{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,28]],"date-time":"2026-07-28T16:12:25Z","timestamp":1785255145627,"version":"3.55.0"},"reference-count":19,"publisher":"Scientific Scholar","issue":"1","content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2024,1]]},"abstract":"<jats:sec>\n            <jats:title>Background &amp; objectives:<\/jats:title>\n            <jats:p>This study aimed to compare the admission characteristics and outcomes of tribal and non-tribal neonates admitted to a level II special newborn care unit (SNCU) in rural Gujarat.<\/jats:p>\n          <\/jats:sec>\n          <jats:sec>\n            <jats:title>Methods:<\/jats:title>\n            <jats:p>This was a retrospective observational study that looked at all neonates admitted to a high-volume SNCU between 2013 and 2021. A series of quality improvement measures were introduced over the study period. Admission characteristics, such as birth weight, gestational age, gender and outcomes for tribal and non-tribal neonates, were compared.<\/jats:p>\n          <\/jats:sec>\n          <jats:sec>\n            <jats:title>Results:<\/jats:title>\n            <jats:p>Six thousand nine hundred and ninety neonates [4829 tribal (69.1%) and 2161 (30.9%) non-tribal] were admitted to the SNCU. Tribal neonates had lower mean birth weight (2047 <jats:italic toggle=\"yes\">vs<\/jats:italic>. 2311 g, <jats:italic toggle=\"yes\">P<\/jats:italic>&lt;0.01) and gestational week at birth (35.8 <jats:italic toggle=\"yes\">vs<\/jats:italic>. 36.7 weeks, <jats:italic toggle=\"yes\">P<\/jats:italic>&lt;0.01) compared to non-tribal neonates. Common causes of admissions were neonatal jaundice (1990, 28.4%), low birth weight (1308, 18.7%) and neonatal sepsis (843, 12%). Six hundred and thirty-eight (9.1%) neonates died during the treatment in the SNCU. The odds of death among tribal neonates was similar to non-tribal neonates [adjusted odds ratio: 1.12 (95% confidence interval [CI]: 0.89, 1.42)]. The tribal neonates had significantly higher cause-specific case fatality rate from sepsis [relative risk (RR): 2.18 (95% CI: 1.41, 3.37)], prematurity [RR: 1.98 (95% CI: 1.23, 3.17)] and low birth weight [RR: 1.83 (95% CI: 1.17, 2.85)]. The overall case fatality rate in the SNCU decreased from 18.2 per cent during the year 2013-2014 to 2.1 per cent in the year 2020-2021.<\/jats:p>\n          <\/jats:sec>\n          <jats:sec>\n            <jats:title>Interpretation &amp; conclusions:<\/jats:title>\n            <jats:p>There was a reduction in the case fatality rate over the study period. Tribal and non-tribal neonates had similar risk of death. Sepsis prevention and management, mechanical respiratory support and timely referral to a higher centre might help further reduction in mortality for these neonates.<\/jats:p>\n          <\/jats:sec>","DOI":"10.4103\/ijmr.ijmr_3633_21","type":"journal-article","created":{"date-parts":[[2024,4,9]],"date-time":"2024-04-09T09:32:01Z","timestamp":1712655121000},"page":"71-77","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":1,"title":["Characteristics &amp; outcomes of tribal &amp; non-tribal neonates admitted to a special newborn care unit in rural Gujarat, India"],"prefix":"10.25259","volume":"159","author":[{"given":"Rachel","family":"Lusk","sequence":"first","affiliation":[{"name":"Kasturba Maternity Home, Society for Education Welfare and Action (SEWA) Rural, Gujarat, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tushar","family":"Desai","sequence":"additional","affiliation":[{"name":"Kasturba Maternity Home, Society for Education Welfare and Action (SEWA) Rural, Gujarat, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Dhiren","family":"Modi","sequence":"additional","affiliation":[{"name":"Department of Community Health & Research, Society for Education Welfare and Action (SEWA) Rural, Gujarat, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Shrey","family":"Desai","sequence":"additional","affiliation":[{"name":"Department of Community Health & Research, Society for Education Welfare and Action (SEWA) Rural, Gujarat, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jignesh Kumar","family":"Donda","sequence":"additional","affiliation":[{"name":"Kasturba Maternity Home, Society for Education Welfare and Action (SEWA) Rural, Gujarat, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nirav Kumar","family":"Raulji","sequence":"additional","affiliation":[{"name":"Kasturba Maternity Home, 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