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Publication Details
AFRICAN RESEARCH NEXUS
SHINING A SPOTLIGHT ON AFRICAN RESEARCH
immunology and microbiology
Hypothermia of newborns is associated with excess mortality in the first 2 months of life in Guinea-Bissau, West Africa
Tropical Medicine and International Health, Volume 13, No. 8, Year 2008
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Description
Objective: To examine the long-term effects of neonatal hypothermia (HT) on survival. Methods: Using the longitudinal community and hospital surveillance system of the Bandim Health Project, we followed children born between 1997 and 2002 at the only maternity ward in the city. All children's axillary temperature was measured within 12 h of birth. They were followed from birth to 6 months of life through regular home visits. Results: We identified 2926 live births in the study area and 177 deaths before 6 months of age. Based on mortality risk, we defined a temperature below 34.5 °C as the cut-off point for HT. Two hundred and thirty-eight (8%) children had HT. Controlled for birth weight, HT was associated with a nearly fivefold increase in mortality during the first 7 days of life [mortality ratio (MR) = 4.81 (2.90-8.00)] and with increased mortality from 8 to 56 days of life [MR = 2.55 (1.29-5.04)]. Conclusion: HT is associated with excess mortality beyond the perinatal period up to at least 2 months of age, especially among low-birth-weight children. Hence, failure to comply with the WHO guidelines for care of newborns in low-income countries may have long-term consequences for child survival which have not previously been assessed. The WHO definition of HT should be based on mortality data. © 2008 Blackwell Publishing Ltd.
Authors & Co-Authors
Sodemann, Morten
Ghana, Accra
Indepth Network
Denmark, Odense
Odense Universitetshospital
Denmark, Copenhagen
Dansk Institut for Klinisk Epidemiologi
Denmark, Copenhagen
Statens Serum Institut
Nielsen, Johannes H.
Ghana, Accra
Indepth Network
Denmark, Copenhagen
Dansk Institut for Klinisk Epidemiologi
Veirum, Jens Erik
Ghana, Accra
Indepth Network
Jakobsen, Marianne Skytte
Ghana, Accra
Indepth Network
Denmark, Odense
Odense Universitetshospital
Biai, Sidu
Ghana, Accra
Indepth Network
Guinea-bissau
Hospital Nacional Simão Mendes
Aaby, Peter
Ghana, Accra
Indepth Network
Denmark, Copenhagen
Dansk Institut for Klinisk Epidemiologi
Statistics
Citations: 83
Authors: 6
Affiliations: 5
Identifiers
Doi:
10.1111/j.1365-3156.2008.02113.x
ISSN:
13602276
e-ISSN:
13653156
Research Areas
Health System And Policy
Maternal And Child Health
Study Design
Cohort Study
Study Locations
Multi-countries
Guinea
Guinea-Bissau