Prospective Risk Factor Monitoring Reduces Intracranial Hemorrhage Rates in Preterm Infants

Schmid, Manuel; Reister, Frank; Mayer, Benjamin; Hopfner, R.; Fuchs, Hans; Hummler, Helmut

doi:10.3238/arztebl.2013.0489

Cited by 31 publications

(34 citation statements)

References 35 publications

(31 reference statements)

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“…Four articles identified quality improvement strategies to reduce rates of IVH, which focused on multiple intervention bundles (Table ). These included a higher threshold for delivery, stronger preference for lower‐section caesarean section, milking the umbilical cord, an additional dose of betamethasone and timing for treatment of RDS, all combining to reduce the rates of IVH . The evidence for quality improvement strategies ranged from level 2 to level 3.…”

Section: Quality Improvement Studiesmentioning

confidence: 99%

See 1 more Smart Citation

What clinical practice strategies have been shown to decrease incidence rates of intraventricular haemorrhage in preterm infants?

Howes

Hilditch

Keir

2019

J Paediatrics Child Health

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Aim: To answer the clinical question 'In infants about to be delivered and admitted to neonatal units, what clinical practice strategies, compared to standard care, have been shown to decrease incidence rates of intraventricular haemorrhage (IVH)?' Methods: MEDLINE via Ovid were searched for relevant articles. Results: A total of 478 articles, after the removal of duplicates, were found and screened by title and abstract. Forty full-text articles were subsequently reviewed, and 19 were included as relevant to the structured clinical question. An additional article was included based on expert advice. Conclusion: There are various levels of research evidence for clinical practice strategies to decrease the incidence rates of IVH. Higher-quality evidence suggests that antenatal corticosteroids decrease the rates of IVH, and multiple evidence-based intervention bundles implemented in the neonatal unit are associated with decreased rates of IVH.A primiparous woman has prematurely ruptured her membranes at 25 weeks' gestation, and she is expected to deliver within the next week. It is known that this baby is at a high risk of intraventricular haemorrhage (IVH) due to prematurity. The treating team wish to minimise the chance of an IVH. What is the evidence for specific clinical practice strategies that may decrease the risk of an IVH in this situation? Structured Clinical QuestionIn an expected preterm infant who is about to be delivered at 25 weeks' gestation and then admitted to a neonatal unit (patient), what clinical practice strategies (intervention) lead to decreased rates of any grade of IVH (outcome)?

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Section: Quality Improvement Studiesmentioning

confidence: 99%

“…The evidence for quality improvement strategies ranged from level 2 to level 3. A prospective interventional study by Schmid et al . with level 2 evidence showed that prospective monitoring of known risk factors for IVH was associated with lower IVH rates.…”

Section: Quality Improvement Studiesmentioning

confidence: 99%

What clinical practice strategies have been shown to decrease incidence rates of intraventricular haemorrhage in preterm infants?

Howes

Hilditch

Keir

2019

J Paediatrics Child Health

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“…(130)(131)(132)(133)(134)(135) A structured analysis of perinatal management with feedback showed reduction in the incidence of IVH in preterm newborns. (136) Debrief after resuscitation is performed for the purposes of refl ective learning and practice improvement in some local neonatal centres.…”

Section: Briefing and Debriefingmentioning

confidence: 99%

Singapore Neonatal Resuscitation Guidelines 2016

Yeo

Biswas

Tt³

et al. 2017

smedj

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“…Sectio-OP zu filmen und diese nachzubesprechen, scheint ebenfalls eine sehr vielversprechende Methode für die Verbesserung der Versorgungsqualität zu sein [311]. Es konnte gezeigt werden, dass eine strukturierte Analyse des gesamten perinatologischen Managements mit Feedback zu einer Verbesserung des Outcomes und weniger intraventrikulären Blutungen bei Frühgeborenen führen [312].…”

Section: Therapeutische Hypothermieunclassified

Resuscitation and support of transition of babies at birth

Wyllie

Bruinenberg

Roehr

et al. 2015

Notfall Rettungsmed

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Prospective Risk Factor Monitoring Reduces Intracranial Hemorrhage Rates in Preterm Infants

Abstract: The rate of brain hemorrhage in premature neonates can be considerably lowered by prospective monitoring of risk factors.

Cited by 31 publications

References 35 publications

What clinical practice strategies have been shown to decrease incidence rates of intraventricular haemorrhage in preterm infants?

What clinical practice strategies have been shown to decrease incidence rates of intraventricular haemorrhage in preterm infants?

Singapore Neonatal Resuscitation Guidelines 2016

Resuscitation and support of transition of babies at birth

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