Elizabeth Simpson1, Neera K Goyal2, Niramol Dhepyasuwan3, Valerie J Flaherman4, Esther K Chung5, Isabelle Von Kohorn6, Anthony Burgos7, James Taylor8. 1. University of Missouri-Kansas City School of Medicine, Children's Mercy Hospital Kansas City, Missouri easimpson@cmh.edu. 2. Division of Neonatology and Division of Hospital Medicine, Cincinnati Children's Hospital Medical Center, Cincinnati, Ohio. 3. Academic Pediatric Association, McLean, Virginia. 4. University of California at San Francisco, San Francisco, California. 5. Nemours and Jefferson Medical College, Philadelphia, Pennsylvania. 6. Holy Cross Health, Silver Spring, Maryland. 7. Well Newborn Care, Kaiser Permanente, Downey, California. 8. Department of Pediatrics, University of Washington, Seattle, and Newborn Nursery, University of Washington Medical Center, Seattle, Washington.
Abstract
BACKGROUND: There is a paucity of evidence to guide clinical management for term and late preterm newborns. The Better Outcomes through Research for Newborns (BORN) network is a national collaborative of clinicians formed to increase the evidence-base for well newborn care. OBJECTIVE: To develop a consensus-based, prioritized research agenda for well newborn care. DESIGN: A two-round modified Delphi survey of BORN members was conducted. Round 1 was an open-ended survey soliciting 5 clinical questions identified as important and under-researched. Using qualitative methods, 20 most common themes were extracted and transformed into research questions. Round 2 survey respondents ranked the top 20 questions using a 5- point Likert scale and a quantitative analysis was conducted. RESULTS: Round 1 survey generated 439 unique research questions that fell into 57 themes. In the Round 2 survey, the highest rated questions were: 1) At what weight-loss percentage is it medically necessary to formula supplement a breastfeeding infant? 2) What is the optimal management of infants with neonatal abstinence syndrome? 3) How and when should we initiate a workup for sepsis, and how should these newborns be managed? CONCLUSIONS: Research priorities of clinicians include criteria for medically indicated formula supplementation of the breastfed newborn, management of neonatal abstinence syndrome and management of newborns at-risk for sepsis.
BACKGROUND: There is a paucity of evidence to guide clinical management for term and late preterm newborns. The Better Outcomes through Research for Newborns (BORN) network is a national collaborative of clinicians formed to increase the evidence-base for well newborn care. OBJECTIVE: To develop a consensus-based, prioritized research agenda for well newborn care. DESIGN: A two-round modified Delphi survey of BORN members was conducted. Round 1 was an open-ended survey soliciting 5 clinical questions identified as important and under-researched. Using qualitative methods, 20 most common themes were extracted and transformed into research questions. Round 2 survey respondents ranked the top 20 questions using a 5- point Likert scale and a quantitative analysis was conducted. RESULTS: Round 1 survey generated 439 unique research questions that fell into 57 themes. In the Round 2 survey, the highest rated questions were: 1) At what weight-loss percentage is it medically necessary to formula supplement a breastfeeding infant? 2) What is the optimal management of infants with neonatal abstinence syndrome? 3) How and when should we initiate a workup for sepsis, and how should these newborns be managed? CONCLUSIONS: Research priorities of clinicians include criteria for medically indicated formula supplementation of the breastfed newborn, management of neonatal abstinence syndrome and management of newborns at-risk for sepsis.
Authors: James A Taylor; Anthony E Burgos; Valerie Flaherman; Esther K Chung; Elizabeth A Simpson; Neera K Goyal; Isabelle Von Kohorn; Nui Dhepyasuwan Journal: Pediatrics Date: 2015-01-19 Impact factor: 7.124
Authors: Jennifer Zeitlin; Mariane Sentenac; Andrei S Morgan; Pierre Yves Ancel; Henrique Barros; Marina Cuttini; Elizabeth Draper; Samantha Johnson; Jo Lebeer; Rolf F Maier; Mikael Norman; Heili Varendi Journal: Arch Dis Child Fetal Neonatal Ed Date: 2020-02-06 Impact factor: 5.747
Authors: Irene van de Glind; Sivera Berben; Fon Zeegers; Henk Poppen; Margreet Hoogeveen; Ina Bolt; Pierre van Grunsven; Lilian Vloet Journal: Scand J Trauma Resusc Emerg Med Date: 2016-01-08 Impact factor: 2.953