This article is published under license to BioMed Central Ltd. This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/2.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly credited. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated. |
LinkModel | DirectLink |
MergedId | FETCHMERGED-LOGICAL-b484t-be345911d96edada55ddd42f19534ca6672f26520371fbf498537120957a1e823 |
Notes | ObjectType-Article-1 SourceType-Scholarly Journals-1 ObjectType-Feature-2 content type line 23 |
OpenAccessLink | http://dx.doi.org/10.1186/1471-2393-14-327 |
PMID | 25234069 |
PQID | 1564234435 |
PQPubID | 44759 |
PageCount | 1 |
ParticipantIDs | pubmedcentral_primary_oai_pubmedcentral_nih_gov_4174605 biomedcentral_primary_oai_biomedcentral_com_1471_2393_14_327 proquest_miscellaneous_1565502645 proquest_journals_1564234435 crossref_primary_10_1186_1471_2393_14_327 pubmed_primary_25234069 |
PublicationCentury | 2000 |
PublicationDate | 2014-09-19 |
PublicationDateYYYYMMDD | 2014-09-19 |
PublicationDate_xml | – month: 09 year: 2014 text: 2014-09-19 day: 19 |
PublicationDecade | 2010 |
PublicationPlace | England |
PublicationPlace_xml | – name: England – name: London |
PublicationTitle | BMC pregnancy and childbirth |
PublicationTitleAlternate | BMC Pregnancy Childbirth |
PublicationYear | 2014 |
Publisher | BioMed Central BioMed Central Ltd |
Publisher_xml | – name: BioMed Central – name: BioMed Central Ltd |
References | 17716492 - Trop Doct. 2007 Jul;37(3):130-2 10771996 - Indian J Pediatr. 1998 May-Jun;65(3):441-9 12472191 - J Perinat Neonatal Nurs. 2002 Dec;16(3):84-92 18946480 - J Perinatol. 2009 Feb;29(2):150-5 19815202 - Int J Gynaecol Obstet. 2009 Oct;107 Suppl 1:S5-18, S19 15798841 - Bull World Health Organ. 2005 Mar;83(3):178-85 18539225 - Lancet. 2008 Jun 7;371(9628):1936-44 20857794 - Niger J Clin Pract. 2010 Sep;13(3):321-5 21501430 - BMC Public Health. 2011;11 Suppl 3:S13 15767001 - Lancet. 2005 Mar 12-18;365(9463):977-88 22579125 - Lancet. 2012 Jun 9;379(9832):2151-61 15752534 - Lancet. 2005 Mar 5-11;365(9462):891-900 14738577 - Ann Trop Paediatr. 2003 Dec;23(4):293-9 21918640 - PLoS Med. 2011 Aug;8(8):e1001080 20925939 - BMC Public Health. 