A core outcome set for maternal and neonatal health research and surveillance of emerging and ongoing epidemic threats (MNH-EPI-COS): a modified Delphi-based international consensu...
- Autores
- Pingray, María Verónica; Klein, Karen; Alonso, Juan Pedro; Belizan, María; Babinska, Magdalena; Alger, Jackeline; Barsosio, Hellen C.; Blackburn, Kara; Bolaji, Olufunke; Carson, Courtney; Castiglioni, Sofia; De Luca, Daniele; Dhaded, Sangappa; Engmann, Cyril; Escobar Vidarte, María Fernanda; Escuriet, Ramón; Kara, Edna; Kim, Caron Rahn; Knight, Marian; Lamprianou, Smaragda; Lota, Maria Margarita; Mader, Silke; Madrid, Lola; Marcone, Alessandra L.; Mazzoni, Agustina; Montenegro, Rangel Mirna; Mukisa Bisoborwa, Rose; Munoz, Flor M.; Okomo, Uduak; Okong, Pius; Ortega, Vanesa; Salva, Florencia A.; Schwartz, David A.; Sudjaritruk, Tavitiya; Yates, Laura; Younus, Manal; Zafar, Noreen; Oladapo, Olufemi T.; Berrueta, Mabel; Bonet, Mercedes
- Año de publicación
- 2025
- Idioma
- inglés
- Tipo de recurso
- artículo
- Estado
- versión publicada
- Descripción
- Background Disease outbreaks significantly affect maternal and neonatal health. Variability in reporting health outcomes hinder evidence generation. We aimed to develop a core outcome set (COS) for maternal and neonatal health research and surveillance during emerging and ongoing epidemic threats and to agree on outcomes’ definitions. Methods We conducted a systematic review of observational and experimental studies related to epidemics to identify outcomes, and a four-stage modified-Delphi consensus. 150 international stakeholders participated in online surveys, and 24 representatives in consensus meetings. The panels were diverse, with balanced representation of professional background, gender, and geography, including civil society representatives. Outcome were included if ≥ 80% of participants scored them as critically important and ≤10% rated them as not important. Findings The final COS includes seven main maternal outcomes—pregnancy outcome, maternal death, suspected symptomatic infection, confirmed infection, severe disease, preterm delivery, mode of birth; seven complementary maternal outcomes—antepartum haemorrhage, postpartum haemorrhage, hypertensive disorders of pregnancy, maternal sepsis, admission to intensive care unit/special units, respiratory support, depression and anxiety; 11 main neonatal outcomes—neonatal death, neonatal suspected symptomatic infection, confirmed infection, severe disease, vertical transmission, low birth weight, prematurity, congenital disorder, respiratory support, skin-to-skin contact, breastfeeding; and, four complementary neonatal outcomes—admission to neonatal intensive care unit/special units, respiratory failure, birth asphyxia, sepsis. Interpretation This COS could contribute to standardize maternal and neonatal outcomes selection and reporting in observational and experimental studies, facilitating efficient data comparison and timely evidence-based decisionmaking in the context of ongoing and emerging epidemic threats.
