Gupta Shuchita, Pn Rao Suman, Yoshida Sachiyo, Bahl Rajiv
Department of Maternal, Child, Adolescent Health and Ageing (MCA), World Health Organization, 20 Avenue Appia, CH-1211, Geneva, Switzerland.
EClinicalMedicine. 2022 Aug 3;52:101599. doi: 10.1016/j.eclinm.2022.101599. eCollection 2022 Oct.
In 2014, World Health Organization published global research priorities for newborn health till 2025. We conducted this review to summarize completed or ongoing research on the twenty priorities.
We conducted searches for twenty questions on MEDLINE via PubMed, Cochrane CENTRAL, Web of Science, clinical trial registries, and funder websites between July 2014 and May 2022. Studies addressing research questions using adequate design were included. Adequacy of uptake of a priority was assessed based on predefined criteria.
The uptake of research priorities was high for 8 (40%), moderate for 11 (55%), and one priority, effectiveness of training community health workers (CHWs) to treat neonatal sepsis at home remains unaddressed. Priorities with moderate uptake include effectiveness of simplified neonatal resuscitation programme, simple clinical algorithms for CHWs to neonatal infection, CHWs training in basic neonatal resuscitation, community-initiated kangaroo mother care, perinatal audits, and novel tocolytic agents, scaling-up chlorhexidine cord application, stable surfactant with simpler administration, accurate, affordable methods to diagnose fetal distress, strategies for prevention and treatment of intrauterine growth retardation, and causal pathways for antenatal stillbirths.
Adequate research was undertaken on pressing global concerns in newborn health. Funders and researchers should reflect on and address less researched areas
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2014年,世界卫生组织发布了到2025年新生儿健康的全球研究重点。我们进行了这项综述,以总结关于这二十项重点的已完成或正在进行的研究。
2014年7月至2022年5月期间,我们通过PubMed、Cochrane CENTRAL、科学网、临床试验注册库和资助者网站在MEDLINE上搜索了二十个问题。纳入了使用适当设计解决研究问题的研究。根据预定义标准评估对一项重点的研究参与程度。
八项(40%)研究重点的研究参与程度较高,十一项(55%)为中等,一项重点,即培训社区卫生工作者在家治疗新生儿败血症的有效性仍未得到研究。参与程度中等的重点包括简化新生儿复苏计划的有效性、社区卫生工作者针对新生儿感染的简单临床算法、社区卫生工作者基本新生儿复苏培训、社区发起的袋鼠式护理、围产期审计、新型宫缩抑制剂、扩大洗必泰脐带应用、给药更简便的稳定表面活性剂、准确且经济实惠的胎儿窘迫诊断方法、预防和治疗宫内生长迟缓的策略以及产前死产的因果途径。
针对新生儿健康方面紧迫的全球问题开展了充分的研究。资助者和研究人员应反思并关注研究较少的领域。
无。