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新生儿死亡原因调查:一项综合性综述

Investigating the Causes of Neonatal Mortality: An Umbrella Review.

作者信息

Amini Elham, Heidarzadeh Mohammad, Ahmadian Leila, Ariafar Shahram, Amiresmaili Mohammadreza

机构信息

Student Research Committee, Kerman University of Medical Sciences, Kerman, Iran.

Department of Pediatrics, School of Medicine, Zahedan University of Medical Science, Zahedan, Iran.

出版信息

Iran J Public Health. 2024 Jun;53(6):1272-1283.

Abstract

BACKGROUND

Neonatal mortality remains a critical global challenge, with preventable instances prevailing. The initial stride in mitigating neonatal mortality involves elucidating its underlying causes.

METHODS

This study utilized an umbrella review approach to discern factors associated with neonatal mortality. Five international databases, namely Pub Med, Web of Science, Scopus, CINAHL, and EMBASE, were meticulously searched to achieve this.

RESULTS

The initial search yielded 12,631 articles using a search strategy centered on keywords related to factors contributing to neonatal mortality. Ultimately, 95 articles met the criteria incorporated into this study.

CONCLUSION

This study endeavors to identify the primary risk factors contributing to neonatal mortality. The discerned risk factors have been systematically categorized into four groups: maternal factors, neonatal factors, aspects linked to healthcare systems, and socio-economic factors. As such, it is imperative for policymakers to take heed of these identified risk factors and formulate comprehensive strategies encompassing both long-term and short-term initiatives. Effective interventions spanning various sectors are crucial for the prevention of neonatal mortality.

摘要

背景

新生儿死亡率仍然是一项严峻的全球挑战,可预防的情况普遍存在。降低新生儿死亡率的第一步是阐明其根本原因。

方法

本研究采用综合回顾方法来识别与新生儿死亡率相关的因素。为此,精心检索了五个国际数据库,即PubMed、科学网、Scopus、护理学与健康领域数据库(CINAHL)和荷兰医学文摘数据库(EMBASE)。

结果

最初的检索使用以与导致新生儿死亡的因素相关的关键词为中心的检索策略,共获得12,631篇文章。最终,95篇文章符合本研究纳入的标准。

结论

本研究致力于确定导致新生儿死亡的主要风险因素。识别出的风险因素已被系统地分为四类:孕产妇因素、新生儿因素、与医疗保健系统相关的方面以及社会经济因素。因此,政策制定者必须关注这些已识别的风险因素,并制定涵盖长期和短期举措的综合战略。跨部门的有效干预对于预防新生儿死亡至关重要。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/69f2/11488557/6152cadd4a26/IJPH-53-1272-g001.jpg

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