2010;10:591 21386886 - PLoS One. 2011;6(2):e17155 18606930 - Arch Pediatr Adolesc Med. 2008 Jul;162(7):603-8 20164485 - N Engl J Med. 2010 Feb 18;362(7):614-23 17526641 - Health Policy Plan. 2007 Jul;22(4):193-215 22692417 - Health Policy Plan. 2012 Jul;27 Suppl 3:iii6-28 Uganda Bureau of Statistics (UBOS) and Macro International Inc (1189_CR19) 2007 C Klingenberg (1189_CR15) 2003; 23 UNICEF, WHO, The World Bank, UN DESA/Population Division (1189_CR1) 2012 AK Zaidi (1189_CR13) 2011; 11 Suppl 3 JE Lawn (1189_CR4) 2012; 27 Suppl 3 M Mukhtar-Yola (1189_CR22) 2007; 37 1189_CR2 JE Lawn (1189_CR24) 2009; 107 Suppl 1 United Nations Children’s Fund and World Health Organization (1189_CR25) 2004 JE Lawn (1189_CR3) 2005; 365 L Liu (1189_CR8) 2012; 379 MZ Oestergaard (1189_CR6) 2011; 8 V Rhee (1189_CR11) 2008; 162 AH Baqui (1189_CR12) 2008; 371 MK Mwaniki (1189_CR17) 2010; 10 Uganda Bureau of Statistics (UBOS) and ICF International Inc (1189_CR18) 2012 D Montagu (1189_CR5) 2011; 6 AI Omoigberale (1189_CR21) 2010; 13 AK Blanc (1189_CR7) 2005; 83 DA Lester (1189_CR20) 2002; 16 G Darmstadt (1189_CR14) 2005; 365 A Sen (1189_CR16) 2009; 29 JA Owa (1189_CR23) 1998; 65 WA Carlo (1189_CR10) 2010; 362 RA Haws (1189_CR9) 2007; 22 |
References_xml | – volume: 362 start-page: 614 issue: 7 year: 2010 ident: 1189_CR10 publication-title: N Engl J Med doi: 10.1056/NEJMsa0806033 contributor: fullname: WA Carlo – volume: 365 start-page: 977 issue: 9463 year: 2005 ident: 1189_CR14 publication-title: Lancet doi: 10.1016/S0140-6736(05)71088-6 contributor: fullname: G Darmstadt – volume: 379 start-page: 2151 issue: 9832 year: 2012 ident: 1189_CR8 publication-title: Lancet doi: 10.1016/S0140-6736(12)60560-1 contributor: fullname: L Liu – volume: 371 start-page: 1936 issue: 9628 year: 2008 ident: 1189_CR12 publication-title: Lancet doi: 10.1016/S0140-6736(08)60835-1 contributor: fullname: AH Baqui – ident: 1189_CR2 – volume: 11 Suppl 3 start-page: S13 year: 2011 ident: 1189_CR13 publication-title: BMC Public Health doi: 10.1186/1471-2458-11-S3-S13 contributor: fullname: AK Zaidi – volume: 6 start-page: e17155 issue: 2 year: 2011 ident: 1189_CR5 publication-title: PLoS One doi: 10.1371/journal.pone.0017155 contributor: fullname: D Montagu – volume: 16 start-page: 84 issue: 3 year: 2002 ident: 1189_CR20 publication-title: J Perinat Neonatal Nurs doi: 10.1097/00005237-200212000-00009 contributor: fullname: DA Lester – volume: 13 start-page: 321 issue: 3 year: 2010 ident: 1189_CR21 publication-title: Niger J Clin Pract contributor: fullname: AI Omoigberale – volume: 65 start-page: 441 issue: 3 year: 1998 ident: 1189_CR23 publication-title: Indian J Pediatr doi: 10.1007/BF02761140 contributor: fullname: JA Owa – volume: 27 Suppl 3 start-page: iii6 year: 2012 ident: 1189_CR4 publication-title: