“Golden Hour” quality improvement intervention and short-term outcome among preterm infants

Ben Peleg, Omer Globus, Maya Granot, Leah Leibovitch, Ram Mazkereth, Irit Eisen, Iris Morag, Orly Stern, Chava Rozen, Ayala Maayan-Metzger, Tzipora Strauss

Research output: Contribution to journalArticlepeer-review

25 Scopus citations

Abstract

Objective: To evaluate the impact of a quality improvement intervention during the first hour of life (“Golden Hour”) on short-term preterm neonatal outcome. Study design: A comprehensive protocol designed for initial stabilization and treatment of preterm infants that included cord blood sampling, use of a dedicated resuscitation room and improved team communication using Crew Resource Management tools. The infants admitted before and after implementation of the protocol were retrospectively compared in a matched case-control design. Results: There were 194 infants in the intervention group and 194 controls. Admission temperatures improved significantly from a mean of 35.26 °C to 36.26 °C (P < 0.001), and late-onset sepsis and bronchopulmonary dysplasia rates lowered significantly (P = 0.035 and P = 0.028, respectively) in the intervention group. There was trend towards reduction in early blood transfusion and ventilation duration. Conclusions: A “Golden Hour” quality improvement intervention was of significant benefit for preterm neonates. Further follow-up to assess long-term effects is warranted.

Original languageEnglish
Pages (from-to)387-392
Number of pages6
JournalJournal of Perinatology
Volume39
Issue number3
DOIs
StatePublished - 1 Mar 2019
Externally publishedYes

ASJC Scopus subject areas

  • Pediatrics, Perinatology, and Child Health
  • Obstetrics and Gynecology

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