24/7 in house attending staff coverage improves neonatal short-term outcomes: A retrospective study. (January 2018)

• Record Type: Journal Article
• Authors: Bensouda, Brahim; Boucher, Jessica; Mandel, Romain; Lachapelle, Jean; Ali, Nabeel
• Is Part Of: Resuscitation. Volume 122(2018)
• Page Start: 25
• Page End: 28
• Publication Date: 2018-01
• Subjects: PPV positive pressure ventilation -- ICU intensive care unit -- NICU neonatal intensive care unit -- ETI endotracheal intubation -- NRP neonatal resuscitation program -- TTN transitory tachypnea of the newborn -- CPAP continuous positive airway pressure -- UVL umbilical venous catheter; Call coverage -- Resuscitation -- Delivery room -- In house attending staff; Resuscitation -- Periodicals; Resuscitation -- Periodicals; Réanimation -- Périodiques; Electronic journals; 616.025
• DOI: 10.1016/j.resuscitation.2017.11.045
• Languages: English
• ISSNs: 0300-9572

Abstract

Abstract: Objectives: to compare short-term outcomes of newborns over 36 weeks with Apgar scores ≤ 3 at 1 min, following the adoption of a 24/7 in house coverage schedule Study design: A retrospective chart review comparing two 12-month epochs. Epoch 1: coverage provided by residents with availability on call at home of attending staff. Epoch 2: On site coverage by attending staff. Results: 71 and 60 charts were reviewed from Epoch 1 and 2 respectively. The number of infants receiving chest compressions was reduced during Epoch 2 (from 19% to 1.6%, p < 0.0001). The proportion of infants admitted to the NICU (81% vs 61%, p < 0.01), and the median length of stay in hospital (61 vs 48 h, p = 0.03) were significantly reduced in Epoch 2. Conclusion(s): Continuous coverage by attending staff decreased the number of admissions to intensive care as well as the duration of hospitalization stay for newborns with low Apgar scores