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Table 4 Criteria for identifying neonatal near miss in south Ethiopia, 2018

From: Incidence and determinants of neonatal near miss in south Ethiopia: a prospective cohort study

Criteria

NNM (%)

Incidence of NNM/1000 live births

NM (%)

Incidence of NMR per 1000 live births

Pragmatic criteria

118 (53.3)

43.6

47

17.4

 Gestational age (weeks) < =33

59 (35.3)

21.8

35 (35.7)

12.9

 APGAR Score < 7

106 (63.5)

39.2

46 (46.9)

17.0

 Birthweight (g) < =1750

2 (1.2)

0.7

17 (17.3)

6.3

Clinical and Management criteria

45

16.6

39

14.4

 Respiratory rate > 70/min

1 (2.2)

0.4

6 (6.3)

2.2

 Cyanosis

19 (42.2)

7.0

22 (23.2)

8.1

 Absence of regular breathing

0 (0)

0

24 (25.3)

8.9

 Any intubation

3 (6.7)

1.1

2 (2.1)

0.7

 Cardiac arrest

2 (4.4)

0.7

2 (2.1)

0.7

 Cardiopulmonary resuscitation

9 (20)

3.3

12 (12.6)

4.4

 Persistent bradycardia < 80 bpm

1 (2.2)

0.4

0 (0)

0

 Persistent tachycardia > 200 bpm

4 (8.9)

1.5

1 (1.1)

0.4

 Use of vasoactive drug

0 (0)

0

1 (1.1)

0.4

 Blood transfusion

6 (13.3)

2.2

2 (2.1)

0.7

 Use of anticonvulsant

–

–

–

–

 Inability to suck within 12 h

15 (33.3)

5.5

5 (5.3)

1.8

 Visible jaundice in first 24 h

5 (11.1)

1.8

7 (7.4)

2.6

 Phototherapy

6 (13.3)

2.2

6 (6.3)

2.2

 Any active non-traumatic bleeding

1 (2.2)

0.4

0

0

 Haematuria

–

–

–

–

 Anuria > 24 h

–

–

–

–

 Apathetic, poor tolerance of feeds within 12 h

2 (4.4)

0.7

2 (2.1)

0.7

 Abdominal distension and vomiting

–

–

–

–

 Parenteral antibiotics

9 (20)

3.3

3 (3.2)

1.1