{"id":"https://openalex.org/W7225620830","doi":"https://doi.org/10.1038/s41372-026-02930-4","title":"Cause of death in preterm infants\u2013the black hole of scientific reports on outcomes and prognostication a narrative perspective","display_name":"Cause of death in preterm infants\u2013the black hole of scientific reports on outcomes and prognostication a narrative perspective","publication_year":2026,"publication_date":"2026-11-09","ids":{"openalex":"https://openalex.org/W7225620830","doi":"https://doi.org/10.1038/s41372-026-02930-4","pmid":"https://pubmed.ncbi.nlm.nih.gov/43003865"},"language":"en","primary_location":{"id":"doi:10.1038/s41372-026-02930-4","doi":"https://doi.org/10.1038/s41372-026-02930-4","is_oa":true,"landing_page_url":"https://doi.org/10.1038/s41372-026-02930-4","pdf_url":"https://www.nature.com/articles/s41372-026-02930-4.pdf","source":{"id":"https://openalex.org/S18455948","display_name":"Journal of Perinatology","issn_l":"0743-8346","issn":["0743-8346","1476-5543"],"is_oa":false,"is_in_doaj":false,"is_core":true,"listed_in":["cwts-core","dongbi-c","doyens","jufo-1","ki-jl-1","medline","norway-1","poland-100","russia-white-list-1","vabb-shw"],"host_organization":"https://openalex.org/P4310319965","host_organization_name":"Springer Nature","host_organization_lineage":["https://openalex.org/P4310319965"],"host_organization_lineage_names":["Springer Nature"],"type":"journal"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Journal of Perinatology","raw_type":"journal-article"},"volume":null,"type":"review","is_traditional":true,"indexed_in":["crossref","pubmed"],"open_access":{"is_oa":true,"oa_status":"hybrid","oa_url":"https://www.nature.com/articles/s41372-026-02930-4.pdf","any_repository_has_fulltext":false},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5026712069","display_name":"Alice Hoffsten","orcid":"https://orcid.org/0000-0002-7208-3357","observed_orcids":["https://orcid.org/0000-0002-7208-3357"]},"institutions":[{"id":"https://openalex.org/I114027177","display_name":"University of North Carolina at Chapel Hill","ror":"https://ror.org/0130frc33","country_code":"US","type":"education","lineage":["https://openalex.org/I114027177"]},{"id":"https://openalex.org/I123387679","display_name":"Uppsala University","ror":"https://ror.org/048a87296","country_code":"SE","type":"education","lineage":["https://openalex.org/I123387679"]}],"countries":["SE","US"],"is_corresponding":true,"raw_author_name":"Alice Hoffsten","raw_affiliation_strings":["Department of Women's and Children's Health, Uppsala University, Uppsala, Sweden. alice.hoffsten@uu.se","Division of Neonatal-Perinatal Medicine, Department of Pediatrics, University of North Carolina at Chapel Hill, Chapel Hill, NC, USA. alice.hoffsten@uu.se"],"raw_orcid":"https://orcid.org/0000-0002-7208-3357","affiliations":[{"raw_affiliation_string":"Department of Women's and Children's Health, Uppsala University, Uppsala, Sweden. alice.hoffsten@uu.se","institution_ids":["https://openalex.org/I123387679"]},{"raw_affiliation_string":"Division of Neonatal-Perinatal Medicine, Department of Pediatrics, University of North Carolina at Chapel Hill, Chapel Hill, NC, USA. alice.hoffsten@uu.se","institution_ids":["https://openalex.org/I114027177"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5026562212","display_name":"L\u00e1szl\u00f3 M\u00e1rk\u00e1sz","orcid":"https://orcid.org/0000-0001-6355-1465","observed_orcids":["https://orcid.org/0000-0001-6355-1465"]},"institutions":[{"id":"https://openalex.org/I123387679","display_name":"Uppsala University","ror":"https://ror.org/048a87296","country_code":"SE","type":"education","lineage":["https://openalex.org/I123387679"]}],"countries":["SE"],"is_corresponding":false,"raw_author_name":"Laszlo Markasz","raw_affiliation_strings":["Department of Women's and Children's Health, Uppsala University, Uppsala, Sweden","Neonatal Intensive Care Unit, Uppsala University Children's Hospital, Uppsala, Sweden"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Women's and Children's Health, Uppsala