How to Identify Neonates at Risk of Death in Rural India: Clinical Criteria for the Risk Approach
Autor: | M Hanimi Reddy, Abhay Bang |
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Rok vydání: | 2005 |
Předmět: |
Pediatrics
medicine.medical_specialty Referral Birth weight Population Breastfeeding India Rural Health Risk Assessment Sensitivity and Specificity Infant Newborn Diseases Infant Mortality medicine Humans education Retrospective Studies Pregnancy education.field_of_study business.industry Infant Newborn Obstetrics and Gynecology medicine.disease Home Care Services Infant mortality Low birth weight Logistic Models Premature birth Pediatrics Perinatology and Child Health medicine.symptom business |
Zdroj: | Journal of Perinatology. 25:S44-S50 |
ISSN: | 1476-5543 0743-8346 |
Popis: | Majority of neonates in developing countries are born at home and most neonatal deaths occur without receiving medical care. This retrospective analysis was undertaken to develop simple clinical criteria for use in rural community to identify neonates at risk of death. By analyzing the observational data on two cohorts of neonates in 39 villages in different years of the Gadchiroli field trial, we selected a minimum set of clinical features. We evaluated this set for its sensitivity, specificity and predictive value to detect eventual neonatal death, the primary study outcome. The cohorts included 763 neonates with 40 deaths in 1995 to 1996, a year with minimum interventions, and 1598 neonates with 38 deaths in 1996 to 1998, the years of intensive interventions. On the day of birth, presence of any one of the three: (1) birth weight |
Databáze: | OpenAIRE |
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