The impact of a register on the management of neonatal cooling in Switzerland.

Détails

ID Serval
serval:BIB_39A30DDD4F77
Type
Article: article d'un périodique ou d'un magazine.
Collection
Publications
Institution
Titre
The impact of a register on the management of neonatal cooling in Switzerland.
Périodique
Early Human Development
Auteur(s)
Brotschi B., Grass B., Ramos G., Beck I., Held U., Hagmann C., Meyer P., Meyer P., Zeilinger G., Schulzke S.M., Wellmann S., Wagner B., Daetwyler K., Nelle M., Bär W., Scharrer B., Tolsa J.F., Truttmann A., Schneider J., Pfister R.E., Berger T.M., Fontana M., Micallef J.P., Birkenmayer A., Bucher H.U., Natalucci G., Adams M., Frey B., Bernet V., Latal B.
Collaborateur(s)
National Asphyxia Cooling Register Group
ISSN
1872-6232 (Electronic)
ISSN-L
0378-3782
Statut éditorial
Publié
Date de publication
2015
Peer-reviewed
Oui
Volume
91
Numéro
4
Pages
277-284
Langue
anglais
Notes
Publication types: Journal Article ; Research Support, Non-U.S. Gov't
Publication Status: ppublish
Résumé
BACKGROUND: Therapeutic hypothermia following hypoxic ischaemic encephalopathy in term infants was introduced into Switzerland in 2005. Initial documentation of perinatal and resuscitation details was poor and neuromonitoring insufficient. In 2011, a National Asphyxia and Cooling Register was introduced.
AIMS: To compare management of cooled infants before and after introduction of the register concerning documentation, neuromonitoring, cooling methods and evaluation of temperature variability between cooling methods.
STUDY DESIGN: Data of cooled infants before the register was in place (first time period: 2005-2010) and afterwards (second time period: 2011-2012) was collected with a case report form.
RESULTS: 150 infants were cooled during the first time period and 97 during the second time period. Most infants were cooled passively or passively with gel packs during both time periods (82% in 2005-2010 vs 70% in 2011-2012), however more infants were cooled actively during the second time period (18% versus 30%). Overall there was a significant reduction in temperature variability (p < 0.001) comparing the two time periods. A significantly higher proportion of temperature measurements within target temperature range (72% versus 77%, p < 0.001), fewer temperature measurements above (24% versus 7%, p < 0.001) and more temperatures below target range (4% versus 16%, p < 0.001) were recorded during the second time period. Neuromonitoring improved after introduction of the cooling register.
CONCLUSION: Management of infants with HIE improved since introducing the register. Temperature variability was reduced, more temperature measurements in the target range and fewer temperature measurements above target range were observed. Neuromonitoring has improved, however imaging should be performed more often.
Pubmed
Web of science
Création de la notice
11/05/2015 13:44
Dernière modification de la notice
05/02/2021 7:25
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