Societal awareness on neonatal hyperbilirubinemia: A systematic review and meta-analysis
| Autor: | Baba Maiyaki Musa, V C Ezeaka, Fatima Usman, Zubaida L Farouk, Angela Okolo |
|---|---|
| Rok vydání: | 2020 |
| Předmět: |
High rate
Pediatrics medicine.medical_specialty 030219 obstetrics & reproductive medicine business.industry Infant Newborn Obstetrics and Gynecology Bilirubin Odds ratio Publication bias Confidence interval Hospitals 03 medical and health sciences 0302 clinical medicine 030225 pediatrics Meta-analysis Pediatrics Perinatology and Child Health medicine Humans Hyperbilirubinemia Neonatal business Early discharge |
| Zdroj: | Seminars in perinatology. 45(1) |
| ISSN: | 1558-075X |
| Popis: | Early recognition of neonatal hyperbilirubinemia is essential for prevention of bilirubin neurotoxicity and its long-term sequelae. High rates of home delivery in low- and middle-income countries (LMICs) as well as early discharge post-delivery (within 24hours) make community surveillance for neonatal hyperbilirubinemia highly important. Here, we performed a literature review to estimate the level of societal awareness of neonatal hyperbilirubinemia. We searched several databases for studies assessing the knowledge and awareness of neonatal hyperbilirubinemia. We retrieved 211 citations from 206 databases with five being in the grey literature. 52 selected articles were further reviewed. Data from these studies were then analyzed using Stata software (Statacorp® LLC Texas USA). We found that the pooled estimate of societal awareness of neonatal hyperbilirubinemia was 67% (95% confidence interval [CI]: 60, 74). There however was a publication bias (Begg test: P ≤ 0.01; Egger P = 0.06). Studies that scored or graded knowledge reported lower estimates [adjusted odds ratio (aOR) = -0.17; 95% CI: -0.32–0.02; P = 0.03]. Hospital location was an important determinant of awareness of complications [aOR = 0.30; 95% CI: 0.30–0.57; P = 0.03]. We therefore concluded that there is a significant need to improve societal awareness of neonatal hyperbilirubinemia. |
| Databáze: | OpenAIRE |
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