Health Policy Plan doi: 10.1093/heapol/czs053 contributor: fullname: JE Lawn – volume: 8 start-page: e1001080 issue: 8 year: 2011 ident: 1189_CR6 publication-title: PLoS Med doi: 10.1371/journal.pmed.1001080 contributor: fullname: MZ Oestergaard – volume: 23 start-page: 293 issue: 4 year: 2003 ident: 1189_CR15 publication-title: Ann Trop Paediatr doi: 10.1179/027249303225007806 contributor: fullname: C Klingenberg – volume-title: Uganda Demographic and Health Survey 2006 year: 2007 ident: 1189_CR19 contributor: fullname: Uganda Bureau of Statistics (UBOS) and Macro International Inc – volume-title: Levels and Trends in Child Mortality—Report 2002 year: 2012 ident: 1189_CR1 contributor: fullname: UNICEF, WHO, The World Bank, UN DESA/Population Division – volume: 107 Suppl 1 start-page: S5 year: 2009 ident: 1189_CR24 publication-title: Int J Gynaecol Obstet doi: 10.1016/j.ijgo.2009.07.016 contributor: fullname: JE Lawn – volume: 365 start-page: 891 issue: 9462 year: 2005 ident: 1189_CR3 publication-title: Lancet doi: 10.1016/S0140-6736(05)71048-5 contributor: fullname: JE Lawn – volume-title: Uganda Demographic and Health Survey 2011 year: 2012 ident: 1189_CR18 contributor: fullname: Uganda Bureau of Statistics (UBOS) and ICF International Inc – volume: 29 start-page: 150 issue: 2 year: 2009 ident: 1189_CR16 publication-title: J Perinatol doi: 10.1038/jp.2008.177 contributor: fullname: A Sen – volume: 22 start-page: 193 issue: 4 year: 2007 ident: 1189_CR9 publication-title: Health Policy Plan doi: 10.1093/heapol/czm009 contributor: fullname: RA Haws – volume: 162 start-page: 603 issue: 7 year: 2008 ident: 1189_CR11 publication-title: Arch Pediatr Adolesc Med doi: 10.1001/archpedi.162.7.603 contributor: fullname: V Rhee – volume: 83 start-page: 178 issue: 3 year: 2005 ident: 1189_CR7 publication-title: Bull World Health Organ contributor: fullname: AK Blanc – volume: 10 start-page: 591 year: 2010 ident: 1189_CR17 publication-title: BMC Public Health doi: 10.1186/1471-2458-10-591 contributor: fullname: MK Mwaniki – volume: 37 start-page: 130 issue: 3 year: 2007 ident: 1189_CR22 publication-title: Trop Doct doi: 10.1258/004947507781524683 contributor: fullname: M Mukhtar-Yola – volume-title: Low Birthweight: Country, regional and global estimates year: 2004 ident: 1189_CR25 contributor: fullname: United Nations Children’s Fund and World Health Organization |
SSID | ssj0017850 |
Score | 2.243714 |
