A Quality Improvement Bundle to Improve Outcomes in Extremely Preterm Infants in the First Week.

ABSTRACT:

Objectives

Our objective with this quality improvement initiative was to reduce rates of severe intracranial hemorrhage (ICH) or death in the first week after birth among extremely preterm infants.

Methods

The quality improvement initiative was conducted from April 2014 to September 2020 at the University of Alabama at Birmingham's NICU. All actively treated inborn extremely preterm infants without congenital anomalies from 22 + 0/7 to 27 + 6/7 weeks' gestation with a birth weight ≥400 g were included. The primary outcome was severe ICH or death in the first 7 days after birth. Balancing measures included rates of acute kidney injury and spontaneous intestinal perforation. Outcome and process measure data were analyzed by using p-charts.

Results

We studied 820 infants

SUBMITTER: Travers CP 

PROVIDER: S-EPMC9677934 | biostudies-literature | 2022 Feb

REPOSITORIES: biostudies-literature