Fil: Pingray, María Verónica. Instituto de Efectividad Clínica y Sanitaria; Argentina
Fil: Klein, Karen. Consejo Nacional de Investigaciones Científicas y Técnicas. Oficina de Coordinación Administrativa Parque Centenario. Centro de Investigaciones en Epidemiología y Salud Pública. Instituto de Efectividad Clínica y Sanitaria. Centro de Investigaciones en Epidemiología y Salud Pública; Argentina
Fil: Alonso, Juan Pedro. Consejo Nacional de Investigaciones Científicas y Técnicas; Argentina. Universidad de Buenos Aires. Facultad de Ciencias Sociales. Instituto de Investigaciones "Gino Germani"; Argentina
Fil: Belizan, María. Instituto de Efectividad Clínica y Sanitaria; Argentina
Fil: Babinska, Magdalena. Organizacion Mundial de la Salud; Argentina
Fil: Alger, Jackeline. Instituto de Enfermedades Infecciosas y Parasitología Antonio Vidal; Honduras
Fil: Barsosio, Hellen C.. Kenya Medical Research Institute; Kenia
Fil: Blackburn, Kara. Burnet Institute; Australia
Fil: Bolaji, Olufunke. Afe Babalola University; Nigeria
Fil: Carson, Courtney. Pandemic Action Network; Estados Unidos
Fil: Castiglioni, Sofia. University of New York; Estados Unidos
Fil: De Luca, Daniele. Universite Paris-Saclay ;
Fil: Dhaded, Sangappa. Jawaharlal Nehru Medical College; India
Fil: Engmann, Cyril. Program for Appropriate Technology in Health; Estados Unidos
Fil: Escobar Vidarte, María Fernanda. Universidad del Valle; Colombia
Fil: Escuriet, Ramón. National Health Service; España
Fil: Kara, Edna. University of Oxford; Reino Unido
Fil: Kim, Caron Rahn. Organizacion Mundial de la Salud; Argentina
Fil: Knight, Marian. University of Oxford; Reino Unido
Fil: Lamprianou, Smaragda. Organizacion Mundial de la Salud; Argentina
Fil: Lota, Maria Margarita. University Of The Philippines; Filipinas
Fil: Mader, Silke. European Foundation for the Care of Newborn Infants; Alemania
Fil: Madrid, Lola. London School Of Hygiene And Tropical Medicine; Reino Unido
Fil: Marcone, Alessandra L.. University of New York; Estados Unidos
Fil: Mazzoni, Agustina. Instituto de Efectividad Clínica y Sanitaria; Argentina
Fil: Montenegro, Rangel Mirna. Observatory for Sexual and Reproductive Health; Guatemala
Fil: Mukisa Bisoborwa, Rose. White Ribbon Alliance; Uganda
Fil: Munoz, Flor M.. Baylor College Of Medicine (baylor College Of Medicine);
Fil: Okomo, Uduak. London School of Hygiene and Tropical Medicine; Reino Unido
Fil: Okong, Pius. Uganda Martyrs University; Uganda
Fil: Ortega, Vanesa. Instituto de Efectividad Clínica y Sanitaria; Argentina
Fil: Salva, Florencia A.. Instituto de Efectividad Clínica y Sanitaria; Argentina
Fil: Schwartz, David A.. Perinatal Pathology Consulting; Estados Unidos
Fil: Sudjaritruk, Tavitiya. Chiang Mai University; Tailandia
Fil: Yates, Laura. University of KwaZulu-Natal; Sudáfrica
Fil: Younus, Manal. Ministry of Health. Iraqi Pharmacovigilance Centre; Iraq
Fil: Zafar, Noreen. Girls and Women's Health Initiative; Pakistán
Fil: Oladapo, Olufemi T.. Organizacion Mundial de la Salud; Argentina
Fil: Berrueta, Mabel. Instituto de Efectividad Clínica y Sanitaria; Argentina
Fil: Bonet, Mercedes. Organizacion Mundial de la Salud; Argentina - Materia
-
Maternal health
Neonatal health
Epidemics
Core Outcome Set - Nivel de accesibilidad
- acceso abierto
- Condiciones de uso
- https://creativecommons.org/licenses/by/2.5/ar/
- Repositorio
.jpg)
- Institución
- Consejo Nacional de Investigaciones Científicas y Técnicas
- OAI Identificador
- oai:ri.conicet.gov.ar:11336/280533
Ver los metadatos del registro completo
| id |
CONICETDig_e956718603db6cab18462994c00e8635 |
|---|---|
