"Golden Hour" quality improvement intervention and short-term outcome among preterm infants.
作者： Ben Peleg , Omer Globus , Maya Granot , Leah Leibovitch , Ram Mazkereth
DOI: 10.1038/S41372-018-0254-0
关键词: Medicine 、 Blood transfusion 、 Case-control study 、 Sepsis 、 Breathing 、 Pediatrics 、 Gestational age 、 Low birth weight 、 Bronchopulmonary dysplasia 、 Golden hour (medicine)
摘要: To evaluate the impact of a quality improvement intervention during first hour life (“Golden Hour”) on short-term preterm neonatal outcome. A comprehensive protocol designed for initial stabilization and treatment infants that included cord blood sampling, use dedicated resuscitation room improved team communication using Crew Resource Management tools. The admitted before after implementation were retrospectively compared in matched case-control design. There 194 group controls. Admission temperatures significantly from mean 35.26 °C to 36.26 °C (P < 0.001), late-onset sepsis bronchopulmonary dysplasia rates lowered (P = 0.035 P = 0.028, respectively) group. was trend towards reduction early transfusion ventilation duration. “Golden Hour” significant benefit neonates. Further follow-up assess long-term effects is warranted.
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