Premature Birth
Conditions
Keywords
premature birth, golden hour, 60 minutes
Brief summary
Effective initial stabilization of preterm neonates in the initial 60 minutes of life (golden hour) was shown to improve outcomes. Keys components include anticipative and collaborative approach, respiratory support, thermal regulation and early initiation of parenteral nutrition. The objective is to complete the admission within 60 minutes of delivery.
Interventions
OTHERgolden hour : an initial standardized stabilization
This is a quality improvement project to evaluate the implementation of Golden hour, a standardized stabilization during the first hour of life in inborn preterm infants younger than 31 weeks of gestational age or weighting less than 1300 g in the NICU of the University of Liege. There is no comparative arm.
Sponsors
Centre Hospitalier Universitaire de Liege
Study design
Observational model
COHORT
Time perspective
PROSPECTIVE
Eligibility
Sex/Gender
ALL
Age
No minimum to 1 Hours
Healthy volunteers
No
Inclusion criteria
* Premature infants (\< 31 weeks' gestation) * Infants with expected weight less than 1300 g * Inborn babies
Exclusion criteria
* Infants outborn * Infants with major congenital anomalies (laparoschisis, omphalocèle, diaphragmatic hernia, …) * Parental refusal
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Completion of the procedure : closing time of the incubator | 1 hour | Number of minutes of life at incubator closure |
| Glycemia at admission and within 24 hours | 24 hours | blood glucose measurement on admission and then every 3 hours for the first 24 hours of life |
| Thermal stability : temperature at admission and at the end of the procedure | 1 hour | — |
| Mortality rate | 3 months | — |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Comorbidities of prematurity: NEC, BPD, ROP, sepsis, PDA, cPVL, IVH | 3 months | — |
| Duration of hospital stay (only if no transfer) | 3 months | — |
| Process of the procedure: | 1 hour | Number of minutes of life at initiation of parenteral nutrition, caffeine and antibiotics administration. |
| Parental experience of the procedure | 24 hours | — |
| Conditions of the procedure : realization during the night shift and team composition | 24 hours | collection of the time and date of performance and the number of nurses, doctors, fellows,... |
| Caregiver's perception of the procedure: stress… | 24 hours | use of a questionnaire adapted from the Teamwork Perceptions Questionnaire (T-TPQ) |
| Incidence of hypotension and bradycardia | 1 hour | — |
| Intubation rate and duration of mechanical ventilation | 3 months | Number of hours of mechanical ventilation |
| Need for surfactant administration and time of administration | 3 days | Number of hours of life at surfactant administration |
Countries
Belgium
Contacts
Primary ContactSophie Tribolet
Outcome results
None listed