| oai_identifier_str |
oai:ri.conicet.gov.ar:11336/280533 |
| network_acronym_str |
CONICETDig |
| repository_id_str |
3498 |
| network_name_str |
CONICET Digital (CONICET) |
| spelling |
A core outcome set for maternal and neonatal health research and surveillance of emerging and ongoing epidemic threats (MNH-EPI-COS): a modified Delphi-based international consensusPingray, María VerónicaKlein, KarenAlonso, Juan PedroBelizan, MaríaBabinska, MagdalenaAlger, JackelineBarsosio, Hellen C.Blackburn, KaraBolaji, OlufunkeCarson, CourtneyCastiglioni, SofiaDe Luca, DanieleDhaded, SangappaEngmann, CyrilEscobar Vidarte, María FernandaEscuriet, RamónKara, EdnaKim, Caron RahnKnight, MarianLamprianou, SmaragdaLota, Maria MargaritaMader, SilkeMadrid, LolaMarcone, Alessandra L.Mazzoni, AgustinaMontenegro, Rangel MirnaMukisa Bisoborwa, RoseMunoz, Flor M.Okomo, UduakOkong, PiusOrtega, VanesaSalva, Florencia A.Schwartz, David A.Sudjaritruk, TavitiyaYates, LauraYounus, ManalZafar, NoreenOladapo, Olufemi T.Berrueta, MabelBonet, MercedesMaternal healthNeonatal healthEpidemicsCore Outcome Sethttps://purl.org/becyt/ford/5.4https://purl.org/becyt/ford/5Background Disease outbreaks significantly affect maternal and neonatal health. Variability in reporting health outcomes hinder evidence generation. We aimed to develop a core outcome set (COS) for maternal and neonatal health research and surveillance during emerging and ongoing epidemic threats and to agree on outcomes’ definitions. Methods We conducted a systematic review of observational and experimental studies related to epidemics to identify outcomes, and a four-stage modified-Delphi consensus. 150 international stakeholders participated in online surveys, and 24 representatives in consensus meetings. The panels were diverse, with balanced representation of professional background, gender, and geography, including civil society representatives. Outcome were included if ≥ 80% of participants scored them as critically important and ≤10% rated them as not important. Findings The final COS includes seven main maternal outcomes—pregnancy outcome, maternal death, suspected symptomatic infection, confirmed infection, severe disease, preterm delivery, mode of birth; seven complementary maternal outcomes—antepartum haemorrhage, postpartum haemorrhage, hypertensive disorders of pregnancy, maternal sepsis, admission to intensive care unit/special units, respiratory support, depression and anxiety; 11 main neonatal outcomes—neonatal death, neonatal suspected symptomatic infection, confirmed infection, severe disease, vertical transmission, low birth weight, prematurity, congenital disorder, respiratory support, skin-to-skin contact, breastfeeding; and, four complementary neonatal outcomes—admission to neonatal intensive care unit/special units, respiratory failure, birth asphyxia, sepsis. Interpretation This COS could contribute to standardize maternal and neonatal outcomes selection and reporting in observational and experimental studies, facilitating efficient data comparison and timely evidence-based decisionmaking in the context of ongoing and emerging epidemic threats.Fil: Pingray, María Verónica. Instituto de Efectividad Clínica y Sanitaria; ArgentinaFil: Klein, Karen. Consejo Nacional de Investigaciones Científicas y Técnicas. Oficina de Coordinación Administrativa Parque Centenario. Centro de Investigaciones en Epidemiología y Salud Pública. Instituto de Efectividad Clínica y Sanitaria. Centro de Investigaciones en Epidemiología y Salud Pública; ArgentinaFil: Alonso, Juan Pedro. Consejo Nacional de Investigaciones