University, Uppsala, Sweden","institution_ids":["https://openalex.org/I123387679"]},{"raw_affiliation_string":"Neonatal Intensive Care Unit, Uppsala University Children's Hospital, Uppsala, Sweden","institution_ids":["https://openalex.org/I123387679"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5076748283","display_name":"Leif Daniel Nelin","orcid":"https://orcid.org/0000-0002-3722-3035","observed_orcids":["https://orcid.org/0000-0002-3722-3035"]},"institutions":[{"id":"https://openalex.org/I1314135232","display_name":"Nationwide Children's Hospital","ror":"https://ror.org/003rfsp33","country_code":"US","type":"healthcare","lineage":["https://openalex.org/I1314135232"]},{"id":"https://openalex.org/I52357470","display_name":"The Ohio State University","ror":"https://ror.org/00rs6vg23","country_code":"US","type":"education","lineage":["https://openalex.org/I52357470"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Leif D. Nelin","raw_affiliation_strings":["Division of Neonatology, Nationwide Children's Hospital, Department of Pediatrics, The Ohio State University College of Medicine, Columbus, OH, USA"],"raw_orcid":"https://orcid.org/0000-0002-3722-3035","affiliations":[{"raw_affiliation_string":"Division of Neonatology, Nationwide Children's Hospital, Department of Pediatrics, The Ohio State University College of Medicine, Columbus, OH, USA","institution_ids":["https://openalex.org/I1314135232","https://openalex.org/I52357470"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5041622853","display_name":"Misty L. Good","orcid":"https://orcid.org/0000-0002-0264-5721","observed_orcids":["https://orcid.org/0000-0002-0264-5721"]},"institutions":[{"id":"https://openalex.org/I114027177","display_name":"University of North Carolina at Chapel Hill","ror":"https://ror.org/0130frc33","country_code":"US","type":"education","lineage":["https://openalex.org/I114027177"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Misty Good","raw_affiliation_strings":["Division of Neonatal-Perinatal Medicine, Department of Pediatrics, University of North Carolina at Chapel Hill, Chapel Hill, NC, USA"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Division of Neonatal-Perinatal Medicine, Department of Pediatrics, University of North Carolina at Chapel Hill, Chapel Hill, NC, USA","institution_ids":["https://openalex.org/I114027177"]}]},{"author_position":"last","author":{"id":"https://openalex.org/A5068436630","display_name":"Richard Sindelar","orcid":"https://orcid.org/0000-0003-1728-4903","observed_orcids":["https://orcid.org/0000-0003-1728-4903"]},"institutions":[{"id":"https://openalex.org/I123387679","display_name":"Uppsala University","ror":"https://ror.org/048a87296","country_code":"SE","type":"education","lineage":["https://openalex.org/I123387679"]}],"countries":["SE"],"is_corresponding":false,"raw_author_name":"Richard Sindelar","raw_affiliation_strings":["Department of Women's and Children's Health, Uppsala University, Uppsala, Sweden","Neonatal Intensive Care Unit, Uppsala University Children's Hospital, Uppsala, Sweden"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Women's and Children's Health, Uppsala University, Uppsala, Sweden","institution_ids":["https://openalex.org/I123387679"]},{"raw_affiliation_string":"Neonatal Intensive Care Unit, Uppsala University Children's Hospital, Uppsala, Sweden","institution_ids":["https://openalex.org/I123387679"]}]}],"institutions":[],"countries_distinct_count":2,"institutions_distinct_count":4,"corresponding_author_ids":["https://openalex.org/A5026712069"],"corresponding_institution_ids":["https://openalex.org/I114027177","https://openalex.org/I123387679"],"apc_list":{"value":4790,"currency":"USD","value_usd":4790},"apc_paid":{"value":4790,"currency":"USD","value_usd":4790},"fwci":0.0,"has_fulltext":true,"cited_by_count":0,"citation_normalized_percentile":{"value":0.0,"is_in_top_1_percent":false,"is_in_top_10_percent":false},"cited_by_percentile_year":null,"biblio":{"volume":null,"issue":null,"first_page":null,"last_page":null},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T12296","display_name":"Autopsy