Table 1 Clinical backgrounds of newborns registered during each study period with and without video calls.

From: Video-call based newborn triage system for local birth centres can be established without major instalment costs using commercially available smartphones

 

Period 1

Period 2

Whole cohort

a Video call (−)

b Video call (+)

n = 525

n = 236

n = 136

n = 100

Gestational age (week)

38.5 ± 2.1

38.5 ± 2.2

38.2 ± 2.6

38.9 ± 1.5

Body weight at birth (g)

2806 ± 526

2788 ± 557

2703 ± 612

2904 ± 450

Male sex

307 (58.5%)

136 (63.6%)

80 (58.8%)

56 (56.0%)

All caesarean section

128 (24.4%)

72 (30.5%)

42 (30.9%)

30 (30.0%)

Emergency caesarean section

64 (12.2%)

29 (12.3%)

19 (14.0%)

10 (10.0%)

Elective caesarean section

64 (12.2%)

43 (18.2%)

23 (16.9%)

20 (20.0%)

Forced delivery (vaginal)

55 (10.5%)

27 (11.4%)

13 (9.6%)

14 (14.0%)

1-minute Apgar score

9 [8, 9]

8 [8, 9]

8 [7, 9]

8 [8, 9]

5-minute Apgar score

9 [9, 10]

9 [9, 9]

9 [8, 9]

9 [9, 9]

Night time/weekend referral

256 (48.8%)

118 (50.0%)

70 (51.5%)

48 (48.0%)

Distance of transportation (km)

17.8 ± 17.2

16.5 ± 16.3

16.3 ± 16.3

16.7 ± 16.1

Postnatal age at referral (h)

17.0 ± 18.1

15.5 ± 17.9

16.0 ± 19.1

14.8 ± 16.2

Primary clinical problem at referral

Respiratory problem

198 (37.7%)

83 (35.2%)

46 (33.8%)

37 (37.0%)

Gastrointestinal problem

70 (13.3%)

33 (14.0%)

24 (17.6%)

9 (9.0%)

Preterm birth/low-birth-weight

69 (13.1%)

34 (14.4%)

15 (11.0%)

19 (19.0%)

Cardiac problem

44 (8.4%)

19 (8.1%)

11 (8.1%)

8 (8.0%)

Congenital anomaly

31 (5.9%)

7 (3.0%)

3 (2.2%)

4 (4.0%)

Jaundice

17 (3.2%)

19 (8.1%)

10 (7.4%)

9 (9.0%)

Hypothermia and not being well signs

24 (4.6%)

11 (4.7%)

10 (7.4%)

1 (1.0%)

Fever/infection

21 (4.0%)

10 (4.2%)

4 (2.9%)

6 (6.0%)

Birth asphyxia

17 (3.2%)

9 (3.8%)

7 (5.1%)

2 (2.0%)

Hypoglycaemia

18 (3.4%)

6 (2.5%)

2 (1.5%)

4 (4.0%)

Neurological problem

14 (2.7%)

5 (2.1%)

4 (2.9%)

1 (1.0%)

Other problems

2 (0.4%)

0 (0.0%)

0 (0.0%)

0 (0.0%)

Risk estimation at referral

Estimated as clinically unstable

206 (39.2%)

113 (47.9%)

61 (44.9%)

52 (52.0%)

Requirement for respiratory support after admission

IPPV

91 (17.3%)

59 (25.0%)

33 (24.3%)

26 (26.0%)

IPPV or NIPPV

122 (23.2%)

73 (30.9%)

39 (28.7%)

34 (34.0%)

  1. Values are number (%), mean ± standard deviation or mean [95% confidence interval]. Abbreviations: IPPV, invasive positive pressure ventilation; NIPPV, non-invasive positive-pressure ventilation.