Further follow-up to assess long-term effects is warranted. ConclusionsĪ “Golden Hour” quality improvement intervention was of significant benefit for preterm neonates. There was trend towards reduction in early blood transfusion and ventilation duration. Admission temperatures improved significantly from a mean of 35.26 ☌ to 36.26 ☌ ( 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 were 194 infants in the intervention group and 194 controls. The infants admitted before and after implementation of the protocol were retrospectively compared in a matched case-control design.
Study designĪ 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. To evaluate the impact of a quality improvement intervention during the first hour of life (“Golden Hour”) on short-term preterm neonatal outcome.
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