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Causes of death in preterm neonates (<33 weeks) born in tertiary care hospitals in India: analysis of three large prospective multicentric cohorts
To estimate the direct causes of mortality among preterm neonates
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| Published in: | Journal of perinatology 2019-09, Vol.39 (Suppl 1), p.13-19 |
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| container_end_page | 19 |
| container_issue | Suppl 1 |
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| container_title | Journal of perinatology |
| container_volume | 39 |
| creator | Jain, Kajal Sankar, M Jeeva Nangia, Sushma Ballambattu, Vishnu Bhat Sundaram, Venkataseshan Ramji, Siddharth Plakkal, Nishad Kumar, Praveen Jain, Ashish Sivanandan, Sindhu Vishnubhatla, Sreenivas Chellani, Harish Deorari, Ashok Paul, Vinod K Agarwal, Ramesh |
| description | To estimate the direct causes of mortality among preterm neonates |
| doi_str_mv | 10.1038/s41372-019-0471-1 |
| format | article |
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Three prospective hospital-based datasets: the National Neonatal Perinatal Database (NNPD) of India, the Delhi Neonatal Infection Study (DeNIS) cohort, and the Goat Lung Surfactant Extract (GLSE)-Plus cohort were analyzed to study the causes of death among preterm neonates of less than 33 weeks' gestation admitted to the participating tertiary care hospitals in India.
A total of 8024 preterm neonates were admitted in the three cohorts with 2691 deaths. Prematurity-related complications and sepsis contributed to 53.5% and 19.8% of deaths in the NNPD cohort, 51.0% and 25.0% in the DeNIS cohort, and 39.7% and 40.9% in GLSE-Plus cohort, respectively.
Nearly a quarter (20-40%) of preterm neonates less than 33 weeks' gestation admitted to Indian NICUs died of sepsis. The study results have implications for health policies targeted to reduce the neonatal mortality rate in India.</description><identifier>ISSN: 0743-8346</identifier><identifier>EISSN: 1476-5543</identifier><identifier>DOI: 10.1038/s41372-019-0471-1</identifier><identifier>PMID: 31485016</identifier><language>eng</language><publisher>United States: Nature Publishing Group</publisher><subject>Cause of Death ; Complications ; Datasets ; Fatalities ; Gestation ; Glucose ; Health aspects ; Health policy ; Hospitals ; Humans ; India - epidemiology ; Infant ; Infant Mortality ; Infant, Newborn ; Infant, Premature ; Infant, Premature, Diseases - mortality ; Infants ; Infants (Premature) ; Lungs ; Mortality ; Neonates ; Newborn babies ; Patient outcomes ; Prospective Studies ; Sepsis ; Sepsis - mortality ; Tertiary Care Centers</subject><ispartof>Journal of perinatology, 2019-09, Vol.39 (Suppl 1), p.13-19</ispartof><rights>COPYRIGHT 2019 Nature Publishing Group</rights><rights>2019. This work is published under http://creativecommons.org/licenses/by/4.0/ (the “License”). Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.</rights><rights>The Author(s) 2019</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c525t-6de516cf9101c4e53b43147fcca478d6dcd3df9313c50152d47f06d625d27ce73</citedby><cites>FETCH-LOGICAL-c525t-6de516cf9101c4e53b43147fcca478d6dcd3df9313c50152d47f06d625d27ce73</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>230,315,786,790,891,27957,27958</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/31485016$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Jain, Kajal</creatorcontrib><creatorcontrib>Sankar, M Jeeva</creatorcontrib><creatorcontrib>Nangia, Sushma</creatorcontrib><creatorcontrib>Ballambattu, Vishnu Bhat</creatorcontrib><creatorcontrib>Sundaram, Venkataseshan</creatorcontrib><creatorcontrib>Ramji, Siddharth</creatorcontrib><creatorcontrib>Plakkal, Nishad</creatorcontrib><creatorcontrib>Kumar, Praveen</creatorcontrib><creatorcontrib>Jain, Ashish</creatorcontrib><creatorcontrib>Sivanandan, Sindhu</creatorcontrib><creatorcontrib>Vishnubhatla, Sreenivas</creatorcontrib><creatorcontrib>Chellani, Harish</creatorcontrib><creatorcontrib>Deorari, Ashok</creatorcontrib><creatorcontrib>Paul, Vinod K</creatorcontrib><creatorcontrib>Agarwal, Ramesh</creatorcontrib><title>Causes of death in preterm neonates (<33 weeks) born in tertiary care hospitals in India: analysis of three large prospective multicentric cohorts</title><title>Journal of perinatology</title><addtitle>J Perinatol</addtitle><description>To estimate the direct causes of mortality among preterm neonates <33 weeks' gestation by examining three large multisite, hospital-based datasets in India.