Científicas y Técnicas; Argentina. Universidad de Buenos Aires. Facultad de Ciencias Sociales. Instituto de Investigaciones "Gino Germani"; ArgentinaFil: Belizan, María. Instituto de Efectividad Clínica y Sanitaria; ArgentinaFil: Babinska, Magdalena. Organizacion Mundial de la Salud; ArgentinaFil: Alger, Jackeline. Instituto de Enfermedades Infecciosas y Parasitología Antonio Vidal; HondurasFil: Barsosio, Hellen C.. Kenya Medical Research Institute; KeniaFil: Blackburn, Kara. Burnet Institute; AustraliaFil: Bolaji, Olufunke. Afe Babalola University; NigeriaFil: Carson, Courtney. Pandemic Action Network; Estados UnidosFil: Castiglioni, Sofia. University of New York; Estados UnidosFil: De Luca, Daniele. Universite Paris-Saclay ;Fil: Dhaded, Sangappa. Jawaharlal Nehru Medical College; IndiaFil: Engmann, Cyril. Program for Appropriate Technology in Health; Estados UnidosFil: Escobar Vidarte, María Fernanda. Universidad del Valle; ColombiaFil: Escuriet, Ramón. National Health Service; EspañaFil: Kara, Edna. University of Oxford; Reino UnidoFil: Kim, Caron Rahn. Organizacion Mundial de la Salud; ArgentinaFil: Knight, Marian. University of Oxford; Reino UnidoFil: Lamprianou, Smaragda. Organizacion Mundial de la Salud; ArgentinaFil: Lota, Maria Margarita. University Of The Philippines; FilipinasFil: Mader, Silke. European Foundation for the Care of Newborn Infants; AlemaniaFil: Madrid, Lola. London School Of Hygiene And Tropical Medicine; Reino UnidoFil: Marcone, Alessandra L.. University of New York; Estados UnidosFil: Mazzoni, Agustina. Instituto de Efectividad Clínica y Sanitaria; ArgentinaFil: Montenegro, Rangel Mirna. Observatory for Sexual and Reproductive Health; GuatemalaFil: Mukisa Bisoborwa, Rose. White Ribbon Alliance; UgandaFil: Munoz, Flor M.. Baylor College Of Medicine (baylor College Of Medicine);Fil: Okomo, Uduak. London School of Hygiene and Tropical Medicine; Reino UnidoFil: Okong, Pius. Uganda Martyrs University; UgandaFil: Ortega, Vanesa. Instituto de Efectividad Clínica y Sanitaria; ArgentinaFil: Salva, Florencia A.. Instituto de Efectividad Clínica y Sanitaria; ArgentinaFil: Schwartz, David A.. Perinatal Pathology Consulting; Estados UnidosFil: Sudjaritruk, Tavitiya. Chiang Mai University; TailandiaFil: Yates, Laura. University of KwaZulu-Natal; SudáfricaFil: Younus, Manal. Ministry of Health. Iraqi Pharmacovigilance Centre; IraqFil: Zafar, Noreen. Girls and Women's Health Initiative; PakistánFil: Oladapo, Olufemi T.. Organizacion Mundial de la Salud; ArgentinaFil: Berrueta, Mabel. Instituto de Efectividad Clínica y Sanitaria; ArgentinaFil: Bonet, Mercedes. Organizacion Mundial de la Salud; ArgentinaElsevier2025-02info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionhttp://purl.org/coar/resource_type/c_6501info:ar-repo/semantics/articuloapplication/pdfapplication/pdfhttp://hdl.handle.net/11336/280533Pingray, María Verónica; Klein, Karen; Alonso, Juan Pedro; Belizan, María; Babinska, Magdalena; et al.; A core outcome set for maternal and neonatal health research and surveillance of emerging and ongoing epidemic threats (MNH-EPI-COS): a modified Delphi-based international consensus; Elsevier; eClinicalMedicine; 80; 2-2025; 1-162589-5370CONICET DigitalCONICETenginfo:eu-repo/semantics/altIdentifier/url/https://linkinghub.elsevier.com/retrieve/pii/S2589537024006047info:eu-repo/semantics/altIdentifier/doi/10.1016/j.eclinm.2024.103025info:eu-repo/semantics/openAccesshttps://creativecommons.org/licenses/by/2.5/ar/reponame:CONICET Digital (CONICET)instname:Consejo Nacional de Investigaciones Científicas y Técnicas2026-02-26T10:04:39Zoai:ri.conicet.gov.ar:11336/280533instacron:CONICETInstitucionalhttp://ri.conicet.gov.ar/Organismo científico-tecnológicoNo correspondehttp://ri.conicet.gov.ar/oai/requestdasensio@conicet.gov.ar; lcarlino@conicet.gov.arArgentinaNo correspondeNo correspondeNo correspondeopendoar:34982026-02-26 10:04:39.706CONICET Digital (CONICET) - Consejo Nacional de Investigaciones Científicas y Técnicasfalse |