Techniques and Outcomes","score":0.9955999851226807,"subfield":{"id":"https://openalex.org/subfields/2734","display_name":"Pathology and Forensic Medicine"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},"topics":[{"id":"https://openalex.org/T12296","display_name":"Autopsy Techniques and Outcomes","score":0.9955999851226807,"subfield":{"id":"https://openalex.org/subfields/2734","display_name":"Pathology and Forensic Medicine"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T12741","display_name":"Maternal and Neonatal Healthcare","score":0.00139999995008111,"subfield":{"id":"https://openalex.org/subfields/2735","display_name":"Pediatrics, Perinatology and Child Health"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T13605","display_name":"Homicide, Infanticide, and Child Abuse","score":0.00039999998989515007,"subfield":{"id":"https://openalex.org/subfields/3312","display_name":"Sociology and Political Science"},"field":{"id":"https://openalex.org/fields/33","display_name":"Social Sciences"},"domain":{"id":"https://openalex.org/domains/2","display_name":"Social Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/causes-of-death","display_name":"causes of death","score":0.9350000023841858},{"id":"https://openalex.org/keywords/preterm-infants","display_name":"preterm infants","score":0.996999979019165},{"id":"https://openalex.org/keywords/neonatal-autopsy","display_name":"neonatal autopsy","score":0.6710000038146973},{"id":"https://openalex.org/keywords/autopsy-rates","display_name":"autopsy rates","score":0.7549999952316284},{"id":"https://openalex.org/keywords/neonatal-mortality","display_name":"neonatal mortality","score":0.7590000033378601},{"id":"https://openalex.org/keywords/parent-counseling","display_name":"parental counseling","score":0.6230000257492065}],"concepts":[{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.8579999804496765},{"id":"https://openalex.org/C2779504383","wikidata":"https://www.wikidata.org/wiki/Q41482","display_name":"Autopsy","level":2,"score":0.7993999719619751},{"id":"https://openalex.org/C12713177","wikidata":"https://www.wikidata.org/wiki/Q1900281","display_name":"Perspective (graphical)","level":2,"score":0.6169999837875366},{"id":"https://openalex.org/C29374701","wikidata":"https://www.wikidata.org/wiki/Q1931388","display_name":"Cause of death","level":3,"score":0.5164999961853027},{"id":"https://openalex.org/C187212893","wikidata":"https://www.wikidata.org/wiki/Q123028","display_name":"Pediatrics","level":1,"score":0.49790000915527344},{"id":"https://openalex.org/C199033989","wikidata":"https://www.wikidata.org/wiki/Q1318295","display_name":"Narrative","level":2,"score":0.4837000072002411},{"id":"https://openalex.org/C3020000205","wikidata":"https://www.wikidata.org/wiki/Q2412849","display_name":"Narrative review","level":2,"score":0.4300000071525574},{"id":"https://openalex.org/C3017892369","wikidata":"https://www.wikidata.org/wiki/Q2781245","display_name":"Neonatal death","level":4,"score":0.4260999858379364},{"id":"https://openalex.org/C40993552","wikidata":"https://www.wikidata.org/wiki/Q514654","display_name":"Gold standard (test)","level":2,"score":0.4259999990463257},{"id":"https://openalex.org/C177713679","wikidata":"https://www.wikidata.org/wiki/Q679690","display_name":"Intensive care medicine","level":1,"score":0.3853999972343445},{"id":"https://openalex.org/C112299071","wikidata":"https://www.wikidata.org/wiki/Q835884","display_name":"Infant mortality","level":3,"score":0.37459999322891235},{"id":"https://openalex.org/C2779473830","wikidata":"https://www.wikidata.org/wiki/Q1540899","display_name":"MEDLINE","level":2,"score":0.3537999987602234},{"id":"https://openalex.org/C2779530757","wikidata":"https://www.wikidata.org/wiki/Q1207505","display_name":"Quality (philosophy)","level":2,"score":0.302700012922287},{"id":"https://openalex.org/C512399662","wikidata":"https://www.wikidata.org/wiki/Q3505712","display_name":"Family