Effects of a small-baby protocol on early and long-term outcomes in extremely preterm infants: A quality improvement study

Saxton, Sage N.; Evered, John; McCoy, Karlee; Atkins, Kristi

doi:10.1016/j.earlhumdev.2023.105733

Cited by 3 publications

(1 citation statement)

References 37 publications

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“…The focus has shifted, or expanded, from just ensuring the preterm child's survival to also including the wellbeing of the whole family and involving the parents in caring for their child at the NICU, through different care emphases and programs [29]. Furthermore, bundled care improvements have been implemented, and "small baby units" have been formed in NICUs worldwide [30,31]. The purpose of these units is to create an optimal environment for EPT children, to expose their extremely fragile brains as little as possible to unwanted stimuli and to ensure that their families can care for their children from the outset at the NICU [32].…”

Section: Discussionmentioning

confidence: 99%

Being Parents of Extremely Preterm Children, from a Long-Term Perspective: A Qualitative Study of Parents’ Experiences

Starke

Diderholm

Heyman

et al. 2023

Preprint

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Section: Discussionmentioning

confidence: 99%

Being Parents of Extremely Preterm Children, from a Long-Term Perspective: A Qualitative Study of Parents’ Experiences

Starke

Diderholm

Heyman

et al. 2023

Preprint

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Being parents of extremely preterm children, from a long-term perspective: A qualitative study of parents' experiences

Starke

Diderholm

Heyman

et al. 2023

Early Human Development

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Quality Improvement Interventions to Prevent Intraventricular Hemorrhage: A Systematic Review

Edwards,

Ehret,

Cohen

et al. 2024

Pediatrics

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OBJECTIVES: Quality improvement may reduce the incidence and severity of intraventricular hemorrhage in preterm infants. We evaluated quality improvement interventions (QIIs) that sought to prevent or reduce the severity of intraventricular hemorrhage. METHODS: PubMed, CINAHL, Embase, and citations of selected articles were searched. QIIs that had reducing incidence or severity of intraventricular hemorrhage in preterm infants as the primary outcome. Paired reviewers independently extracted data from selected studies. RESULTS: Eighteen quality improvement interventions involving 5906 infants were included. Clinical interventions in antenatal care, the delivery room, and the NICU were used in the QIIs. Four of 10 QIIs reporting data on intraventricular hemorrhage (IVH) and 9 of 14 QIIs reporting data on severe IVH saw improvements. The median Quality Improvement Minimum Quality Criteria Set score was 11 of 16. Clinical intervention heterogeneity and incomplete information on quality improvement methods challenged the identification of the main reason for the observed changes. Publication bias may result in the inclusion of more favorable findings. CONCLUSIONS: QIIs demonstrated reductions in the incidence and severity of intraventricular hemorrhage in preterm infants in some but not all settings. Which specific interventions and quality improvement methods were responsible for those reductions and why they were successful in some settings but not others are not clear. This systematic review can assist teams in identifying potentially better practices for reducing IVH, but improvements in reporting and assessing QIIs are needed if systematic reviews are to realize their potential for guiding evidence-based practice.

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Effects of a small-baby protocol on early and long-term outcomes in extremely preterm infants: A quality improvement study

Cited by 3 publications

References 37 publications

Being Parents of Extremely Preterm Children, from a Long-Term Perspective: A Qualitative Study of Parents’ Experiences

Being Parents of Extremely Preterm Children, from a Long-Term Perspective: A Qualitative Study of Parents’ Experiences

Being parents of extremely preterm children, from a long-term perspective: A qualitative study of parents' experiences

Quality Improvement Interventions to Prevent Intraventricular Hemorrhage: A Systematic Review

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