Three prospective hospital-based datasets: the National Neonatal Perinatal Database (NNPD) of India, the Delhi Neonatal Infection Study (DeNIS) cohort, and the Goat Lung Surfactant Extract (GLSE)-Plus cohort were analyzed to study the causes of death among preterm neonates of less than 33 weeks' gestation admitted to the participating tertiary care hospitals in India.
A total of 8024 preterm neonates were admitted in the three cohorts with 2691 deaths. Prematurity-related complications and sepsis contributed to 53.5% and 19.8% of deaths in the NNPD cohort, 51.0% and 25.0% in the DeNIS cohort, and 39.7% and 40.9% in GLSE-Plus cohort, respectively.
Nearly a quarter (20-40%) of preterm neonates less than 33 weeks' gestation admitted to Indian NICUs died of sepsis. The study results have implications for health policies targeted to reduce the neonatal mortality rate in India.</description><subject>Cause of Death</subject><subject>Complications</subject><subject>Datasets</subject><subject>Fatalities</subject><subject>Gestation</subject><subject>Glucose</subject><subject>Health aspects</subject><subject>Health policy</subject><subject>Hospitals</subject><subject>Humans</subject><subject>India - epidemiology</subject><subject>Infant</subject><subject>Infant Mortality</subject><subject>Infant, Newborn</subject><subject>Infant, Premature</subject><subject>Infant, Premature, Diseases - mortality</subject><subject>Infants</subject><subject>Infants (Premature)</subject><subject>Lungs</subject><subject>Mortality</subject><subject>Neonates</subject><subject>Newborn babies</subject><subject>Patient outcomes</subject><subject>Prospective Studies</subject><subject>Sepsis</subject><subject>Sepsis - mortality</subject><subject>Tertiary Care Centers</subject><issn>0743-8346</issn><issn>1476-5543</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2019</creationdate><recordtype>article</recordtype><recordid>eNptktFqFDEUhgdR7Fp9AG8kIEh7MTWZJJMZEaEsVQsFb_Q6ZJMzO6kzyZpkKn0OX8Bn8cnM7Na2WyQXgfzf-ZNz8hfFS4JPCKbN28gIFVWJSVtiJkhJHhULwkRdcs7o42KBBaNlQ1l9UDyL8RLjWRRPiwNKWMMxqRfFr6WaIkTkO2RApR5ZhzYBEoQROfBOpSwevacU_QT4Ho___F754GYqI8mqcI20CoB6Hzc2qSHO0rkzVr1DyqnhOtqteeoDABpUWEP2zzDoZK8AjdOQrAaXgtVI-96HFJ8XT7rsBC9u9sPi28ezr8vP5cWXT-fL04tS84qnsjbASa27lmCiGXC6Yrkv0WmtmGhMbbShpmspoTr3yiuTNVybuuKmEhoEPSw-7Hw302oEs32FGuQm2DH3Jb2ycl9xtpdrfyUbLHgrSDY4ujEI_scEMcnRRg3DoPLopiirquGE4BrP6OsH6KWfQh7QlmI15pSIO2qtBpDWdT7fq2dTecrbhnGCW5ypk_9QeRkYrfYOOpvP9wre3CvoQQ2pj36YkvUu7oNkB-r8RTFAdzsMguUcObmLnMyRk3Pk5NzZq_tTvK34lzH6F34x0ms</recordid><startdate>20190901</startdate><enddate>20190901</enddate><creator>Jain, Kajal</creator><creator>Sankar, M Jeeva</creator><creator>Nangia, Sushma</creator><creator>Ballambattu, Vishnu Bhat</creator><creator>Sundaram, Venkataseshan</creator><creator>Ramji, Siddharth</creator><creator>Plakkal, Nishad</creator><creator>Kumar, Praveen</creator><creator>Jain, Ashish</creator><creator>Sivanandan, Sindhu</creator><creator>Vishnubhatla, Sreenivas</creator><creator>Chellani, Harish</creator><creator>Deorari, Ashok</creator><creator>Paul, Vinod K</creator><creator>Agarwal, Ramesh</creator><general>Nature Publishing Group</general><general>Nature Publishing Group US</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7QG</scope><scope>7QL</scope><scope>7RV</scope><scope>7T5</scope><scope>7T7</scope><scope>7U9</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8AO</scope><scope>8C1</scope><scope>8FD</scope><scope>8FE</scope><scope>8FH</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>AN0</scope><scope>AZQEC</scope><scope>BBNVY</scope><scope>BENPR</scope><scope>BHPHI</scope><scope>C1K</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FR3</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>GNUQQ</scope><scope>H94</scope><scope>HCIFZ</scope><scope>K9.