Prospective cohort study exploring the neurodevelopmental outcomes following documented neonatal sepsis in Nepal: study protocol

Introduction Neonatal sepsis, a significant contributor to global neonatal mortality, poses substantial risks to infant health, particularly in low-resource countries like Nepal. Despite its high prevalence, there is a lack of clarity in defining and understanding neonatal sepsis, leading to challen...

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Main Authors: Manu Raj, Remya Sudevan, Swechhya Vaidya, Jayasree Chandramathi, Shailendra Bir Karmacharya, Kalpana Subedi, Ganendra Bhakta Raya, Dhruba Shrestha
Format: Article
Language:English
Published: BMJ Publishing Group 2024-12-01
Series:BMJ Paediatrics Open
Online Access:https://bmjpaedsopen.bmj.com/content/8/1/e002955.full
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author Manu Raj
Remya Sudevan
Swechhya Vaidya
Jayasree Chandramathi
Shailendra Bir Karmacharya
Kalpana Subedi
Ganendra Bhakta Raya
Dhruba Shrestha
author_facet Manu Raj
Remya Sudevan
Swechhya Vaidya
Jayasree Chandramathi
Shailendra Bir Karmacharya
Kalpana Subedi
Ganendra Bhakta Raya
Dhruba Shrestha
author_sort Manu Raj
collection DOAJ
description Introduction Neonatal sepsis, a significant contributor to global neonatal mortality, poses substantial risks to infant health, particularly in low-resource countries like Nepal. Despite its high prevalence, there is a lack of clarity in defining and understanding neonatal sepsis, leading to challenges in diagnosing and managing the condition effectively. The probable impact of neonatal sepsis on long-term neurodevelopmental outcomes, including motor and cognitive delays, remains under-explored in Nepal. The primary objective of this study is to report the prevalence of neurodevelopmental delay in neonates with documented sepsis. The secondary objective is to report significant associations of the same with selected probable risk factors.Methods and analysis This is a dual-centric prospective cohort study that is ongoing at two hospitals—Paropakar Maternity and Women’s Hospital and Siddhi Memorial Hospital in Nepal, over a 2-year period. Neonates diagnosed with sepsis will be assessed using the Developmental Assessment Scale for Indian Infants at 6 months and 1 year, postdiagnosis. Statistical analyses will include prevalence estimation and logistic regression.
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institution Kabale University
issn 2399-9772
language English
publishDate 2024-12-01
publisher BMJ Publishing Group
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series BMJ Paediatrics Open
spelling doaj-art-dfb5638b020243b984da9d909528d8542024-12-06T07:05:08ZengBMJ Publishing GroupBMJ Paediatrics Open2399-97722024-12-018110.1136/bmjpo-2024-002955Prospective cohort study exploring the neurodevelopmental outcomes following documented neonatal sepsis in Nepal: study protocolManu Raj0Remya Sudevan1Swechhya Vaidya2Jayasree Chandramathi3Shailendra Bir Karmacharya4Kalpana Subedi5Ganendra Bhakta Raya6Dhruba Shrestha7Health Sciences Research, Amrita Institute of Medical Sciences, Kochi, Kerala, IndiaDepartments of Health Sciences Research & Cardiology, Amrita Institute of Medical Sciences & Research Centre, Amrita Vishwa Vidyapeetham, Kochi, IndiaHealth Science Research, Amrita Institute of Medical Sciences and Research Centre, Kochi, Kerala, IndiaDivision of Neonatology, Amrita Institute of Medical Sciences and Research Centre, Kochi, Kerala, IndiaNeonatology, Paropakar Maternity and Women`s Hospital, Kathmandu, NepalNeonatology, Paropakar Maternity and Women`s Hospital, Kathmandu, NepalPaediatrics, Siddhi Memorial Foundation, Bhaktapur, Bagmati, NepalPaediatrics, Siddhi Memorial Foundation, Bhaktapur, Bagmati, NepalIntroduction Neonatal sepsis, a significant contributor to global neonatal mortality, poses substantial risks to infant health, particularly in low-resource countries like Nepal. Despite its high prevalence, there is a lack of clarity in defining and understanding neonatal sepsis, leading to challenges in diagnosing and managing the condition effectively. The probable impact of neonatal sepsis on long-term neurodevelopmental outcomes, including motor and cognitive delays, remains under-explored in Nepal. The primary objective of this study is to report the prevalence of neurodevelopmental delay in neonates with documented sepsis. The secondary objective is to report significant associations of the same with selected probable risk factors.Methods and analysis This is a dual-centric prospective cohort study that is ongoing at two hospitals—Paropakar Maternity and Women’s Hospital and Siddhi Memorial Hospital in Nepal, over a 2-year period. Neonates diagnosed with sepsis will be assessed using the Developmental Assessment Scale for Indian Infants at 6 months and 1 year, postdiagnosis. Statistical analyses will include prevalence estimation and logistic regression.https://bmjpaedsopen.bmj.com/content/8/1/e002955.full
spellingShingle Manu Raj
Remya Sudevan
Swechhya Vaidya
Jayasree Chandramathi
Shailendra Bir Karmacharya
Kalpana Subedi
Ganendra Bhakta Raya
Dhruba Shrestha
Prospective cohort study exploring the neurodevelopmental outcomes following documented neonatal sepsis in Nepal: study protocol
BMJ Paediatrics Open
title Prospective cohort study exploring the neurodevelopmental outcomes following documented neonatal sepsis in Nepal: study protocol
title_full Prospective cohort study exploring the neurodevelopmental outcomes following documented neonatal sepsis in Nepal: study protocol
title_fullStr Prospective cohort study exploring the neurodevelopmental outcomes following documented neonatal sepsis in Nepal: study protocol
title_full_unstemmed Prospective cohort study exploring the neurodevelopmental outcomes following documented neonatal sepsis in Nepal: study protocol
title_short Prospective cohort study exploring the neurodevelopmental outcomes following documented neonatal sepsis in Nepal: study protocol
title_sort prospective cohort study exploring the neurodevelopmental outcomes following documented neonatal sepsis in nepal study protocol
url https://bmjpaedsopen.bmj.com/content/8/1/e002955.full
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