| dc.title.none.fl_str_mv |
A core outcome set for maternal and neonatal health research and surveillance of emerging and ongoing epidemic threats (MNH-EPI-COS): a modified Delphi-based international consensus |
| title |
A core outcome set for maternal and neonatal health research and surveillance of emerging and ongoing epidemic threats (MNH-EPI-COS): a modified Delphi-based international consensus |
| spellingShingle |
A core outcome set for maternal and neonatal health research and surveillance of emerging and ongoing epidemic threats (MNH-EPI-COS): a modified Delphi-based international consensus Pingray, María Verónica Maternal health Neonatal health Epidemics Core Outcome Set |
| title_short |
A core outcome set for maternal and neonatal health research and surveillance of emerging and ongoing epidemic threats (MNH-EPI-COS): a modified Delphi-based international consensus |
| title_full |
A core outcome set for maternal and neonatal health research and surveillance of emerging and ongoing epidemic threats (MNH-EPI-COS): a modified Delphi-based international consensus |
| title_fullStr |
A core outcome set for maternal and neonatal health research and surveillance of emerging and ongoing epidemic threats (MNH-EPI-COS): a modified Delphi-based international consensus |
| title_full_unstemmed |
A core outcome set for maternal and neonatal health research and surveillance of emerging and ongoing epidemic threats (MNH-EPI-COS): a modified Delphi-based international consensus |
| title_sort |
A core outcome set for maternal and neonatal health research and surveillance of emerging and ongoing epidemic threats (MNH-EPI-COS): a modified Delphi-based international consensus |
| dc.creator.none.fl_str_mv |
Pingray, María Verónica Klein, Karen Alonso, Juan Pedro Belizan, María Babinska, Magdalena Alger, Jackeline Barsosio, Hellen C. Blackburn, Kara Bolaji, Olufunke Carson, Courtney Castiglioni, Sofia De Luca, Daniele Dhaded, Sangappa Engmann, Cyril Escobar Vidarte, María Fernanda Escuriet, Ramón Kara, Edna Kim, Caron Rahn Knight, Marian Lamprianou, Smaragda Lota, Maria Margarita Mader, Silke Madrid, Lola Marcone, Alessandra L. Mazzoni, Agustina Montenegro, Rangel Mirna Mukisa Bisoborwa, Rose Munoz, Flor M. Okomo, Uduak Okong, Pius Ortega, Vanesa Salva, Florencia A. Schwartz, David A. Sudjaritruk, Tavitiya Yates, Laura Younus, Manal Zafar, Noreen Oladapo, Olufemi T. Berrueta, Mabel Bonet, Mercedes |
| author |
Pingray, María Verónica |
| author_facet |
Pingray, María Verónica Klein, Karen Alonso, Juan Pedro Belizan, María Babinska, Magdalena Alger, Jackeline Barsosio, Hellen C. Blackburn, Kara Bolaji, Olufunke Carson, Courtney Castiglioni, Sofia De Luca, Daniele Dhaded, Sangappa Engmann, Cyril Escobar Vidarte, María Fernanda Escuriet, Ramón Kara, Edna Kim, Caron Rahn Knight, Marian Lamprianou, Smaragda Lota, Maria Margarita Mader, Silke Madrid, Lola Marcone, Alessandra L. Mazzoni, Agustina Montenegro, Rangel Mirna Mukisa Bisoborwa, Rose Munoz, Flor M. Okomo, Uduak Okong, Pius Ortega, Vanesa Salva, Florencia A. Schwartz, David A. Sudjaritruk, Tavitiya Yates, Laura Younus, Manal Zafar, Noreen Oladapo, Olufemi T. Berrueta, Mabel Bonet, Mercedes |
| author_role |
