Delivery Room Management of Infants with Very Low Birth Weight in 3 European Countries—The Video Apgar Study

Simma, Burkhard; Walter, Susanne; Konstantelos, Dimitrios; Vonderen, J. van; Pas, Arjan B. te; Rüdiger, Mario; Küster, Helmut

doi:10.1016/j.jpeds.2020.03.035

Cited by 11 publications

(18 citation statements)

References 30 publications

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“…Based on the small sample size only a descriptive analysis is adequate. However, our data reflect the efforts in advancing delivery room management (9,10,26), but also show possibilities for improvement (26)(27)(28).…”

Section: Discussionsupporting

confidence: 67%

Outcome in very preterm infants: a population-based study from a regional center in Austria

Konzett,

Riedl,

Blassnig-Ezeh

et al. 2024

Front. Pediatr.

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AimTo determine short-term morbidity and mortality rates in the first state-wide Austrian neonatal cohort and comparison to (inter)national data.MethodsObservational, population-based cohort study, analyzing data of preterm infants (<32 + 0 weeks of gestation) born between 2007 and 2020 (n = 501) in an Austrian state who were admitted to the neonatal intensive care unit. Outcome criteria were mortality, neonatal morbidities: bronchopulmonary dysplasia (BPD), severe necrotizing enterocolitis (NEC), severe intraventricular hemorrhage (IVH grades III–IV), severe retinopathy of prematurity (ROP grades III–V) and survival-free of major complications.ResultsOverall survival rate was 95%, survival free of major complications was 79%. Prevalence for BPD was 11.2%, surgical NEC 4.0%, severe IVH 4.6%, and for severe ROP 2.6%, respectively. In the extremely low gestational age neonates (ELGAN) born <28 weeks of gestation (n = 158), survival was 88% and survival free of major complications 58.8%. Over time, mortality decreased significantly, predominantly driven by the improvement of infants born <28 week of gestation and survival free of major complications improved.ConclusionsThis study demonstrates a very low mortality rate that decreases over time. Short-term morbidities and survival free of major complications do not differ from (inter)national data in a similar group of very preterm infants. Standard operating procedures, simulation trainings and accordance to international trials may improve patient care and surpass center case loads.

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Section: Discussionsupporting

confidence: 67%

Outcome in very preterm infants: a population-based study from a regional center in Austria

Konzett,

Riedl,

Blassnig-Ezeh

et al. 2024

Front. Pediatr.

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“…Video recordings of neonatal resuscitation represent a possible solution to track performed interventions ( 20 ). By detailed analysis of video recordings, certain DR-interventions in preterm and term infants after c-section were previously described both for a single centre and as a comparison between different centres ( 21 – 23 ). However, this data is not representative for all infants.…”

Section: Discussionmentioning

confidence: 99%

Survey on currently applied interventions in neonatal resuscitation (SCIN): A study protocol

Eckart

Kaufmann²,

O’Donnell³

et al. 2023

Front. Pediatr.

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IntroductionAround 140 million children are born every year and post-natal transition is uncomplicated in the vast majority. However, around 5%–15% of neonates receive supportive interventions during transition. Recent data on the interventions used is scarce. More data on the frequencies with which these interventions are used is needed to evaluate neonatal resuscitation, guide recommendations and to generate hypotheses for further research. The following protocol describes an international, multicentre survey on the interventions currently applied during neonatal resuscitation.ObjectivesTo determine the frequencies at which different supportive interventions recommended by European Resuscitation Council (ERC) guidelines for neonatal resuscitation are used. To compare the frequencies between hospitals and patient groups and to investigate possible factors influencing any differences found.MethodsParticipating hospitals will collect data on all interventions performed during neonatal resuscitation over a period of 6 months. All hospitals providing perinatal care are eligible regardless of size and designated level of neonatal care. Every neonate requiring more interventions than basic drying and tactile stimulation during the first 30 min of life will be included. The targeted sample size is at least 4,000 neonates who receive interventions. After anonymization, the data is pooled in a common database and descriptive and statistical analysis is performed globally and in subgroups. Possible correlations will be investigated with phi coefficient and chi square testing.Ethics and disseminationConsent of the institutional review board of the Technical University Dresden was obtained for the local data collection under the number BO-EK-198042022. Additionally, approval of local ethical or institutional review boards will be obtained by the participating hospitals if required. Results will be published in peer-reviewed journals and presented at suitable scientific conferences.

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“…Furthermore, video recordings have been used to evaluate the rate of compliance to the use of protective clothing and accessories to prevent exposure to blood or body fluids ( 2 ). Even differences between centers in various countries, with their own local guidelines, can be made visible by assessing video recordings ( 15 ).…”

Section: Using Recordings For Assessing Quality Of Carementioning

confidence: 99%

Video recording emergency care and video-reflection to improve patient care; a narrative review and case-study of a neonatal intensive care unit

et al. 2022

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As the complexity of emergency care increases, current research methods to improve care are often unable to capture all aspects of everyday clinical practice. Video recordings can visualize clinical care in an objective way. They can be used as a tool to assess care and to reflect on care with the caregivers themselves. Although the use of video recordings to reflect on medical interventions (video-reflection) has increased over the years, it is still not used on a regular basis. However, video-reflection proved to be of educational value and can improve teams’ management and performance. It has a positive effect on guideline adherence, documentation, clinical care and teamwork. Recordings can also be used for video-reflexivity. Here, caregivers review recordings together to reflect on their everyday practice from new perspectives with regard to context and conduct in general. Although video-reflection in emergency care has proven to be valuable, certain preconditions have to be met and obstacles need to be overcome. These include gaining trust of the caregivers, having a proper consent-procedure, maintaining confidentiality and adequate use of technical equipment. To implement the lessons learned from video-reflection in a sustainable way and to continuously improve care, it should be integrated in regular simulation training or education. This narrative review will describe the development of video recording in emergency care and how video-reflection can improve patient care and safety in new ways. On our own department, the NICU at the LUMC, video-reflection has already been implemented and we want to further expand this. We will describe the use of video-reflection in our own unit. Based on the results of this narrative review we will propose options for future research to increase the value of video-reflection.

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Delivery Room Management of Infants with Very Low Birth Weight in 3 European Countries—The Video Apgar Study

Cited by 11 publications

References 30 publications

Outcome in very preterm infants: a population-based study from a regional center in Austria

Outcome in very preterm infants: a population-based study from a regional center in Austria

Survey on currently applied interventions in neonatal resuscitation (SCIN): A study protocol

Video recording emergency care and video-reflection to improve patient care; a narrative review and case-study of a neonatal intensive care unit

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