Quality improvement in the golden hour for premature infants: a scoping review
Abstract Background and objective Evidence-based research has shown that golden hour quality improvement (QI) measures can improve the quality of care and reduce serious complications of premature infants. Herein, we sought to review golden hour QI studies to evaluate the impact on the outcome of pr...
| Main Authors: | , , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
BMC
2024-02-01
|
| Series: | BMC Pediatrics |
| Subjects: | |
| Online Access: | https://doi.org/10.1186/s12887-024-04558-9 |
| _version_ | 1827326175238684672 |
|---|---|
| author | Lijuan Sheng Guichao Zhong Ruirui Xing Xudong Yan Huanjin Cui Zhangbin Yu |
| author_facet | Lijuan Sheng Guichao Zhong Ruirui Xing Xudong Yan Huanjin Cui Zhangbin Yu |
| author_sort | Lijuan Sheng |
| collection | DOAJ |
| description | Abstract Background and objective Evidence-based research has shown that golden hour quality improvement (QI) measures can improve the quality of care and reduce serious complications of premature infants. Herein, we sought to review golden hour QI studies to evaluate the impact on the outcome of preterm infants. Methods A comprehensive literature search was conducted in PubMed, Embase, Cochrane Library, and SinoMed databases from inception to April 03, 2023. Only studies describing QI interventions in the golden hour of preterm infants were included. Outcomes were summarized and qualitative synthesis was performed. Results Ten studies were eligible for inclusion. All studies were from single centers, of which nine were conducted in the USA and one in Israel. Seven were pre-post comparative studies and three were observational studies. Most included studies were of medium quality (80%). The most common primary outcome was admission temperatures and glucose. Five studies (n = 2308) reported improvements in the admission temperature and three studies (n = 2052) reported improvements in hypoglycemia after QI. Four studies (n = 907) showed that the incidence of bronchopulmonary dysplasia (BPD) was lower in preterm infants after QI: 106/408 (26.0%) vs. 122/424(29.5%) [OR = 0.68, 95% CI 0.48–0.97, p = 0.04]. Conclusions Our study showed that the golden hour QI bundle can improve the short-term and long-term outcomes for extremely preterm infants. There was considerable heterogeneity and deficiencies in the included studies, and the variation in impact on outcomes suggests the need to use standardized and validated measures. Future studies are needed to develop locally appropriate, high-quality, and replicable QI projects. |
| first_indexed | 2024-03-07T14:40:44Z |
| format | Article |
| id | doaj.art-5c18d96ee2cd4116a034e4f1b3ce8392 |
| institution | Directory Open Access Journal |
| issn | 1471-2431 |
| language | English |
| last_indexed | 2024-03-07T14:40:44Z |
| publishDate | 2024-02-01 |
| publisher | BMC |
| record_format | Article |
| series | BMC Pediatrics |
| spelling | doaj.art-5c18d96ee2cd4116a034e4f1b3ce83922024-03-05T20:22:36ZengBMCBMC Pediatrics1471-24312024-02-0124111110.1186/s12887-024-04558-9Quality improvement in the golden hour for premature infants: a scoping reviewLijuan Sheng0Guichao Zhong1Ruirui Xing2Xudong Yan3Huanjin Cui4Zhangbin Yu5Department of Neonatology, Shenzhen People’s Hospital, (The Second Clinical Medical College, Jinan University;The First Affiliated Hospital, Southern University of Science and Technology)Department of Neonatology, Shenzhen People’s Hospital, (The Second Clinical Medical College, Jinan University;The First Affiliated Hospital, Southern University of Science and Technology)Department of Neonatology, Shenzhen People’s Hospital, (The Second Clinical Medical College, Jinan University;The First Affiliated Hospital, Southern University of Science and Technology)Department of Neonatology, Shenzhen People’s Hospital, (The Second Clinical Medical College, Jinan University;The First Affiliated Hospital, Southern University of Science and Technology)Department of Neonatology, Shenzhen People’s Hospital, (The Second Clinical Medical College, Jinan University;The First Affiliated Hospital, Southern University of Science and Technology)Department of Neonatology, Shenzhen People’s Hospital, (The Second Clinical Medical College, Jinan University;The First Affiliated Hospital, Southern University of Science and Technology)Abstract Background and objective Evidence-based research has shown that golden hour quality improvement (QI) measures can improve the quality of care and reduce serious complications of premature infants. Herein, we sought to review golden hour QI studies to evaluate the impact on the outcome of preterm infants. Methods A comprehensive literature search was conducted in PubMed, Embase, Cochrane Library, and SinoMed databases from inception to April 03, 2023. Only studies describing QI interventions in the golden hour of preterm infants were included. Outcomes were summarized and qualitative synthesis was performed. Results Ten studies were eligible for inclusion. All studies were from single centers, of which nine were conducted in the USA and one in Israel. Seven were pre-post comparative studies and three were observational studies. Most included studies were of medium quality (80%). The most common primary outcome was admission temperatures and glucose. Five studies (n = 2308) reported improvements in the admission temperature and three studies (n = 2052) reported improvements in hypoglycemia after QI. Four studies (n = 907) showed that the incidence of bronchopulmonary dysplasia (BPD) was lower in preterm infants after QI: 106/408 (26.0%) vs. 122/424(29.5%) [OR = 0.68, 95% CI 0.48–0.97, p = 0.04]. Conclusions Our study showed that the golden hour QI bundle can improve the short-term and long-term outcomes for extremely preterm infants. There was considerable heterogeneity and deficiencies in the included studies, and the variation in impact on outcomes suggests the need to use standardized and validated measures. Future studies are needed to develop locally appropriate, high-quality, and replicable QI projects.https://doi.org/10.1186/s12887-024-04558-9Quality improvementGolden hourExtremely premature infantsExtremely low birth weight infantsScoping review |
| spellingShingle | Lijuan Sheng Guichao Zhong Ruirui Xing Xudong Yan Huanjin Cui Zhangbin Yu Quality improvement in the golden hour for premature infants: a scoping review BMC Pediatrics Quality improvement Golden hour Extremely premature infants Extremely low birth weight infants Scoping review |
| title | Quality improvement in the golden hour for premature infants: a scoping review |
| title_full | Quality improvement in the golden hour for premature infants: a scoping review |
| title_fullStr | Quality improvement in the golden hour for premature infants: a scoping review |
| title_full_unstemmed | Quality improvement in the golden hour for premature infants: a scoping review |
| title_short | Quality improvement in the golden hour for premature infants: a scoping review |
| title_sort | quality improvement in the golden hour for premature infants a scoping review |
| topic | Quality improvement Golden hour Extremely premature infants Extremely low birth weight infants Scoping review |
| url | https://doi.org/10.1186/s12887-024-04558-9 |
| work_keys_str_mv | AT lijuansheng qualityimprovementinthegoldenhourforprematureinfantsascopingreview AT guichaozhong qualityimprovementinthegoldenhourforprematureinfantsascopingreview AT ruiruixing qualityimprovementinthegoldenhourforprematureinfantsascopingreview AT xudongyan qualityimprovementinthegoldenhourforprematureinfantsascopingreview AT huanjincui qualityimprovementinthegoldenhourforprematureinfantsascopingreview AT zhangbinyu qualityimprovementinthegoldenhourforprematureinfantsascopingreview |