Impact of a “Brain Protection Bundle” in Reducing Severe Intraventricular Hemorrhage in Preterm Infants <30 Weeks GA: A Retrospective Single Centre Study

Background: despite advances in perinatal care, periventricular/intraventricular hemorrhage (IVH) continues to remain high in neonatal intensive care units (NICUs) worldwide. Studies have demonstrated the benefits of implementing interventions during the antenatal period, stabilization after birth (...

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Autores principales:	Nishkal Persad, Edmond Kelly, Nely Amaral, Angela Neish, Courtney Cheng, Chun-Po Steve Fan, Kyle Runeckles, Vibhuti Shah
Formato:	article
Lenguaje:	EN
Publicado:	MDPI AG 2021
Materias:	preterm infant intraventricular hemorrhage brain injury Pediatrics RJ1-570
Acceso en línea:	https://doaj.org/article/e2dca9f62f3b45ef9e1f1a5d068d0877
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spelling	oai:doaj.org-article:e2dca9f62f3b45ef9e1f1a5d068d08772021-11-25T17:14:11ZImpact of a “Brain Protection Bundle” in Reducing Severe Intraventricular Hemorrhage in Preterm Infants <30 Weeks GA: A Retrospective Single Centre Study10.3390/children81109832227-9067https://doaj.org/article/e2dca9f62f3b45ef9e1f1a5d068d08772021-10-01T00:00:00Zhttps://www.mdpi.com/2227-9067/8/11/983https://doaj.org/toc/2227-9067Background: despite advances in perinatal care, periventricular/intraventricular hemorrhage (IVH) continues to remain high in neonatal intensive care units (NICUs) worldwide. Studies have demonstrated the benefits of implementing interventions during the antenatal period, stabilization after birth (golden hour management) and postnatally in the first 72 h to reduce the incidence of IVH. Objective: to compare the incidence of severe intraventricular hemorrhage (IVH ≥ Grade III) before and after implementation of a “brain protection bundle” in preterm infants <30 weeks GA. Study design: a pre- and post-implementation retrospective cohort study to compare the incidence of severe IVH following execution of a “brain protection bundle for the first 72 h from 2015 to 2018. Demographics, management practices at birth and in the NICU, cranial ultrasound results and short-term morbidities were compared. Results: a total of 189 and 215 infants were included in the pre- and post-implementation phase, respectively. No difference in the incidence of severe IVH (6.9% vs. 9.8%, <i>p</i> = 0.37) was observed on the first cranial scan performed after 72 h of age. Conclusion: the implementation of a “brain protection bundle” was not effective in reducing the incidence of severe IVH within the first 72 h of life in our centre.Nishkal PersadEdmond KellyNely AmaralAngela NeishCourtney ChengChun-Po Steve FanKyle RunecklesVibhuti ShahMDPI AGarticlepreterm infantintraventricular hemorrhagebrain injuryPediatricsRJ1-570ENChildren, Vol 8, Iss 983, p 983 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	preterm infant intraventricular hemorrhage brain injury Pediatrics RJ1-570
spellingShingle	preterm infant intraventricular hemorrhage brain injury Pediatrics RJ1-570 Nishkal Persad Edmond Kelly Nely Amaral Angela Neish Courtney Cheng Chun-Po Steve Fan Kyle Runeckles Vibhuti Shah Impact of a “Brain Protection Bundle” in Reducing Severe Intraventricular Hemorrhage in Preterm Infants <30 Weeks GA: A Retrospective Single Centre Study
description	Background: despite advances in perinatal care, periventricular/intraventricular hemorrhage (IVH) continues to remain high in neonatal intensive care units (NICUs) worldwide. Studies have demonstrated the benefits of implementing interventions during the antenatal period, stabilization after birth (golden hour management) and postnatally in the first 72 h to reduce the incidence of IVH. Objective: to compare the incidence of severe intraventricular hemorrhage (IVH ≥ Grade III) before and after implementation of a “brain protection bundle” in preterm infants <30 weeks GA. Study design: a pre- and post-implementation retrospective cohort study to compare the incidence of severe IVH following execution of a “brain protection bundle for the first 72 h from 2015 to 2018. Demographics, management practices at birth and in the NICU, cranial ultrasound results and short-term morbidities were compared. Results: a total of 189 and 215 infants were included in the pre- and post-implementation phase, respectively. No difference in the incidence of severe IVH (6.9% vs. 9.8%, <i>p</i> = 0.37) was observed on the first cranial scan performed after 72 h of age. Conclusion: the implementation of a “brain protection bundle” was not effective in reducing the incidence of severe IVH within the first 72 h of life in our centre.
format	article
author	Nishkal Persad Edmond Kelly Nely Amaral Angela Neish Courtney Cheng Chun-Po Steve Fan Kyle Runeckles Vibhuti Shah
author_facet	Nishkal Persad Edmond Kelly Nely Amaral Angela Neish Courtney Cheng Chun-Po Steve Fan Kyle Runeckles Vibhuti Shah
author_sort	Nishkal Persad
title	Impact of a “Brain Protection Bundle” in Reducing Severe Intraventricular Hemorrhage in Preterm Infants <30 Weeks GA: A Retrospective Single Centre Study
title_short	Impact of a “Brain Protection Bundle” in Reducing Severe Intraventricular Hemorrhage in Preterm Infants <30 Weeks GA: A Retrospective Single Centre Study
title_full	Impact of a “Brain Protection Bundle” in Reducing Severe Intraventricular Hemorrhage in Preterm Infants <30 Weeks GA: A Retrospective Single Centre Study
title_fullStr	Impact of a “Brain Protection Bundle” in Reducing Severe Intraventricular Hemorrhage in Preterm Infants <30 Weeks GA: A Retrospective Single Centre Study
title_full_unstemmed	Impact of a “Brain Protection Bundle” in Reducing Severe Intraventricular Hemorrhage in Preterm Infants <30 Weeks GA: A Retrospective Single Centre Study
title_sort	impact of a “brain protection bundle” in reducing severe intraventricular hemorrhage in preterm infants <30 weeks ga: a retrospective single centre study
publisher	MDPI AG
publishDate	2021
url	https://doaj.org/article/e2dca9f62f3b45ef9e1f1a5d068d0877
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Impact of a “Brain Protection Bundle” in Reducing Severe Intraventricular Hemorrhage in Preterm Infants <30 Weeks GA: A Retrospective Single Centre Study

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