TY - JOUR AU - Kermani, Farzaneh AU - Sheikhtaheri, Abbas AU - Zarkesh, Mohammad Reza AU - Tahmasebian, Shahram PY - 2020/10/31 Y2 - 2024/03/29 TI - Risk factors for neonatal mortality in Neonatal Intensive Care Units (NICUs): a systematic literature review and comparison with scoring systems JF - Journal of Pediatric and Neonatal Individualized Medicine (JPNIM) JA - J Pediatr Neonat Individual Med VL - 9 IS - 2 SE - DO - 10.7363/090226 UR - https://jpnim.com/index.php/jpnim/article/view/e090226 SP - e090226 AB - <p><strong>Objective:</strong> To identify neonatal death risk factors in NICUs and compare these factors with current scoring systems.</p><p><strong>Data source:</strong> This review was conducted using Web of Science, PubMed/Medline, Scopus, and Cochrane library databases, considering papers published between 2007 and 2018. </p><p><strong>Study selection:</strong> Studies conducted on the neonatal mortality risk factors in NICUs were included. We identified 3,642 unique citations; 69 full-text articles were included in the final review.</p><p><strong>Data extraction:</strong> Data elements such as the first author, published year, country, purpose, data collection period, study design, sample size, and risk factors were extracted.</p><p><strong>Data synthesis:</strong> Ninety factors were identified in three categories: 25 maternal factors, 59 neonatal factors, and six organizational factors. In total, delivery mode, non-use of steroid or corticosteroid, birth weight, gestational age, Apgar score, hospital/NICU level, and outborn status are the most cited risk factors for neonatal death. Well-known scoring systems did not consider many of the identified factors.</p><p><strong>Conclusions:</strong> Determination of risk factors in neonatal death can help neonatologists identify sick neonates who are more likely to die in NICUs and provide on-time care at their bedsides. Researchers interested in developing predictive neonatal mortality models may also use the results of this study to develop models for predicting neonatal death. </p> ER -