Title | Survey of preterm neuro-centric care practices in California neonatal intensive care units. |
Publication Type | Journal Article |
Year of Publication | 2019 |
Authors | Handley SC, Passarella M, Lorch SA, Lee HC |
Journal | J Perinatol |
Volume | 39 |
Issue | 2 |
Pagination | 256-262 |
Date Published | 2019 Feb |
ISSN | 1476-5543 |
Abstract | OBJECTIVE: Examine the adoption and presence of preterm, neuro-centric care practices across neonatal intensive care units (NICUs). STUDY DESIGN: 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. RESULT: 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. CONCLUSION: Adoption of preterm, neuro-centric care practices across California NICUs has increased, though uptake patterns vary by practice and level. |
DOI | 10.1038/s41372-018-0283-8 |
Alternate Journal | J Perinatol |
PubMed ID | 30518797 |
PubMed Central ID | PMC6351217 |
Grant List | T32 HD007440 / HD / NICHD NIH HHS / United States T32HD007440 / / Foundation for the National Institutes of Health (Foundation for the National Institutes of Health, Inc.) / |