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Asian Neonatal Network Collaboration (AsianNeo): a study protocol for international collaborative comparisons of health services and outcomes to improve quality of care for sick newborn infants in Asia - survey, cohort and quality improvement studies

Isayama T 1 , Miyake F 2 , Rohsiswatmo R 3 , Dewi R 4 , Ozawa Y 5 , Tomotaki S 6 Show all authors , Morisaki N 7 , Chee SC 8 , Neoh SH 8 , Imperial MLS 9 , Velasco BAE 10 , Chang YS 11 , Cho SJ 12 , Youn Y 13 , Quek BH 14 , Poon WB 15 , Amin Z 16 , Jayaratne K 17 , Kumara S 18 , Lin YJ 19 , Chang JH 20 , Lin HY 21 , Lin MC 22 , Nuntnarumit P 23 , Ngerncham S 24 , Prempunpong C 25 , Prempraphan P 26 , Supapannachart S 25 , Kusuda S 27 , Asian Neonatal Network Collaboration (AsianNeo)

Affiliations 

  • 1 Division of Neonatology, National Center for Child Health and Development, Setagaya-ku, Japan isayama-t@ncchd.go.jp
  • 2 National Center for Child Health and Development, Setagaya-ku, Japan
  • 3 Faculty of Medicine, Universitas Indonesia, Jakarta, Indonesia
  • 4 Budhi Mulia Mother and Child Hospital, Pekanbaru, Indonesia
  • 5 Kyorin University, Mitaka, Japan
  • 6 Department of Pediatrics, Kyoto University, Kyoto, Japan
  • 7 Department of Social Medicine, National Center for Child Health and Development, Setagaya-ku, Japan
  • 8 Faculty of Health and Medical Sciences, Taylor's University, Subang Jaya, Selangor, Malaysia
  • 9 Dr. Jose Fabella Memorial Hospital, Manila, Philippines
  • 10 Philippine Children's Medical Center, Manila, Philippines
  • 11 Department of Pediatrics, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Korea (Republic of)
  • 12 Pediatrics, Ewha Womans University College of Medicine, Seoul, Korea (Republic of)
  • 13 Department of Pediatrics, Seoul St. Mary's Hospital, College of Medicine, The Catholic University of Korea, Seoul, Korea (Republic of)
  • 14 Department of Neonatology, KK Women's and Children's Hospital, Singapore
  • 15 Department of Neonatology and Developmental Medicine, Singapore General Hospital, Singapore
  • 16 Department of Neonatology, Khoo Teck Puat-National University Children's Medical Institute, National University Hospital, Singapore
  • 17 Maternal & Child Morbidity & Mortality Surveillance Unit, Family Health Bureau, Colombo, Sri Lanka
  • 18 Castle Street Hospital for Women, Colombo, Western Province, Sri Lanka
  • 19 National Cheng Kung University Hospital, Tainan, Taiwan
  • 20 Taipei MacKay Memorial Hospital, Taipei, Taiwan
  • 21 China Medical University Children's Hospital, Taichung, Taiwan
  • 22 Pediatrics, Taichung Veterans General Hospital, Taichung, Taiwan
  • 23 Pediatrics, Mahidol University Faculty of Medicine Ramathibodi Hospital, Bangkok, Thailand
  • 24 Mahidol University, Bangkok, Thailand
  • 25 Mahidol University Faculty of Medicine Ramathibodi Hospital, Bangkok, Thailand
  • 26 Navamindradhiraj University, Bangkok, Thailand
  • 27 Neonatal Research Network of Japan, Tokyo, Japan
BMJ Open, 2024 Jul 13;14(7):e082712.
PMID: 39388526 DOI: 10.1136/bmjopen-2023-082712

Abstract

INTRODUCTION: Reducing neonatal deaths in premature infants in low- and middle-income countries is key to reducing global neonatal mortality. International neonatal networks, along with patient registries of premature infants, have contributed to improving the quality of neonatal care; however, the involvement of low-to-middle-income countries was limited. This project aims to form an international collaboration among neonatal networks in Asia (AsianNeo), including low-, middle- and high-income countries (or regions). Specifically, it aims to determine outcomes in sick newborn infants, especially very low birth weight (VLBW) infants or very preterm infants, with a view to improving the quality of care for such infants.

METHODS AND ANALYSIS: Currently, AsianNeo comprises nine neonatal networks from Indonesia, Japan, Malaysia, Philippines, Singapore, South Korea, Sri Lanka, Taiwan and Thailand. AsianNeo will undertake the following four studies: (1) institutional questionnaire surveys investigating neonatal intensive care unit resources and the clinical management of sick newborn infants, with a focus on VLBW infants (nine countries/regions); (2) a retrospective cohort study to describe and compare the outcomes of VLBW infants among Asian countries and regions (four countries/regions); (3) a prospective cohort study to develop the AsianNeo registry of VLBW infants (six countries/regions); and (4) implementation and evaluation of educational and quality improvement projects in AsianNeo countries and regions (nine countries/regions).

ETHICS AND DISSEMINATION: The study protocol was approved by the Research Ethics Board of the National Center for Child Health and Development, Tokyo, Japan (reference number 2020-244, 2022-156). The study findings will be disseminated through educational programmes, quality improvement activities, conference presentations and medical journal publications.

* Title and MeSH Headings from MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine.

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