The impact of a regional care bundle on maternal breast milk use in preterm infants: outcomes of the East of England quality improvement programme. Issue 5 (29th May 2014)

• Record Type: Journal Article
• Authors: Battersby, C; Santhakumaran, S; Upton, M; Radbone, L; Birch, J; Modi, N
• Other Names: Sharief N author non-byline.; Kadalraja R author non-byline.; Mahesh Babu R N author non-byline.; Dalton S author non-byline.; Dixon H author non-byline.; James M author non-byline.; Jayalal V author non-byline.; Kefas J author non-byline.; Skinner S author non-byline.; Dyke M author non-byline.; Babiker S author non-byline.; Soe T author non-byline.; Rubin S author non-byline.; Ogilvy-Stuart A author non-byline.; Khan A author non-byline.; Ramesh C author non-byline.; Evans I author non-byline.; Rackham O author non-byline.; Brearey S author non-byline.; Thirumurugan A author non-byline.; Losa I author non-byline.; McBride T author non-byline.; Zipitis C author non-byline.; Amegavie L author non-byline.; Moise J author non-byline.; Zipitis C author non-byline.; Settle P author non-byline.; Edi-Osagie N author non-byline.; Heal C author non-byline.; Birch J author non-byline.; Al-Zidgali F author non-byline.; Hasib A author non-byline.; Kisat H author non-byline.; Soe A author non-byline.; Kumar M author non-byline.; Fedee J author non-byline.; Lama M author non-byline.; Gupta R author non-byline.; Rawlingson author non-byline.; de Boer RC author non-byline.; Rao P author non-byline.; Thompson S author non-byline.; Manzoor A author non-byline.; Blake K author non-byline.; Upponi A author non-byline.; Bhaduri AK author non-byline.; Halahakoon C author non-byline.; Deshpande author non-byline.; Mohite A author non-byline.; Tewary KK author non-byline.; Palmer K author non-byline.; Gallagher A author non-byline.; Nycyk J author non-byline.; Simmons P author non-byline.; Morgan I author non-byline.; Underhill HC author non-byline.; Wickham T author non-byline.; van Someren V author non-byline.; Watkin S author non-byline.; Blumberg R author non-byline.; Aladangady N author non-byline.; Alsford L author non-byline.; Sullivan C author non-byline.; Hamdan S author non-byline.; Adiotomre P author non-byline.; Ahmed JS author non-byline.; Foo A author non-byline.; Talekar R author non-byline.; Gibson A author non-byline.; Thomas M author non-byline.; Mathur R author non-byline.; Cruwys M author non-byline.; Mannix P author non-byline.; Ariff H author non-byline.; Whitehead author non-byline.; Ben-Hamida M author non-byline.; Garbasa M author non-byline.; Lal M author non-byline.; Bosman D author non-byline.; Fenton A author non-byline.; Bolton AR author non-byline.; Abu-Harb M author non-byline.; Reichert B author non-byline.; Olivier J author non-byline.; Larson J author non-byline.; Cherinet Y author non-byline.; Munyard P author non-byline.; Osbourne N author non-byline.; Raman M author non-byline.; Watts T author non-byline.; Hannam author non-byline.; Walter S author non-byline.; Kuna J author non-byline.; Chang YL author non-byline.; Shephard R author non-byline.; Lindo D author non-byline.; Huddy C author non-byline.; Wigfield R author non-byline.; Wylie P author non-byline.; Misra I author non-byline.; Shettihalli N author non-byline.; Khashu M author non-byline.; Hall M author non-byline.; Groves C author non-byline.; de Halpert P author non-byline.; Schapira D author non-byline.; Kinsey S author non-byline.; Butterworth S author non-byline.; Brennan N author non-byline.; Whitehead G author non-byline.; Sanghavi R author non-byline.; Whincup G author non-byline.; Khader K author non-byline.; Mallik A author non-byline.; Amess P author non-byline.; Godden C author non-byline.; Reynolds P author non-byline.; Brennan N author non-byline.; Noble V author non-byline.; Rao AS author non-byline.; Wardle S author non-byline.; Ratnayaka M author non-byline.; Holman J author non-byline.; Zengeya S author non-byline.; Jones S author non-byline.; Wach R author non-byline.; Tooley J author non-byline.; Mann RJ author non-byline.; Eaton M author non-byline.; Babirecki M author non-byline.; Seal S author non-byline.; Schwarz K author non-byline.; Gibson D author non-byline.; Jampala C author non-byline.; Pairaudeau P author non-byline.; Miall L author non-byline.; Qunib M author non-byline.; Millman G author non-byline.; Abbott Jane author non-byline.; Ashby Deborah author non-byline.; Brocklehurst Peter author non-byline.; Costeloe Kate author non-byline.; Draper Elizabeth author non-byline.; Goldacre Michael author non-byline.; Kemp Jacquie author non-byline.; Majeed Azeem author non-byline.; Petrou Stavros author non-byline.; Wilkinson Andrew author non-byline.; Young Alys author non-byline.; Vasu Vimal author non-byline.; Dopran Jacquie author non-byline.; Dorling Jon author non-byline.; Allwood Alex author non-byline.;
• Is Part Of: Archives of disease in childhood. Volume 99:Issue 5(2014)
• Page Start: F395
• Page End: F401
• Publication Date: 2014-05-29
• Subjects: care bundle -- quality improvement -- breast milk -- preterm -- Nutrition; Infants -- Diseases -- Periodicals; Newborn infants -- Diseases -- Periodicals; Fetus -- Diseases -- Periodicals; 618.920105
• DOI: 10.1136/archdischild-2013-305475
• Languages: English
• ISSNs: 1359-2998

Abstract

Abstract : Objective: To evaluate a quality improvement (QI) programme to increase the use of maternal breast milk (MBM) in preterm infants. Design: Interrupted time series analysis. Setting: 17 neonatal units in the East of England (EoE) Perinatal Network; 144 in the rest of the UK Neonatal Collaborative (UKNC). Patients: Infants born ≤32 +6 weeks gestation admitted to neonatal care between 2009 and 2012. Intervention: A 'care bundle' to promote MBM in the EoE. Outcomes: Percentage of infants receiving exclusive or any MBM at discharge and care days where any MBM was received. Methods: Data were extracted from the National Neonatal Research Database; outcomes were compared preintervention and postintervention, and in relation to the rest of the UKNC. Results: Exclusive and any MBM use at discharge increased from 26% to 33% and 50% to 57% respectively in the EoE, though there was no evidence of a step or trend change following the introduction of the care bundle. Exclusive MBM use at discharge improved significantly faster in EoE than the rest of the UKNC; 0.22% (95% CI 0.11 to 0.34) increase per month versus 0.05% (95% CI 0.01 to 0.09, p=0.007 for difference). The percentage of infants receiving MBM at discharge and care days where any MBM was received was not significantly different between EoE and the rest of the UKNC. Conclusions: This QI programme was associated with some improvement in MBM use in preterm infants that would not have been evident without the use of routinely recorded national comparator data.