Neonatal Resuscitation Practices in Europe: A Survey of the Union of European Neonatal and Perinatal Societies.

Autor:	Trevisanuto D; Department of Woman's and Child's Health, University of Padova, Padova, Italy., Gizzi C; Department of Pediatrics, Ospedale Sandro Pertini, Rome, Italy.; Union of European Neonatal and Perinatal Societies (UENPS), Pisa, Italy., Gagliardi L; Division of Neonatology and Pediatrics, Ospedale Versilia, Viareggio, Azienda USL Toscana Nord Ovest, Pisa, Italy., Ghirardello S; Department of Pediatrics, Fondazione IRCCS Cà Granda Ospedale Maggiore Policlinico Milan, Milan, Italy., Di Fabio S; Department of Pediatrics, Ospedale San Salvatore, L'Aquila, Italy., Beke A; Union of European Neonatal and Perinatal Societies (UENPS), Pisa, Italy.; 1st Department of Obstetrics and Gynecology, Semmelweis University, Budapest, Hungary., Buonocore G; Union of European Neonatal and Perinatal Societies (UENPS), Pisa, Italy.; Department of Pediatrics, Azienda Ospedaliera Universitaria Senese, Siena, Italy., Charitou A; Union of European Neonatal and Perinatal Societies (UENPS), Pisa, Italy.; Department of Pediatrics, Rea Maternity Hospital, Athens, Greece., Cucerea M; Union of European Neonatal and Perinatal Societies (UENPS), Pisa, Italy.; Neonatology Department, University of Medicine Pharmacy Sciences and Technology 'George Emil Palade', Târgu Mures, Romania., Degtyareva MV; Union of European Neonatal and Perinatal Societies (UENPS), Pisa, Italy.; Department of Pediatrics, Pirogov Russian National Research Medical University, Moscow, Russian Federation., Filipović-Grčić B; Union of European Neonatal and Perinatal Societies (UENPS), Pisa, Italy.; Department of Pediatrics, University of Zagreb, School of Medicine, Zagreb, Croatia., Georgieva Jekova N; Union of European Neonatal and Perinatal Societies (UENPS), Pisa, Italy.; Department of Pediatrics, University Hospital 'Majchin dom', Sofia, Bulgaria., Koç E; Division of Neonatology, Department of Pediatrics, School of Medicine, Gazi University, Ankara, Turkey.; 1st Department of Obstetrics and Gynecology, Semmelweis University, Budapest, Hungary., Saldanha J; Union of European Neonatal and Perinatal Societies (UENPS), Pisa, Italy.; Department of Pediatrics, Hospital de Santa Maria, Lisbon, Portugal., Sanchez Luna M; Union of European Neonatal and Perinatal Societies (UENPS), Pisa, Italy.; Neonatology Division, Department of Pediatrics, Hospital General Universitario 'Gregorio Marañón', Madrid, Spain., Stoniene D; Union of European Neonatal and Perinatal Societies (UENPS), Pisa, Italy.; Department of Pediatrics, Lithuanian University of Health Sciences, Kaunas, Lithuania., Varendi H; Union of European Neonatal and Perinatal Societies (UENPS), Pisa, Italy.; Department of Pediatrics, Tartu University Hospital, Tartu, Estonia., Vertecchi G; Union of European Neonatal and Perinatal Societies (UENPS), Pisa, Italy., Mosca F; Department of Pediatrics, Fondazione IRCCS Cà Granda Ospedale Maggiore Policlinico Milan, Milan, Italy., Moretti C; Union of European Neonatal and Perinatal Societies (UENPS), Pisa, Italy.; Department of Pediatrics, Policlinico Umberto I, Sapienza University, Rome, Italy.
Jazyk:	angličtina
Zdroj:	Neonatology [Neonatology] 2022; Vol. 119 (2), pp. 184-192. Date of Electronic Publication: 2022 Jan 20.
DOI:	10.1159/000520617
Abstrakt:	Background: We aimed to evaluate the policies and practices about neonatal resuscitation in a large sample of European hospitals. Methods: This was a cross-sectional electronic survey. A 91-item questionnaire focusing on the current delivery room practices in neonatal resuscitation domains was individually sent to the directors of 730 European neonatal facilities or (in 5 countries) made available as a Web-based link. A comparison was made between hospitals with ≤2,000 and those with >2,000 births/year and between hospitals in 5 European areas (Eastern Europe, Italy, Mediterranean countries, Turkey, and Western Europe). Results: The response rate was 57% and included participants from 33 European countries. In 2018, approximately 1.27 million births occurred at the participating hospitals, with a median of 1,900 births/center (interquartile range: 1,400-3,000). Routine antenatal counseling (p < 0.05), the presence of a resuscitation team at all deliveries (p < 0.01), umbilical cord management (p < 0.01), practices for thermal management (p < 0.05), and heart rate monitoring (p < 0.01) were significantly different between hospitals with ≤2,000 births/year and those with >2,000 births/year. Ethical and educational aspects were similar between hospitals with low and high birth volumes. Significant variance in practice, ethical decision-making, and training programs were found between hospitals in 5 different European areas. Conclusions: Several recommendations about available equipment and clinical practices recommended by the international guidelines are already implemented by centers in Europe, but a large variance still persists. Clinicians and stakeholders should consider this information when allocating resources and planning European perinatal programs. (© 2022 S. Karger AG, Basel.)
Databáze:	MEDLINE
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