Ben Peleg1,2, Omer Globus1,2, Maya Granot1,2, Leah Leibovitch1,2, Ram Mazkereth1,2, Irit Eisen1,2, Iris Morag1,2, Orly Stern1,2, Chava Rozen1,2, Ayala Maayan-Metzger1,2, Tzipora Strauss3,4. 1. Department of Neonatology, Edmond and Lily Safra Children's Hospital, Sheba Medical Center, Tel-Hashomer, Israel. 2. Sackler Medical School, Tel Aviv University, Tel Aviv, Israel. 3. Department of Neonatology, Edmond and Lily Safra Children's Hospital, Sheba Medical Center, Tel-Hashomer, Israel. Zipora.strauss@sheba.health.gov.il. 4. Sackler Medical School, Tel Aviv University, Tel Aviv, Israel. Zipora.strauss@sheba.health.gov.il.
Abstract
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.
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.
Authors: Robert Boldt; Pauliina M Mäkelä; Lotta Immeli; Reijo Sund; Markus Leskinen; Päivi Luukkainen; Sture Andersson Journal: PLoS One Date: 2021-11-30 Impact factor: 3.240
Authors: Sarah E W Croop; Suzanne M Thoyre; Sofia Aliaga; Martin J McCaffrey; Sigal Peter-Wohl Journal: J Perinatol Date: 2019-11-11 Impact factor: 2.521