author |
| author2 |
Klein, Karen Alonso, Juan Pedro Belizan, María Babinska, Magdalena Alger, Jackeline Barsosio, Hellen C. Blackburn, Kara Bolaji, Olufunke Carson, Courtney Castiglioni, Sofia De Luca, Daniele Dhaded, Sangappa Engmann, Cyril Escobar Vidarte, María Fernanda Escuriet, Ramón Kara, Edna Kim, Caron Rahn Knight, Marian Lamprianou, Smaragda Lota, Maria Margarita Mader, Silke Madrid, Lola Marcone, Alessandra L. Mazzoni, Agustina Montenegro, Rangel Mirna Mukisa Bisoborwa, Rose Munoz, Flor M. Okomo, Uduak Okong, Pius Ortega, Vanesa Salva, Florencia A. Schwartz, David A. Sudjaritruk, Tavitiya Yates, Laura Younus, Manal Zafar, Noreen Oladapo, Olufemi T. Berrueta, Mabel Bonet, Mercedes |
| author2_role |
author author author author author author author author author author author author author author author author author author author author author author author author author author author author author author author author author author author author author author author |
| dc.subject.none.fl_str_mv |
Maternal health Neonatal health Epidemics Core Outcome Set |
| topic |
Maternal health Neonatal health Epidemics Core Outcome Set |
| purl_subject.fl_str_mv |
https://purl.org/becyt/ford/5.4 https://purl.org/becyt/ford/5 |
| dc.description.none.fl_txt_mv |
Background Disease outbreaks significantly affect maternal and neonatal health. Variability in reporting health outcomes hinder evidence generation. We aimed to develop a core outcome set (COS) for maternal and neonatal health research and surveillance during emerging and ongoing epidemic threats and to agree on outcomes’ definitions. Methods We conducted a systematic review of observational and experimental studies related to epidemics to identify outcomes, and a four-stage modified-Delphi consensus. 150 international stakeholders participated in online surveys, and 24 representatives in consensus meetings. The panels were diverse, with balanced representation of professional background, gender, and geography, including civil society representatives. Outcome were included if ≥ 80% of participants scored them as critically important and ≤10% rated them as not important. Findings The final COS includes seven main maternal outcomes—pregnancy outcome, maternal death, suspected symptomatic infection, confirmed infection, severe disease, preterm delivery, mode of birth; seven complementary maternal outcomes—antepartum haemorrhage, postpartum haemorrhage, hypertensive disorders of pregnancy, maternal sepsis, admission to intensive care unit/special units, respiratory support, depression and anxiety; 11 main neonatal outcomes—neonatal death, neonatal suspected symptomatic infection, confirmed infection, severe disease, vertical transmission, low birth weight, prematurity, congenital disorder, respiratory support, skin-to-skin contact, breastfeeding; and, four complementary neonatal outcomes—admission to neonatal intensive care unit/special units, respiratory failure, birth asphyxia, sepsis. Interpretation This COS could contribute to standardize maternal and neonatal outcomes selection and reporting in observational and experimental studies, facilitating efficient data comparison and timely evidence-based decisionmaking in the context of ongoing and emerging epidemic threats. Fil: Pingray, María Verónica. Instituto de Efectividad Clínica y Sanitaria; Argentina Fil: Klein, Karen. Consejo Nacional de Investigaciones Científicas y Técnicas. Oficina de Coordinación Administrativa Parque Centenario. Centro de Investigaciones en Epidemiología y Salud Pública. Instituto de Efectividad Clínica