Development of a Predictive Model for Neonatal Near Miss at a High-Complexity Referral Hospital in Peru during 2024
Alexandra Fiorella Marquina Mencía, Maria Paz Neira Mendoza · Zeitschrift für Geburtshilfe und Neonatologie · 2026 · Heft 04 · S. 330-337
Bibliografische Angaben
Zusammenfassung
Abstract Objective To develop a multivariable predictive model for neonatal near miss (NNM) in a high-complexity hospital in Lima to improve early identification of high-risk newborns and optimize NICU resource allocation. Study Design Retrospective cohort of 264 neonates admitted at birth to the NICU in 2024. Maternal, sociodemographic, clinical, and neonatal management variables were analyzed. Multivariable logistic regression developed the model, compared against existing international pragmatic and combined criteria approaches. Results 82.2% experienced NNM and 17.8% died. Maternal factors were not associate…