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Publication Details
AFRICAN RESEARCH NEXUS
SHINING A SPOTLIGHT ON AFRICAN RESEARCH
Predicting In-Hospital Maternal Mortality in Senegal and Mali
PLoS ONE, Volume 8, No. 5, Article e64157, Year 2013
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Description
Objective:We sought to identify predictors of in-hospital maternal mortality among women attending referral hospitals in Mali and Senegal.Methods:We conducted a cross-sectional epidemiological survey using data from a cluster randomized controlled trial (QUARITE trial) in 46 referral hospitals in Mali and Senegal, during the pre-intervention period of the trial (from October 1st 2007 to October 1st 2008). We included 89,518 women who delivered in the 46 hospitals during this period. Data were collected on women's characteristics, obstetric complications, and vital status until the hospital discharge. We developed a tree-like classification rule (classification rule) to identify patient subgroups at high risk of maternal in-hospital mortality.Results:Our analyses confirm that patients with uterine rupture, hemorrhage or prolonged/obstructed labor, and those who have an emergency ante-partum cesarean delivery have an increased risk of in-hospital mortality, especially if they are referred from another health facility. Twenty relevant patterns, based on fourteen predictors variables, are used to predict in-hospital maternal mortality with 81.41% sensitivity (95% CI = [77.12%-87.70%]) and 81.6% specificity (95% CI = [81.16%-82.02%]).Conclusion:The proposed class association rule method will help health care professionals in referral hospitals in Mali and Senegal to identify mothers at high risk of in-hospital death, and can provide scientific evidence on which to base their decisions to manage patients delivering in their health facilities. © 2013 Ndour et al.
Available Materials
https://efashare.b-cdn.net/share/pmc/articles/PMC3667861/bin/pone.0064157.s001.docx
Authors & Co-Authors
Ndour, Cheikh Tidiane
Senegal, Saint-louis
Université Gaston Berger de Saint-louis
France, Pau
Universite de Pau et Des Pays de L'adour
Dossou Gbété, Simplice
France, Pau
Universite de Pau et Des Pays de L'adour
Bru, Noëlle
France, Pau
Universite de Pau et Des Pays de L'adour
Abrahamowicz, Michal
Canada, Montreal
Université Mcgill
Fauconnier, Arnaud
France, Montigny-le-bretonneux
Risques Cliniques et Sécurité en Santé Des Femmes et en Santé Périnatale
Diop, Aliou
Senegal, Saint-louis
Université Gaston Berger de Saint-louis
Fournier, Pierre
Canada, Montreal
Centre Hospitalier de L'universite de Montreal
Dumont, Alexandre
France, Marseille
Ird Institut de Recherche Pour le Developpement
Statistics
Citations: 12
Authors: 8
Affiliations: 7
Identifiers
Doi:
10.1371/journal.pone.0064157
e-ISSN:
19326203
Research Areas
Health System And Policy
Maternal And Child Health
Study Design
Randomised Control Trial
Cross Sectional Study
Study Approach
Quantitative
Study Locations
Mali
Senegal
Participants Gender
Female