y Sanitaria. Centro de Investigaciones en Epidemiología y Salud Pública; Argentina Fil: Alonso, Juan Pedro. Consejo Nacional de Investigaciones Científicas y Técnicas; Argentina. Universidad de Buenos Aires. Facultad de Ciencias Sociales. Instituto de Investigaciones "Gino Germani"; Argentina Fil: Belizan, María. Instituto de Efectividad Clínica y Sanitaria; Argentina Fil: Babinska, Magdalena. Organizacion Mundial de la Salud; Argentina Fil: Alger, Jackeline. Instituto de Enfermedades Infecciosas y Parasitología Antonio Vidal; Honduras Fil: Barsosio, Hellen C.. Kenya Medical Research Institute; Kenia Fil: Blackburn, Kara. Burnet Institute; Australia Fil: Bolaji, Olufunke. Afe Babalola University; Nigeria Fil: Carson, Courtney. Pandemic Action Network; Estados Unidos Fil: Castiglioni, Sofia. University of New York; Estados Unidos Fil: De Luca, Daniele. Universite Paris-Saclay ; Fil: Dhaded, Sangappa. Jawaharlal Nehru Medical College; India Fil: Engmann, Cyril. Program for Appropriate Technology in Health; Estados Unidos Fil: Escobar Vidarte, María Fernanda. Universidad del Valle; Colombia Fil: Escuriet, Ramón. National Health Service; España Fil: Kara, Edna. University of Oxford; Reino Unido Fil: Kim, Caron Rahn. Organizacion Mundial de la Salud; Argentina Fil: Knight, Marian. University of Oxford; Reino Unido Fil: Lamprianou, Smaragda. Organizacion Mundial de la Salud; Argentina Fil: Lota, Maria Margarita. University Of The Philippines; Filipinas Fil: Mader, Silke. European Foundation for the Care of Newborn Infants; Alemania Fil: Madrid, Lola. London School Of Hygiene And Tropical Medicine; Reino Unido Fil: Marcone, Alessandra L.. University of New York; Estados Unidos Fil: Mazzoni, Agustina. Instituto de Efectividad Clínica y Sanitaria; Argentina Fil: Montenegro, Rangel Mirna. Observatory for Sexual and Reproductive Health; Guatemala Fil: Mukisa Bisoborwa, Rose. White Ribbon Alliance; Uganda Fil: Munoz, Flor M.. Baylor College Of Medicine (baylor College Of Medicine); Fil: Okomo, Uduak. London School of Hygiene and Tropical Medicine; Reino Unido Fil: Okong, Pius. Uganda Martyrs University; Uganda Fil: Ortega, Vanesa. Instituto de Efectividad Clínica y Sanitaria; Argentina Fil: Salva, Florencia A.. Instituto de Efectividad Clínica y Sanitaria; Argentina Fil: Schwartz, David A.. Perinatal Pathology Consulting; Estados Unidos Fil: Sudjaritruk, Tavitiya. Chiang Mai University; Tailandia Fil: Yates, Laura. University of KwaZulu-Natal; Sudáfrica Fil: Younus, Manal. Ministry of Health. Iraqi Pharmacovigilance Centre; Iraq Fil: Zafar, Noreen. Girls and Women's Health Initiative; Pakistán Fil: Oladapo, Olufemi T.. Organizacion Mundial de la Salud; Argentina Fil: Berrueta, Mabel. Instituto de Efectividad Clínica y Sanitaria; Argentina Fil: Bonet, Mercedes. Organizacion Mundial de la Salud; Argentina |
| description |
Background Disease outbreaks significantly affect maternal and neonatal health. Variability in reporting health outcomes hinder evidence generation. We aimed to develop a core outcome set (COS) for maternal and neonatal health research and surveillance during emerging and ongoing epidemic threats and to agree on outcomes’ definitions. Methods We conducted a systematic review of observational and experimental studies related to epidemics to identify outcomes, and a four-stage modified-Delphi consensus. 