Delivery room management of extremely low birth weight infants in Italy: comparison between academic and non-academic birth centres.

Autor:	Mardegan V; a Department of Children and Women's Health , Medical School University of Padua , Padua , Italy ., Satariano I; a Department of Children and Women's Health , Medical School University of Padua , Padua , Italy ., Doglioni N; a Department of Children and Women's Health , Medical School University of Padua , Padua , Italy ., Criscoli G; b Italian Army - Signals and Information Technology HQ, C4 Systems Integration Development , Treviso , Italy ., Cavallin F; c Independent Statistician , Padua , Italy ., Gizzi C; d Neonatal Intensive Care Unit, Department of Pediatric and Neonatal, 'S. Giovanni Calibita' Fatebenefratelli Hospital - Isola Tiberina , Camilla Gizzi , Italy , Rome ., Martano C; e Neonatal Intensive Care Unit, Department of Pediatric, Medical School University of Turin , Torino , Italy ., Ciralli F; f Neonatal Intensive Care Unit, Department of Mother and Infant Science, Fondazione IRCCS Ca' Granda Ospedale Maggiore Policlinico, University of Milan , Milan , Italy ., Torielli F; g Neonatology Unit, University of Genova, Azienda Ospedaliera San Martino IRCCS - IST National Institute on Cancer Research , Genova , Italy ., Villani PE; h Neonatal Intensive Care Unit, Department of Maternal and Pediatric, Carlo Poma Hospital , Mantova , Italy ., Di Fabio S; i Neonatal Intensive Care Unit, Department of Mother and Infant Science 'San Salvatore' Hospital , L'aquila , Italy ., Quartulli L; j Neonatology Unit, 'a. Perrino' Hospital-ASL , Brindisi , Italy , and., Giannini L; k Department of Pediatric , Medical School University 'La Sapienza' Rome Azienda Ospedaliera Policlinico Umberto , Rome , Italy., Trevisanuto D; a Department of Children and Women's Health , Medical School University of Padua , Padua , Italy .
Jazyk:	angličtina
Zdroj:	The journal of maternal-fetal & neonatal medicine : the official journal of the European Association of Perinatal Medicine, the Federation of Asia and Oceania Perinatal Societies, the International Society of Perinatal Obstetricians [J Matern Fetal Neonatal Med] 2016; Vol. 29 (16), pp. 2592-5. Date of Electronic Publication: 2015 Oct 12.
DOI:	10.3109/14767058.2015.1094787
Abstrakt:	Objective: International Guidelines provide a standardised approach to newborn resuscitation in the DR and, in their most recent versions, recommendations dedicated to management of ELBWI were progressively increased. It is expected that introduction in clinical practice and dissemination of the most recent evidence should be more consistent in academic than in non-academic hospitals. The aim of the study was to compare adherence to the International Guidelines and consistency of practice in delivery room management of extremely low birth weight infants between academic and non-academic institutions. Methods: A questionnaire was sent to the directors of all Italian level III centres between April and August 2012. Results: There was a 92% (n = 98/107) response rate. Apart from polyethylene wrapping to optimise thermal control, perinatal management approach was comparable between academic and non-academic centres. Conclusions: There were minor differences in management of extremely low birth weight infants between Italian academic and non-academic institutions, apart from thermal management. Although there was a good, overall adherence to the International Guidelines for Neonatal Resuscitation, temperature management was not in accordance with official recommendations and every effort has to be done to improve this aspect.
Databáze:	MEDLINE
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