medicine","level":1,"score":0.29159998893737793},{"id":"https://openalex.org/C107130276","wikidata":"https://www.wikidata.org/wiki/Q133805","display_name":"Epidemiology","level":2,"score":0.2849000096321106},{"id":"https://openalex.org/C179755657","wikidata":"https://www.wikidata.org/wiki/Q58702","display_name":"Mortality rate","level":2,"score":0.28380000591278076},{"id":"https://openalex.org/C2776344615","wikidata":"https://www.wikidata.org/wiki/Q625506","display_name":"Premature birth","level":4,"score":0.2809000015258789},{"id":"https://openalex.org/C2781410689","wikidata":"https://www.wikidata.org/wiki/Q17370247","display_name":"Verbal autopsy","level":4,"score":0.27309998869895935},{"id":"https://openalex.org/C131872663","wikidata":"https://www.wikidata.org/wiki/Q5284418","display_name":"Obstetrics","level":1,"score":0.26510000228881836},{"id":"https://openalex.org/C61434518","wikidata":"https://www.wikidata.org/wiki/Q932510","display_name":"General surgery","level":1,"score":0.26409998536109924},{"id":"https://openalex.org/C2779231881","wikidata":"https://www.wikidata.org/wiki/Q5977147","display_name":"Medical literature","level":2,"score":0.25200000405311584}],"mesh":[],"locations_count":2,"locations":[{"id":"doi:10.1038/s41372-026-02930-4","doi":"https://doi.org/10.1038/s41372-026-02930-4","is_oa":true,"landing_page_url":"https://doi.org/10.1038/s41372-026-02930-4","pdf_url":"https://www.nature.com/articles/s41372-026-02930-4.pdf","source":{"id":"https://openalex.org/S18455948","display_name":"Journal of Perinatology","issn_l":"0743-8346","issn":["0743-8346","1476-5543"],"is_oa":false,"is_in_doaj":false,"is_core":true,"listed_in":["cwts-core","dongbi-c","doyens","jufo-1","ki-jl-1","medline","norway-1","poland-100","russia-white-list-1","vabb-shw"],"host_organization":"https://openalex.org/P4310319965","host_organization_name":"Springer Nature","host_organization_lineage":["https://openalex.org/P4310319965"],"host_organization_lineage_names":["Springer Nature"],"type":"journal"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Journal of Perinatology","raw_type":"journal-article"},{"id":"pmid:43003865","doi":null,"is_oa":false,"landing_page_url":"https://pubmed.ncbi.nlm.nih.gov/43003865","pdf_url":null,"source":{"id":"https://openalex.org/S4306525036","display_name":"PubMed","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Journal of perinatology : official journal of the California Perinatal Association","raw_type":"Journal Article"}],"best_oa_location":{"id":"doi:10.1038/s41372-026-02930-4","doi":"https://doi.org/10.1038/s41372-026-02930-4","is_oa":true,"landing_page_url":"https://doi.org/10.1038/s41372-026-02930-4","pdf_url":"https://www.nature.com/articles/s41372-026-02930-4.pdf","source":{"id":"https://openalex.org/S18455948","display_name":"Journal of Perinatology","issn_l":"0743-8346","issn":["0743-8346","1476-5543"],"is_oa":false,"is_in_doaj":false,"is_core":true,"listed_in":["cwts-core","dongbi-c","doyens","jufo-1","ki-jl-1","medline","norway-1","poland-100","russia-white-list-1","vabb-shw"],"host_organization":"https://openalex.org/P4310319965","host_organization_name":"Springer Nature","host_organization_lineage":["https://openalex.org/P4310319965"],"host_organization_lineage_names":["Springer Nature"],"type":"journal"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Journal of Perinatology","raw_type":"journal-article"},"sustainable_development_goals":[{"score":0.9763000011444092,"display_name":"Good health and well-being","id":"https://metadata.un.org/sdg/3"}],"study_designs":[],"awards":[],"funders":[{"id":"https://openalex.org/F4320324119","display_name":"Uppsala