Impact of a neuro-intensive care service for newborns

Journal of Neonatal-perinatal Medicine
M J HarbertM R Rasmussen

Abstract

Advances in treating the injured neonatal brain have given rise to neuro-intensive care services for newborns. This study assessed the impact of one such service in a cohort of newborns treated with therapeutic hypothermia. Our newborn neuro-intensive care service was started in November 2012. From January 2008 to October 2016, a cohort of 158 newborns was treated with therapeutic hypothermia, 29 before and 129 after the inception of the service. This study compared the outcomes of newborns treated by the service with those of newborns treated before. Multivariate regression analysis associating length-of-stay and treatment pre- or post-service was adjusted for five-minute Apgar score, time-to-target temperature, seizures, and mortality. The neuro-intensive care service was also associated with a decrease in mortality (17% before service to 5.4% with the service, p = 0.03), though this association is likely multifactorial and reflects the application of therapeutic hypothermia to a wider variety of patients. However, the service was independently associated with decreased length-of-stay (mean 22 pre-service to 13 days with the service, p < 0.0005.)CONCLUSIONS:The service educated referring hospitals in recognizing therapeutic h...Continue Reading

References

Jan 30, 2004·American Journal of Obstetrics and Gynecology·Steven P MillerJ Colin Partridge
Apr 7, 2005·The Journal of Pediatrics·Steven P MillerDonna M Ferriero
Oct 14, 2005·The New England Journal of Medicine·Seetha ShankaranUNKNOWN National Institute of Child Health and Human Development Neonatal Research Network
May 18, 2006·Journal of Neurosurgery·Panayiotis N VarelasThomas A Gennarelli
Jan 13, 2010·Neurocritical Care·Hannah C GlassDonna M Ferriero
Nov 9, 2014·Journal of Child Neurology·Sharon O WietstockHannah C Glass
Nov 14, 2014·Journal of Perinatology : Official Journal of the California Perinatal Association·A N MassaroA M Mathur
Feb 17, 2015·The Journal of Pediatrics·Vishnu Priya AkulaKrisa Van Meurs

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Citations

Dec 19, 2019·Pediatric Research·Topun Austin

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Methods Mentioned

BETA
cesarean section

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SPSS

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