Journal of perinatology : official journal of the California Perinatal Association · 2018
"Golden Hour" quality improvement intervention and short-term outcome among preterm infants.
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Peleg Ben, Globus Omer, Granot Maya, Leibovitch Leah, Mazkereth Ram, Eisen Irit, Morag Iris, Stern Orly, Rozen Chava, Maayan-Metzger Ayala, Strauss Tzipora
Аннотация
OBJECTIVE: To evaluate the impact of a quality improvement intervention during the first hour of life ("Golden Hour") on short-term preterm neonatal outcome.
STUDY DESIGN: A comprehensive protocol designed for initial stabilization and treatment of preterm infants that included cord blood sampling, use of a dedicated resuscitation room and improved team communication using Crew Resource Management tools. The infants admitted before and after implementation of the protocol were retrospectively compared in a matched case-control design.
RESULTS: There were 194 infants in the intervention group and 194 controls. Admission temperatures improved significantly from a mean of 35.26 °C to 36.26 °C (P < 0.001), and late-onset sepsis and bronchopulmonary dysplasia rates lowered significantly (P = 0.035 and P = 0.028, respectively) in the intervention group. There was trend towards reduction in early blood transfusion and ventilation duration.
CONCLUSIONS: A "Golden Hour" quality improvement intervention was of significant benefit for preterm neonates. Further follow-up to assess long-term effects is warranted.
STUDY DESIGN: A comprehensive protocol designed for initial stabilization and treatment of preterm infants that included cord blood sampling, use of a dedicated resuscitation room and improved team communication using Crew Resource Management tools. The infants admitted before and after implementation of the protocol were retrospectively compared in a matched case-control design.
RESULTS: There were 194 infants in the intervention group and 194 controls. Admission temperatures improved significantly from a mean of 35.26 °C to 36.26 °C (P < 0.001), and late-onset sepsis and bronchopulmonary dysplasia rates lowered significantly (P = 0.035 and P = 0.028, respectively) in the intervention group. There was trend towards reduction in early blood transfusion and ventilation duration.
CONCLUSIONS: A "Golden Hour" quality improvement intervention was of significant benefit for preterm neonates. Further follow-up to assess long-term effects is warranted.
Предметные рубрики MeSH
Blood TransfusionBody TemperatureBronchopulmonary DysplasiaCase-Control StudiesClinical ProtocolsFemaleGestational AgeHumansInfant, Low Birth WeightInfant, NewbornInfant, PrematureIsraelMaleNeonatal SepsisNeonatologyPositive-Pressure RespirationQuality ImprovementTertiary Care CentersTime-to-Treatment