Snippet | Ninety-six percent of the world's 3 million neonatal deaths occur in developing countries where the majority of births occur outside of a facility.... Doc number: 327 Abstract Background: Ninety-six percent of the world's 3 million neonatal deaths occur in developing countries where the majority of births... BACKGROUNDNinety-six percent of the world's 3 million neonatal deaths occur in developing countries where the majority of births occur outside of a facility.... BACKGROUND: Ninety-six percent of the world's 3 million neonatal deaths occur in developing countries where the majority of births occur outside of a facility.... |
SourceID | pubmedcentral biomedcentral proquest crossref pubmed |
SourceType | Open Access Repository Aggregation Database Index Database |
StartPage | 327 |
SubjectTerms | Adolescent Adult Age Asphyxia Neonatorum - epidemiology Birth Weight Births Cross-Sectional Studies Delivery, Obstetric - statistics & numerical data Fatalities Gestational Age Hospital Mortality Hospitals Humans Infant Infant Mortality Infant, Premature Infection - epidemiology Intensive care Intensive Care Units, Neonatal - statistics & numerical data Length of Stay Low income groups Male Neonatal care Newborn babies Registration Respiratory Distress Syndrome, Newborn - epidemiology Rural areas Rural Health Services - statistics & numerical data Studies Survival Rate Uganda Young Adult |
SummonAdditionalLinks | – databaseName: PubMed Central dbid: RPM link: http://utb.summon.serialssolutions.com/2.0.0/link/0/eLvHCXMwnV3dT9swED8BDxMv02CMFTrkSXtBmilx_JFIvKBCxSYV8UAl3iLbcaBSaxBt___dpUlF2J72FunsJPadfXe-u58BfoigjfE649bSFWZVSLiVueN5ibqAANFFDbs4vtU3E_n7QT1sgWprYeqkfe-mZ3E2P4vTpzq38mXuB22e2OBuPJRoRqMZPtiGbZOmrYvehA5Mps7beGSmBwnuvpxwvngieSro0j2BzhcVfL6rcZ91VdNf9ub7tMk3emj0CT42BiS7XP_oHmyFuA8fxk2I_DPcX4X5GoZ66hc_WVv5yHwXmZnZWLIY6Owcic-rJUpeWLBpZJa9EhQHmzzSIUNkt7-GkwOYjK7vhze8uTqBO5nJJXchlQr3sTLXobSlVaosSykqCppJb7U2ohJaCQLsq1wlc9TahspolbFJyET6BXbicwxfgTlnjUcF51PvZMiFw9c5o6xLKxX8ue3BRWcWi5c1TEZBwNVdCo6kIH4UxA98KpAfPThtJ33Ts3ZMMv2Ptv2WK0Wz1BYFod0gP9Hs68H3DRkXCUU-LE7kqm6DnhjaftjmcM3EzcdaaeiB6bC3M44uBeWyBuJu5PDov3sewy4aYJLyT5K8DzvL11X4hkbO0p3UQv0HWt79HA priority: 500 providerName: National Library of Medicine – databaseName: ProQuest Health & Medical Collection dbid: 7X7 link: