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

Early Human Development
B BrotschiB Latal

Abstract

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. 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. 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. 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 measu...Continue Reading

References

Dec 25, 2007·The Journal of Pediatrics·Alistair J GunnUNKNOWN CoolCap Study Group
Aug 15, 2009·Archives of Disease in Childhood. Fetal and Neonatal Edition·B StrohmUNKNOWN UK TOBY Cooling Register Study Group
Oct 3, 2009·The New England Journal of Medicine·Denis V AzzopardiUNKNOWN TOBY Study Group
Dec 1, 2009·Seminars in Pediatric Neurology·Linda S de Vries, Frances M Cowan
Jan 20, 2010·Pediatrics·Sudhin ThayyilNicola J Robertson
Jun 15, 2011·Pediatrics·Seetha ShankaranUNKNOWN Eunice Kennedy Shriver National Institute of Child Health and Human Development Neonatal Research Network
Jul 6, 2011·Pediatrics·Brenda StrohmUNKNOWN UK TOBY Cooling Register
Nov 5, 2011·The Journal of Pediatrics·Seetha ShankaranUNKNOWN Eunice Kennedy Shriver National Institute of Child Health and Human Development Neonatal Research Network
Dec 19, 2012·Pediatrics·Henriette van LaerhovenJohanna H van der Lee
Mar 23, 2013·Swiss Medical Weekly·Karin DaetwylerBendicht Peter Wagner
Oct 23, 2013·Pediatrics·Rajiv ChaudharyTopun Austin

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Citations

Aug 12, 2017·Therapeutic Hypothermia and Temperature Management·Juan ArnaezSimón Lubián-López
Jun 16, 2017·Journal of Perinatology : Official Journal of the California Perinatal Association·B BrotschiC Hagmann
May 24, 2019·The Journal of Maternal-fetal & Neonatal Medicine : the Official Journal of the European Association of Perinatal Medicine, the Federation of Asia and Oceania Perinatal Societies, the International Society of Perinatal Obstetricians·S ScheideggerUNKNOWN National Asphyxia and Cooling Register Group
Jul 23, 2021·Journal of Perinatology : Official Journal of the California Perinatal Association·Mark AdamsUNKNOWN Swiss National Asphyxia and Cooling Register Group

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