Universitet","ror":"https://ror.org/048a87296"}],"has_content":{"pdf":true,"grobid_xml":true},"content_urls":{"pdf":"https://content.openalex.org/works/W7225620830.pdf","grobid_xml":"https://content.openalex.org/works/W7225620830.grobid-xml"},"referenced_works_count":53,"referenced_works":["https://openalex.org/W37331218","https://openalex.org/W1033460754","https://openalex.org/W1561149246","https://openalex.org/W1820391822","https://openalex.org/W1857797615","https://openalex.org/W1964245527","https://openalex.org/W1967501348","https://openalex.org/W1968340566","https://openalex.org/W1969428782","https://openalex.org/W1999018812","https://openalex.org/W2000118519","https://openalex.org/W2011963507","https://openalex.org/W2023416554","https://openalex.org/W2041420242","https://openalex.org/W2057100837","https://openalex.org/W2068074059","https://openalex.org/W2068977776","https://openalex.org/W2093188053","https://openalex.org/W2097622312","https://openalex.org/W2111982350","https://openalex.org/W2112362178","https://openalex.org/W2118490010","https://openalex.org/W2126423378","https://openalex.org/W2143458217","https://openalex.org/W2147783399","https://openalex.org/W2236052113","https://openalex.org/W2279148728","https://openalex.org/W2404276550","https://openalex.org/W2415241646","https://openalex.org/W2567568882","https://openalex.org/W2580527243","https://openalex.org/W2608774191","https://openalex.org/W2627080943","https://openalex.org/W2771870843","https://openalex.org/W2779789205","https://openalex.org/W2885680430","https://openalex.org/W2886425845","https://openalex.org/W2897107600","https://openalex.org/W2900730531","https://openalex.org/W3012024484","https://openalex.org/W3045734275","https://openalex.org/W3083841341","https://openalex.org/W3120991593","https://openalex.org/W3182407307","https://openalex.org/W4205598275","https://openalex.org/W4213340167","https://openalex.org/W4386466701","https://openalex.org/W4401500727","https://openalex.org/W4408127313","https://openalex.org/W4411540626","https://openalex.org/W4412086286","https://openalex.org/W4412487719","https://openalex.org/W7128165224"],"related_works":["https://openalex.org/W3182407307","https://openalex.org/W7213607857","https://openalex.org/W4386957059","https://openalex.org/W4401500727","https://openalex.org/W2567568882","https://openalex.org/W4213340167","https://openalex.org/W2070408363","https://openalex.org/W1561149246","https://openalex.org/W1999018812","https://openalex.org/W3083841341"],"abstract_inverted_index":{"Accurate":[0],"determination":[1,55],"of":[2,5,27,31,38,71],"a":[3,68],"cause":[4],"death":[6],"(COD)":[7],"is":[8,129],"fundamental":[9],"for":[10,44,119,131,144],"neonatal":[11,86],"quality":[12,123],"assessment,":[13],"parental":[14],"counseling,":[15],"and":[16,41,56,62,100,103,116,122,147],"epidemiologic":[17],"surveillance.":[18],"Declining":[19],"autopsy":[20,107,114,139],"rates":[21,115],"raise":[22],"concerns":[23],"about":[24],"the":[25,85,141],"reliability":[26],"assigned":[28,61,99],"CODs.":[29,64],"Misclassification":[30],"COD":[32,54,102,146],"distorts":[33],"mortality":[34],"statistics,":[35],"hinders":[36],"understanding":[37],"preventable":[39],"conditions,":[40],"limits":[42],"opportunities":[43],"system-level":[45],"improvement.":[46],"This":[47],"narrative":[48],"review":[49],"examines":[50],"literature":[51],"on":[52],"infant":[53],"discusses":[57],"discrepancies":[58],"between":[59,97],"clinically":[60,98],"autopsy-confirmed":[63,101],"Studies":[65],"show":[66],"that":[67],"substantial":[69],"proportion":[70],"infants":[72,128],"were":[73],"misdiagnosed":[74],"prior":[75],"to":[76],"autopsy.":[77],"We":[78],"supplement":[79],"this":[80],"with":[81],"original":[82],"data":[83],"from":[84],"unit":[87],"at":[88],"Uppsala":[89],"University":[90],"Children's":[91],"Hospital":[92],"in":[93,127,136],"Sweden,":[94],"illustrating":[95],"discordance":[96],"highlighting":[104],"subgroups":[105],"where":[106],"proved":[108],"valuable.":[109],"Furthermore,":[110],"we":[111],"discuss":[112],"declining":[113],"their":[117],"implications":[118],"medicine,":[120],"families,":[121],"assessment.":[124],"Understanding":[125],"CODs":[126],"essential":[130],"advancing":[132],"neonatology.":[133],"Despite":[134],"advances":[135],"diagnostic":[137],"technology,":[138],"remains":[140],"gold":[142],"standard":[143],"determining":[145],"identifying":[148],"missed":[149],"diagnoses.":[150]},"counts_by_year":[],"updated_date":"2026-11-11T12:16:26.678958","created_date":"2026-11-10T00:00:00"}
