Dataset Information

Improving clinical outcomes of very low birth weight infants: Implementation of standardized management guidelines in tertiary care hospital in Haryana.

ABSTRACT:

Background

Standardized written guidelines and protocols in NICU are known to impact neonatal outcomes and improve survival.

Objective

To study and compare the morbidity and mortality outcomes of very low birth weight (VLBW) neonates before and after introduction of structured approach to standardized management guidelines on four interventions in a tertiary care hospital in North India.

Methodology

Structured approach to standardized management guidelines on four interventions were implemented for VLBW infants in NICU. a) Humidified and Heated High Flow Nasal Cannula (HHHFNC) as the initial mode of ventilator support in preterm VLBW babies. b) Expressed breast milk for feeding preterm VLBW babies and absolutely no formula milk. c) Hand washing and following "Bundle Care Approach" for Central lines as the cardinal cornerstones for maintaining strict asepsis. d) Development and supportive care to be regularly followed. Data was collected prospectively from July 2015 to December 2016 (Intervention Group) and compared with retrospective matched controls from the previous year (July 2014-June 2015) (Control Group).

Results

There was a significant decrease in culture positive sepsis in the intervention group compared to control group (3 (2.97%) CI:0.006-0.08 vs 11 (19.64%) CI:0.10-0.32; P?=?.0004). There was no significant difference in the mortality (5.35% vs3.96% P?=?.74) amongst the two groups.

Conclusion

Implementing structured approach to above mentioned interventions in the form of standardized management guidelines for preterm VLBW neonates was associated with significant reduction in culture proven sepsis and mechanical ventilation days without affecting mortality or other co-morbidities.

SUBMITTER: Arora S

PROVIDER: S-EPMC7729219 | biostudies-literature | 2020 Dec

REPOSITORIES: biostudies-literature

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Publications

Improving clinical outcomes of very low birth weight infants: Implementation of standardized management guidelines in tertiary care hospital in Haryana.

Arora Sunaina S Yadav Pankaj P Bajaj Hanish H Thakur Anurag Singh AS Mittal Manish M Gupta Meetu Rawat MR Jose Abhilash A Arora Rohit R

International journal of pediatrics & adolescent medicine 20190823 4

<h4>Background</h4>Standardized written guidelines and protocols in NICU are known to impact neonatal outcomes and improve survival.<h4>Objective</h4>To study and compare the morbidity and mortality outcomes of very low birth weight (VLBW) neonates before and after introduction of structured approach to standardized management guidelines on four interventions in a tertiary care hospital in North India.<h4>Methodology</h4>Structured approach to standardized management guidelines on four intervent ...[more]

PMID: 33319015

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Dataset Information

Improving clinical outcomes of very low birth weight infants: Implementation of standardized management guidelines in tertiary care hospital in Haryana.

Background

Objective

Methodology

Results

Conclusion

Publications

Improving clinical outcomes of very low birth weight infants: Implementation of standardized management guidelines in tertiary care hospital in Haryana.

Similar Datasets

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