{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,18]],"date-time":"2026-06-18T15:19:49Z","timestamp":1781795989347,"version":"3.54.5"},"reference-count":32,"publisher":"SAGE Publications","issue":"3","license":[{"start":{"date-parts":[[2020,5,7]],"date-time":"2020-05-07T00:00:00Z","timestamp":1588809600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Trop Doct"],"published-print":{"date-parts":[[2020,7]]},"abstract":"<jats:p>The National Family Health Survey (NFHS-4) shows encouraging improvement in infant and under-five mortality rates in India. However, the neonatal mortality rate (NMR) still remains high as India contributes to about one-fifth of global deaths. This prospective study was conducted from 15 January to 30 April 2016 to examine the clinical profile and predictors of mortality among referred neonates at our centre. Among 301 neonates, prematurity (40%) was the most common indication for referral followed by need for ventilation (38%) and birth asphyxia (28%). Approximately 73% neonates were referred within 24\u2009h of birth. Ninety (29.9%) neonates died; of these, 63% died within 24\u2009h of presentation. Prematurity, birth asphyxia, hypothermia, shock at presentation and extreme low birth weight were the most significant predictors of mortality. Adequate training of peripheral health personnel, dedicated teams for neonatal referral and strengthening of peripheral sick newborn care units (SNCUs) seem to be promising interventions for favourable outcome.<\/jats:p>","DOI":"10.1177\/0049475520921675","type":"journal-article","created":{"date-parts":[[2020,5,7]],"date-time":"2020-05-07T23:13:38Z","timestamp":1588893218000},"page":"221-227","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":8,"title":["Clinical profile and predictors of mortality among the referred neonates at a tertiary care centre in north India: a prospective observational study"],"prefix":"10.1177","volume":"50","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-7721-5614","authenticated-orcid":false,"given":"Jasbir","family":"Singh","sequence":"first","affiliation":[{"name":"Senior Resident, Department of Pediatrics, PGIMS, Rohtak, Haryana, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Poonam","family":"Dalal","sequence":"additional","affiliation":[{"name":"Professor, Department of Pediatrics, PGIMS, Rohtak, Haryana, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Geeta","family":"Gathwala","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2020,5,7]]},"reference":[{"key":"bibr1-0049475520921675","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(17)31833-0"},{"key":"bibr2-0049475520921675","doi-asserted-by":"publisher","DOI":"10.1038\/jp.2016.183"},{"key":"bibr3-0049475520921675","unstructured":"IIPS, ICF.\n                      National Family Health Survey (NFHS-4), 2015\u201316: India\n                      . Mumbai: International Institute for Population Sciences, 2017."},{"key":"bibr4-0049475520921675","unstructured":"Government of India: Ministry of Statistics and Programme Implementation. Children in India. 2018 A Statistical Appraisal. Available at: http:\/\/www.mospi.gov.in\/sites\/default\/file\/publicationreports\/ Children-in-India-a-Statistical-Appraisal-26 Oct18. pdf (accessed 21 April 2020)."},{"key":"bibr5-0049475520921675","unstructured":"National Health Mission, Ministry of Health and Family Welfare, Government of India. 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