非洲新生儿出生损伤的发生率、影响因素和结局：一项定量证据的系统评价方案。
Incidence, contributing factors and outcomes of birth injury among newborns in Africa: a systematic review of quantitative evidence protocol.
机构信息
School of Nursing, Arba Minch University, Arba Minch, Ethiopia
School of Nursing, Jimma University Institute of Health, Jimma, Ethiopia.
出版信息
BMJ Open. 2024 Mar 8;14(3):e080262. doi: 10.1136/bmjopen-2023-080262.
INTRODUCTION
Birth injury is a significant public health problem in Africa, with a high incidence and associated mortality and morbidity. Systematic reviews that indicate the incidence, contributing factors and outcomes of birth injury in Africa provide valuable evidence to policy-makers and programme planners for improving prevention and treatment strategies. Therefore, this review is aimed to evaluate the incidence, contributing factors and outcomes of birth injury among newborns in Africa.
METHODS AND ANALYSIS
The data will be searched and extracted from JBI Database, Cochrane Database, MEDLINE/PubMed, CINAHL/EBSCO, EMBASE, PEDro, POPLINE, Proquest, OpenGrey (SIGLE), Google Scholar, Google, APA PsycInfo, Web of Science, Scopus and HINARI. Unpublished studies and grey literature will be searched from different sources. This systematic review will include quantitative observational studies, registry and census data, and experimental studies that report on the prevalence or incidence in Africa from 1 January 1990 to 30 September 2023. The Joanna Briggs Institute (JBI) quality appraisal checklist will be used to select eligible studies. Two researchers will independently appraise and extract the data from included studies and resolve discrepancies through discussion. Heterogeneity will be assessed using forest plots and the I statistic. If substantial heterogeneity is present, a random-effects model will be used to pool the data. Subgroup analyses will be used to explore the potential sources of heterogeneity. Publication bias will be assessed using funnel plots and Egger's regression test. The software package used to conduct the meta-analysis will be JBI SUMARI. An association will be considered significant if the p<0.05.
ETHICS AND DISSEMINATION
Ethical clearance is not needed for this systematic review and the results will be shared with relevant stakeholders to maximise reach and impact.
PROSPERO REGISTRATION NUMBER
CRD42023123637.
简介
出生损伤是非洲的一个重大公共卫生问题，其发病率高，相关死亡率和发病率也高。系统评价表明，非洲出生损伤的发生率、影响因素和结局为政策制定者和规划者提供了宝贵的证据，以改善预防和治疗策略。因此，本综述旨在评估非洲新生儿出生损伤的发生率、影响因素和结局。
方法和分析
将从 JBI 数据库、Cochrane 数据库、MEDLINE/PubMed、CINAHL/EBSCO、EMBASE、PEDro、POPLINE、Proquest、OpenGrey（SIGLE）、Google Scholar、Google、APA PsycInfo、Web of Science、Scopus 和 HINARI 中搜索和提取数据。还将从不同来源搜索未发表的研究和灰色文献。本系统评价将包括定量观察性研究、登记和普查数据以及实验研究，这些研究报告了 1990 年 1 月 1 日至 2023 年 9 月 30 日期间在非洲的流行率或发生率。将使用 Joanna Briggs 研究所（JBI）质量评估清单选择合格研究。两名研究人员将独立评估并从纳入研究中提取数据，并通过讨论解决差异。使用森林图和 I 统计量评估异质性。如果存在显著异质性，将使用随机效应模型汇总数据。将进行亚组分析以探索潜在的异质源。使用漏斗图和 Egger 回归检验评估发表偏倚。用于进行荟萃分析的软件包将是 JBI SUMARI。如果 p<0.05，则认为存在关联。
伦理与传播
本系统评价不需要伦理批准，研究结果将与相关利益相关者共享，以最大限度地扩大范围和影响。
PROSPERO 注册号：CRD42023123637。
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