http://utb.summon.serialssolutions.com/2.0.0/link/0/eLvHCXMwfV1ZS-RAEC5cBfFF1F3X8aKFfRFsxnQ63QkIIh6Mgj45MG-hr7gDuxl1Mv_fqkwyblT2LVCdo7s6dXZ9BfBLBKW1Uyk3hlqYFSHiRmaWZx51AQGiixp28f5BDYbybpSMlmDQ1sLQscpWJtaC2k8cxcj7BGoiYonavW8sRQFc1T9_fuHUP4ryrE0zjW-wEgk0K3Bn69HC9aIW9KdtkjJV_QhFMifwLx5JHlNHmU61-5-ukvpkeX48QPmPRrrZgPXGlGQXc95vwlIot2D1vkmWf4fHq_B3Dkg9dtMT1tZAMtfFaGam9KwMFEVH4mRW4XqEKRuXzLBXAuVgwycKN5Ts4fZy-AOGN9ePlwPeNFHgVqay4jbEMkGJ5jMVvPEmSbz3UhSUPpPOKKVFIVQiCLqvsIXMUH9rKqhNtIlCKuJtWC4nZdgBZq3RDlWdi52VIRMWH2d1YmxcJMGdmh6cdVYxf54DZuQEYd2l4ExyYkJOTMCrHJnQg-N20Rd31i5Kqr4Yu99yJW9-umn-vkV6cLQg4-9CORCDCzmrx6BPhlYgjvk5Z-LiZQKdcioE7oHusLczjy6lHP-uIbklOnboGO7-_7P2YA3tLUnHTaJsH5ar11k4QJumsof1dn0Dooj33g priority: 102 providerName: ProQuest – databaseName: Scholars Portal Open Access Journals dbid: M48 link: http://utb.summon.serialssolutions.com/2.0.0/link/0/eLvHCXMwjV3dS8MwEA86QXwRv51OieCLYNSm-WhBEVHHFObTCr6VpE11oFX3Afrfe9et0849-Fa4pCF3l9xdLvcLIYfcKa0TFTBj8AmzzHnMiNCyMAVbgIDovIBdbD-oViTuH-XjT3n0mIH9maEdvicV9V5OPj--LmHBXxQLPlCnHmywDKG8mCeYz_U8WeDCF6jvbfGTU9CBPCsTlTN6TVW8v1QN1R_vc_oS5S-r1Fwhy2N3kl6N5L9K5ly-Rhbb44T5OuncuNcRKHU36R_Tsg6SJlWcZmrylOYOT9KB-DYcgB66Pu3m1NAeAnPQ6AmPHHL6cHcdbZCoedu5brHxQwrMikAMmHW-kLCrpaFyqUmNlGmaCp5hCk0kRinNM64kR_i-zGYiBBuusahWauO5gPubpJa_5W6bUGuNTsDcJX5ihQu5hd9ZLY31M-mSM1Mn5xUuxu8j0IwYYayrFJhJjEKIUQjwFYMQ6uSoZPqkZxGmBGpG20YplbjUmxixb7gvwAmsk4MJGZYM5kEMMHJYtIG4DDxBaLM1EuJkMA6BORYD14muiLcyjyol7z4XsNwCgjsIDnf-Me4uWQLHS-C9Ey9skNqgN3R74NwM7H6hs99hvvjG priority: 102 providerName: Scholars Portal |
Title | Demographics, clinical characteristics and neonatal outcomes in a rural Ugandan NICU |
URI | https://www.ncbi.nlm.nih.gov/pubmed/25234069 https://www.proquest.com/docview/1564234435/abstract/ https://search.proquest.com/docview/1565502645 http://dx.doi.org/10.1186/1471-2393-14-327 https://pubmed.ncbi.nlm.nih.gov/PMC4174605 |
Volume | 14 |
hasFullText | 1 |
inHoldings | 1 |
isFullTextHit | |
isPrint | |
link | http://utb.summon.serialssolutions.com/2.0.0/link/0/eLvHCXMwpV3dS8MwED90gvgifjudJYIvgkGbpkkLvviJChsiDoYvJWlTHWgVt_3_3nVbtdM3X0oh15TcJbmv3C8AB8IprVMVcWPoCrPc-dzI2PI4Q11AgOiihF1sd9RNV971wt43TM5MBt-P1LGP2ycnoC7uSx4IPQ8LgkDOyTM_f6oyBjoqb2OtqKcpyT96mKltf62rpF925uxxyR_653oFlieGIzsbS3oV5lyxBovtSWp8HR4v3dsYfrqfDo7YtOKRpXVEZmaKjBWOYubY-D4a4oxzA9YvmGGfBMHBus8UXChY5_aiuwHd66vHixs-uTKBWxnJIbcukCHuX1msXGYyE4ZZlkmRU7JMpkYpLXKhQkFAfbnNZYzaWlP5bKiN7yIRbEKjeC_cNjBrjU5RsaVBaqWLhcXurA6NDfLQpSemCac1LiYfY3iMhACr6y04koSEkJAQ8C1BITThcMr06svSIYnUH7StqVSSyRIbJIRyIwKJ5l4T9qtmXByU8TDIyFFJgx4Y2nxIszUWYvUzgS44lf02QdfEWxtHvaXov5QA3BLdOHQDd_7HgV1YQutL0uETP25BY_g5cnto4QytB_O6pz1YOL_q3D94ZZwAn20ZeeWk98qg1BeAgfyb |
link.rule.ids | 108,230,315,733,786,790,870,891,2236,12083,21416,24346,24965,27957,27958,31754,31755,33779,33780,43345,43840,53827,53829,76169,76170 |