150 international stakeholders participated in online surveys, and 24 representatives in consensus meetings. The panels were diverse, with balanced representation of professional background, gender, and geography, including civil society representatives. Outcome were included if ≥ 80% of participants scored them as critically important and ≤10% rated them as not important. Findings The final COS includes seven main maternal outcomes—pregnancy outcome, maternal death, suspected symptomatic infection, confirmed infection, severe disease, preterm delivery, mode of birth; seven complementary maternal outcomes—antepartum haemorrhage, postpartum haemorrhage, hypertensive disorders of pregnancy, maternal sepsis, admission to intensive care unit/special units, respiratory support, depression and anxiety; 11 main neonatal outcomes—neonatal death, neonatal suspected symptomatic infection, confirmed infection, severe disease, vertical transmission, low birth weight, prematurity, congenital disorder, respiratory support, skin-to-skin contact, breastfeeding; and, four complementary neonatal outcomes—admission to neonatal intensive care unit/special units, respiratory failure, birth asphyxia, sepsis. Interpretation This COS could contribute to standardize maternal and neonatal outcomes selection and reporting in observational and experimental studies, facilitating efficient data comparison and timely evidence-based decisionmaking in the context of ongoing and emerging epidemic threats. |
| publishDate |
2025 |
| dc.date.none.fl_str_mv |
2025-02 |
| dc.type.none.fl_str_mv |
info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion http://purl.org/coar/resource_type/c_6501 info:ar-repo/semantics/articulo |
| format |
article |
| status_str |
publishedVersion |
| dc.identifier.none.fl_str_mv |
http://hdl.handle.net/11336/280533 Pingray, María Verónica; Klein, Karen; Alonso, Juan Pedro; Belizan, María; Babinska, Magdalena; et al.; A core outcome set for maternal and neonatal health research and surveillance of emerging and ongoing epidemic threats (MNH-EPI-COS): a modified Delphi-based international consensus; Elsevier; eClinicalMedicine; 80; 2-2025; 1-16 2589-5370 CONICET Digital CONICET |
| url |
http://hdl.handle.net/11336/280533 |
| identifier_str_mv |
Pingray, María Verónica; Klein, Karen; Alonso, Juan Pedro; Belizan, María; Babinska, Magdalena; et al.; A core outcome set for maternal and neonatal health research and surveillance of emerging and ongoing epidemic threats (MNH-EPI-COS): a modified Delphi-based international consensus; Elsevier; eClinicalMedicine; 80; 2-2025; 1-16 2589-5370 CONICET Digital CONICET |
| dc.language.none.fl_str_mv |
eng |
| language |
eng |
| dc.relation.none.fl_str_mv |
info:eu-repo/semantics/altIdentifier/url/https://linkinghub.elsevier.com/retrieve/pii/S2589537024006047 info:eu-repo/semantics/altIdentifier/doi/10.1016/j.eclinm.2024.103025 |
| dc.rights.none.fl_str_mv |
info:eu-repo/semantics/openAccess https://creativecommons.org/licenses/by/2.5/ar/ |
| eu_rights_str_mv |
openAccess |
| rights_invalid_str_mv |
https://creativecommons.org/licenses/by/2.5/ar/ |
| dc.format.none.fl_str_mv |
application/pdf application/pdf |
| dc.publisher.none.fl_str_mv |
Elsevier |
| publisher.none.fl_str_mv |
Elsevier |
| dc.source.none.fl_str_mv |
reponame:CONICET Digital (CONICET) instname:Consejo Nacional de Investigaciones Científicas y Técnicas |
| reponame_str |
CONICET Digital (CONICET) |
| collection |
CONICET Digital (CONICET) |
| instname_str |
Consejo Nacional de Investigaciones Científicas y Técnicas |
| repository.name.fl_str_mv |
CONICET Digital (CONICET) - Consejo Nacional de Investigaciones Científicas y Técnicas |
| repository.mail.fl_str_mv |
dasensio@conicet.gov.ar; lcarlino@conicet.gov.ar |
| _version_ |
1858305120390873088 |
| score |
13.176822 |