Survey of preterm neuro-centric care practices in California neonatal intensive care units.
California
Cross-Sectional Studies
Ductus Arteriosus, Patent
/ therapy
Humans
Indomethacin
/ therapeutic use
Infant, Newborn
Infant, Premature
Intensive Care Units, Neonatal
/ organization & administration
Neurologic Examination
/ statistics & numerical data
Outcome Assessment, Health Care
/ standards
Surveys and Questionnaires
Journal
Journal of perinatology : official journal of the California Perinatal Association
ISSN: 1476-5543
Titre abrégé: J Perinatol
Pays: United States
ID NLM: 8501884
Informations de publication
Date de publication:
02 2019
02 2019
Historique:
received:
15
08
2018
accepted:
08
11
2018
revised:
05
11
2018
pubmed:
7
12
2018
medline:
16
4
2020
entrez:
7
12
2018
Statut:
ppublish
Résumé
Examine the adoption and presence of preterm, neuro-centric care practices across neonatal intensive care units (NICUs). Statewide, cross-sectional survey of California NICUs. Data were collected surrounding the timing of adoption and presence of delivery room practices, nursing protocols, provider management practices and quality improvement initiatives. Among the 95 NICUs completing the survey (65%), adoption of all surveyed practices increased between 2005 and 2016, though rates of uptake changed over time and varied by practice. Adoption of indomethacin prophylaxis increased 1.8-fold, whereas delayed cord clamping increased 78-fold. Adoption of premedication for intubation and a patent ductus arteriosus management algorithm differed by unit level. Additionally, two underlying practice domains were identified; adoption of delivery room practices and adoption of any preterm practice. Adoption of preterm, neuro-centric care practices across California NICUs has increased, though uptake patterns vary by practice and level.
Identifiants
pubmed: 30518797
doi: 10.1038/s41372-018-0283-8
pii: 10.1038/s41372-018-0283-8
pmc: PMC6351217
mid: NIHMS1512057
doi:
Substances chimiques
Indomethacin
XXE1CET956
Types de publication
Journal Article
Multicenter Study
Research Support, N.I.H., Extramural
Langues
eng
Sous-ensembles de citation
IM
Pagination
256-262Subventions
Organisme : NICHD NIH HHS
ID : T32 HD007440
Pays : United States
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