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Start Over Author "Charles Nzioki" Publisher frontiers media s.a.
2 results on '"Charles Nzioki"'

1. Identifying and quantifying initial post-discharge needs for clinical review of sick, newborns in Kenya based on a large multi-site, retrospective cohort study

Author

John Wainaina, Esther Lee, Grace Irimu, Jalemba Aluvaala, Mike English, The Clinical Information Network Author Group, Dolphine Mochache, Juma Vitalis, Arnest Namayi, Nyumbile Bonface, Samuel Soita, Christine Manyasi, Jane Mbungu, Joan Baswetty, Caren Emadau, Josephine Aritho, Beatrice Njambi, Esther Mwangi, Charles Nzioki, Wagura Mwangi, Lucy Kinyua, Alfred Wanjau, Magdalene Kuria, Alice Oguda, Otieno George Obop, Esther Njiru, Pauline Njeru, Penina Mwangi, Nancy Mburu, Mary Nguri, Rachel Inginia, Celestine Muteshi, Jeska Kuya, Emma Namulala, Salome Okisa Muyale, Susan Wanjala, Grace Ochieng, Lydia Thuranira, Faith Mueni, Margaret Waweru, Felistus Makokha, Rosemary Mututa, Josephine Ojigo, Joyce Oketch, Beth Maina, Orina Nyakina, Faith Njeru, Judith Onsongo, Bernadette Lusweti, Margaret Wanjiku Mwaura, Peter Muigai, Amilia Ngoda, Zainab Kioni, Esther Muthiani, Loise N. Mwangi, Seline Kulubi, John Ollongo, Joseph Ng’ang’a, and Benjamin Tanui

Subjects
newborn, infant, post-discharge, specialist, follow-up, morbidity, Pediatrics, RJ1-570
Abstract

BackgroundProgress in neonatal care has resulted in a 51% decrease in global neonatal mortality rates from 1990 to 2017. Enhanced survival will put pressure on health care systems to provide appropriate post-discharge, follow-up care but the scale of need for such care is poorly defined.MethodsWe conducted a retrospective cohort study of newborns discharged from 23 public hospital neonatal units (NBUs) in Kenya between January 2018 and June 2023 to identify initial follow-up needs. We first determined pragmatic follow-up categories based on survivors’ clinical conditions and morbidities. We then used individual phenotypes of individual babies to assign them to needing one or more forms of specialized clinical follow-up. We use descriptive statistics to estimate proportions of those with specific needs and patterns of need.FindingsAmong 136,249/159,792 (85.3%) neonates discharged, around one-third (33%) were low birth weight (

Published
2024
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2. Hypothermia amongst neonatal admissions in Kenya: a retrospective cohort study assessing prevalence, trends, associated factors, and its relationship with all-cause neonatal mortality

Author

John Wainaina, Morris Ogero, Livingstone Mumelo, Kefa Wairoto, George Mbevi, Timothy Tuti, Paul Mwaniki, Grace Irimu, Mike English, Jalemba Aluvaala, The Clinical Information Network Author Group, Dolphine Mochache, Juma Vitalis, Nyumbile Bonface, Christine Manyasi, Caren Emadau, Charles Nzioki, Wagura Mwangi, Magdalene Kuria, Esther Njiru, Penina Mwangi, Rachel Inginia, Emma Namulala, Grace Ochieng, Lydia Thuranira, Felistus Makokha, Josephine Ojigo, Beth Maina, Bernadette Lusweti, Amilia Ngoda, Jane Mbungu, Joan Baswetty, Josephine Aritho, Beatrice Njambi, Zainab Kioni, Lucy Kinyua, Alice Oguda, Loise N. Mwangi, Nancy Mburu, Celestine Muteshi, Salome Okisa Muyale, Faith Mueni, Rosemary Mututa, Joyce Oketch, Orina Nyakina, Faith Njeru, Margaret Wanjiku Mwaura, Seline Kulubi, Susan Wanjala, Pauline Njeru, John Ollongo, Samuel Soita, Mary Nguri, Margaret Waweru, Otieno George Obop, Jeska Kuya, Esther Muthiani, Esther Mwangi, Joseph Ng’ang’a, Benjamin Tanui, Alfred Wanjau, Judith Onsongo, Peter Muigai, and Arnest Namayi

Subjects
newborn, inpatient, hypothermia, mortality, warm chain, Pediatrics, RJ1-570
Abstract

BackgroundReports on hypothermia from high-burden countries like Kenya amongst sick newborns often include few centers or relatively small sample sizes.ObjectivesThis study endeavored to describe: (i) the burden of hypothermia on admission across 21 newborn units in Kenya, (ii) any trend in prevalence of hypothermia over time, (iii) factors associated with hypothermia at admission, and (iv) hypothermia's association with inpatient neonatal mortality.MethodsA retrospective cohort study was conducted from January 2020 to March 2023, focusing on small and sick newborns admitted in 21 NBUs. The primary and secondary outcome measures were the prevalence of hypothermia at admission and mortality during the index admission, respectively. An ordinal logistic regression model was used to estimate the relationship between selected factors and the outcomes cold stress (36.0°C–36.4°C) and hypothermia (

Published
2024
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