linkProvider | BioMedCentral |
linkToHtml | http://utb.summon.serialssolutions.com/2.0.0/link/0/eLvHCXMwfV1Zb9NAEB5BKgEvVTmbtrSLxAsSq9brPWwJCZUeSqGJEEqkvll7mUYCpzTJ_--MYwcMqG-WZn3szHrn2vkG4K2I2hivM24ttTArY8KtzB3PA-oCAkQXNezicKQHE_n5Sl01Abd5c6yy3RPrjTrMPMXIDwnURKQStfvHm1-cukZRdrVpofEQNmSKrkoPNj6djb5-W-cRTKaO2uRkpg8T3Io5gX7xRPKUOsl0qtx_dJXTPxbn3wcn_9BE51uw2ZiQ7Hgl86fwIFbP4NGwSZI_h_Fp_LkCop76-XvW1j4y38VmZrYKrIoUPUfibLlAPsQ5m1bMslsC42CT7xRmqNjo4mTyAibnZ-OTAW-aJ3AnM7ngLqZS4U4Wch2DDVapEIIUJaXNpLdaG1EKrQRB9pWulDnqbUOFtMrYJGYifQm9albFbWDOWeNRxfnUOxlz4fBxzijr0lJFf2T78KHDxeJmBZRREHR1l4IzKUgIBQkBrwoUQh_etUxf31m7Jpn-z9i9VipF87PNi99Low9v1mT8TSj3YZGRy3oM-mJo_eGYVyshrl8m0BmnAuA-mI54O_PoUqrpdQ3FLdGhQ4dw5_7POoDHg_Hwsri8GH3ZhSdoc0k6cpLke9Bb3C7ja7RrFm6_Wbx3w8D4dw |
linkToPdf | http://utb.summon.serialssolutions.com/2.0.0/link/0/eLvHCXMwpV3dT9wwDLeASYiXiY2xHbAtSHuZRAZN06SV9rLBTnyM0zRxE9pLlaTpcQLK6a73wH-P3V4rynjbWyS7qWInsR3HvwB8El5p7VTMjaEnzHIfcCMTy5MMbQEBoosKdvF8oI6H8vQyulyCP00tjL11k6kfEdjEPYbSVUWzHU_Lqy-Py9Fvqj0cG-56f5Ll9dKP1X6AWy0nUC8eSB4KvQwvMExXNNt_f__bZhd0XL3c2nI36ctnenhSB3_TNV__-KRPr1Y-slX9dXi5cDLZt3pWvIIlX7yG1fNFGn0DLo78bQ1VPXazPdZURzLXRW9mKBpWeDpfR-LdvERx-BkbF8ywKcF1sOGIDiIKNjg5HL6BYf_HxeExXzyvwK2MZcmtD2WEe12WKJ-ZzERRlmVS5JRYk84opUUuVCQI1C-3uUzQsmsqtY20CXwswk1YKe4K_w6YtUY7NIIudFb6RFjszurI2DCPvDswPfjakWI6qaE0UgK37lJwJCkpISUlYCtFJfTgcyP09ssqeInVM7w7jVbSxXKcpYSII0KJrmEPdlsyLiTKjhgU5LziwWgN_UPkeVsrsf2ZwHCdSoR7oDvq7YyjSynGVxVYt8SQD0PGrf-TwEdY_XXUT3-eDM62YQ2dNkl3VoJkB1bK6dy_R8eotB-qWf4AIM0LqA |
openUrl | ctx_ver=Z39.88-2004&ctx_enc=info%3Aofi%2Fenc%3AUTF-8&rfr_id=info%3Asid%2Fsummon.serialssolutions.com&rft_val_fmt=info%3Aofi%2Ffmt%3Akev%3Amtx%3Ajournal&rft.genre=article&rft.atitle=Demographics%2C+clinical+characteristics+and+neonatal+outcomes+in+a+rural+Ugandan+NICU&rft.jtitle=BMC+pregnancy+and+childbirth&rft.au=Hedstrom%2C+Anna&rft.au=Ryman%2C+Tove&rft.au=Otai%2C+Christine&rft.au=Nyonyintono%2C+James&rft.date=2014-09-19&rft.eissn=1471-2393&rft.volume=14&rft.spage=327&rft.epage=327&rft_id=info:doi/10.1186%2F1471-2393-14-327&rft.externalDBID=NO_FULL_TEXT |
thumbnail_l | http://covers-cdn.summon.serialssolutions.com/index.aspx?isbn=/lc.gif&issn=1471-2393&client=summon |
thumbnail_m | http://covers-cdn.summon.serialssolutions.com/index.aspx?isbn=/mc.gif&issn=1471-2393&client=summon |
thumbnail_s | http://covers-cdn.summon.serialssolutions.com/index.aspx?isbn=/sc.gif&issn=1471-2393&client=summon |