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Risk Factors for Neonatal Mortality in Neonatal Intensive Care Units (Nicus): A Systematic Literature Review and Comparison With Scoring Systems Publisher



Kermani F1, 2 ; Sheikhtaheri A3 ; Zarkesh MR4 ; Tahmasebian S5
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Authors Affiliations
  1. 1. Health Information Technology Department, School of Allied Medical Sciences, Semnan University of Medical Sciences, Semnan, Iran
  2. 2. Department of Health Information Management, School of Health Management and Information Sciences, Iran University of Medical Sciences, Tehran, Iran
  3. 3. Health Management and Economics Research Center, School of Health Management and Information Sciences, Iran University of Medical Sciences, Tehran, Iran
  4. 4. Department of Neonatology, Yas Complex Hospital, Tehran University of Medical Sciences, Tehran, Iran
  5. 5. School of Advanced Technologies, Shahrekord University of Medical Sciences, Shahrekord, Iran

Source: Journal of Pediatric and Neonatal Individualized Medicine Published:2020


Abstract

Objective: To identify neonatal death risk factors in NICUs and compare these factors with current scoring systems.Data source: This review was conducted using Web of Science,PubMed/Medline, Scopus, and Cochrane library databases, considering papers published between 2007 and 2018.Study selection: Studies conducted on the neonatal mortality risk factors in NICUs were included. We identified 3,642 unique citations; 69 full-text articles were included in the final review.Data extraction: Data elements such as the first author, published year,country, purpose, data collection period, study design, sample size, and risk factors were extracted.Data synthesis: Ninety factors were identified in three categories: 25 maternal factors, 59 neonatal factors, and six organizational factors. In total, delivery mode, non-use of steroid or corticosteroid, birth weight, gestational age, Apgar score, hospital/NICU level, and outborn status are the most cited risk factors for neonatal death. Well-known scoring systems did not consider many of the identified factors.Conclusions: Determination of risk factors in neonatal death can help neonatologists identify sick neonates who are more likely to die in Review NICUs and provide on-time care at their bedsides. Researchers interested in developing predictive neonatal mortality models may also use the results of this study to develop models for predicting neonatal death. ©2020, Journal of Pediatric and Neonatal Individualized Medicine. All rights reserved.
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Mohamadreza Zarkesh (2)