</scope><scope>KB0</scope><scope>LK8</scope><scope>M0S</scope><scope>M1P</scope><scope>M7N</scope><scope>M7P</scope><scope>NAPCQ</scope><scope>P64</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>7X8</scope><scope>5PM</scope></search><sort><creationdate>20190901</creationdate><title>Causes of death in preterm neonates (<33 weeks) born in tertiary care hospitals in India: analysis of three large prospective multicentric cohorts</title><author>Jain, Kajal ; Sankar, M Jeeva ; Nangia, Sushma ; Ballambattu, Vishnu Bhat ; Sundaram, Venkataseshan ; Ramji, Siddharth ; Plakkal, Nishad ; Kumar, Praveen ; Jain, Ashish ; Sivanandan, Sindhu ; Vishnubhatla, Sreenivas ; Chellani, Harish ; Deorari, Ashok ; Paul, Vinod K ; Agarwal, Ramesh</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c525t-6de516cf9101c4e53b43147fcca478d6dcd3df9313c50152d47f06d625d27ce73</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2019</creationdate><topic>Cause of Death</topic><topic>Complications</topic><topic>Datasets</topic><topic>Fatalities</topic><topic>Gestation</topic><topic>Glucose</topic><topic>Health aspects</topic><topic>Health policy</topic><topic>Hospitals</topic><topic>Humans</topic><topic>India - 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Academic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>Journal of perinatology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Jain, Kajal</au><au>Sankar, M Jeeva</au><au>Nangia, Sushma</au><au>Ballambattu, Vishnu Bhat</au><au>Sundaram, Venkataseshan</au><au>Ramji, Siddharth</au><au>Plakkal, Nishad</au><au>Kumar, Praveen</au><au>Jain, Ashish</au><au>Sivanandan, Sindhu</au><au>Vishnubhatla, Sreenivas</au><au>Chellani, Harish</au><au>Deorari, Ashok</au><au>Paul, Vinod K</au><au>Agarwal, Ramesh</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Causes of death in preterm neonates (<33 weeks) born in tertiary care hospitals in India: analysis of three large prospective multicentric cohorts</atitle><jtitle>Journal of perinatology</jtitle><addtitle>J Perinatol</addtitle><date>2019-09-01</date><risdate>2019</risdate><volume>39</volume><issue>Suppl 1</issue><spage>13</spage><epage>19</epage><pages>13-19</pages><issn>0743-8346</issn><eissn>1476-5543</eissn><notes>ObjectType-Article-1</notes><notes>SourceType-Scholarly Journals-1</notes><notes>ObjectType-Feature-2</notes><notes>content type line 23</notes><abstract>To estimate the direct causes of mortality among preterm neonates <33 weeks' gestation by examining three large multisite, hospital-based datasets in India.
Three prospective hospital-based datasets: the National Neonatal Perinatal Database (NNPD) of India, the Delhi Neonatal Infection Study (DeNIS) cohort, and the Goat Lung Surfactant Extract (GLSE)-Plus cohort were analyzed to study the causes of death among preterm neonates of less than 33 weeks' gestation admitted to the participating tertiary care hospitals in India.
A total of 8024 preterm neonates were admitted in the three cohorts with 2691 deaths. Prematurity-related complications and sepsis contributed to 53.5% and 19.8% of deaths in the NNPD cohort, 51.0% and 25.0% in the DeNIS cohort, and 39.7% and 40.9% in GLSE-Plus cohort, respectively.
Nearly a quarter (20-40%) of preterm neonates less than 33 weeks' gestation admitted to Indian NICUs died of sepsis. The study results have implications for health policies targeted to reduce the neonatal mortality rate in India.</abstract><cop>United States</cop><pub>Nature Publishing Group</pub><pmid>31485016</pmid><doi>10.1038/s41372-019-0471-1</doi><tpages>7</tpages><oa>free_for_read</oa></addata></record> |
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| identifier | ISSN: 0743-8346 |
| ispartof | Journal of perinatology, 2019-09, Vol.39 (Suppl 1), p.13-19 |
| issn | 0743-8346 1476-5543 |
| language | eng |
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| source | Nexis UK; Springer Link |
| subjects | Cause of Death Complications Datasets Fatalities Gestation Glucose Health aspects Health policy Hospitals Humans India - epidemiology Infant Infant Mortality Infant, Newborn Infant, Premature Infant, Premature, Diseases - mortality Infants Infants (Premature) Lungs Mortality Neonates Newborn babies Patient outcomes Prospective Studies Sepsis Sepsis - mortality Tertiary Care Centers |
| title | Causes of death in preterm neonates (<33 weeks) born in tertiary care hospitals in India: analysis of three large prospective multicentric cohorts |
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