| Autor: |
Elsa Fiedrich, John Montpetit, James N. Scott, Prashanth Murthy, Khorshid Mohammad, Renee Paul, Salma Dossani, Kaley Kopores, Dinesh Dharel, Derek Kowal, Michael J. Esser, Hussein Zein, Essa Al Awad, Ayman Abou Mehrem, Sumesh Thomas |
| Rok vydání: |
2020 |
| Předmět: |
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| Zdroj: |
Paediatr Child Health |
| ISSN: |
1205-7088 |
| Popis: |
Aim To evaluate the impact of outreach education targeting neuroprotection on outcomes of outborn infants with moderate-to-severe hypoxic ischemic encephalopathy (HIE). Methods A retrospective cohort study of infants admitted with moderate-to-severe HIE was conducted following the implementation of outreach education in January 2016. Key interventions were early identification and referral of infants with encephalopathy utilizing telemedicine and a centralized communication system, hands-on simulation, and interactive case discussion and dissemination of clinical management guidelines and educational resources. The association between the intervention and a composite outcome of death and/or severe brain injury on brain magnetic resonance imaging (MRI) was tested controlling for the confounding factors. Results Of 165 neonates, 37 (22.4%) died and/or had a severe brain injury. This outcome decreased from 35% (27/77) to 11% (10/88) following the implementation of outreach education (P Conclusion Outreach education targeting neuroprotection for infants with moderate-to-severe HIE was associated with a reduction in death and/or severe brain injury. |
| Databáze: |
OpenAIRE |
| Externí odkaz: |
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