Evidence map›Paper›PMID 22245743›Full record

ArticleResuscitation2012

Marked variation in newborn resuscitation practice: a national survey in the UK.

Chantelle Mann, Carole Ward, Mark Grubb, Barrie Hayes-Gill, John Crowe, Neil Marlow, Don Sharkey

Open access · hybridAbstract read
In one paragraph

Article in Resuscitation, 2012. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed, 1 pooled it
3.2field-weighted citation impact, top 8% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

11 citing papers in PubMed, 1 synthesis or guideline pooled it, 38 citations in OpenAlex.

  1. Pooled it
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  4. Oxygen supplementation in the delivery room: T-piece resuscitator cap open or occluded?Journal of perinatology : official journal of the California Perinatal Association · 2019
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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

7 authors at 2 institutions in 1 country.

Chantelle MannDivision of Academic Child Health, University of Nottingham, Nottingham, UK.
Carole Ward
Mark Grubb
Barrie Hayes-Gill
John Crowe
Neil Marlow
Don Sharkey
University of Nottingham · GBUniversity College London · GB

Funding

Department of HealthMedical Research Council MC_G0900866
6 · The paper itself

Abstract

backgroundAlthough international newborn resuscitation guidance has been in force for some time, there are no UK data on current newborn resuscitation practices.

objectiveEstablish delivery room (DR) resuscitation practices in the UK, and identify any differences between neonatal intensive care units (NICU), and other local neonatal services.

methodsWe conducted a structured two-stage survey of DR management, among UK neonatal units during 2009-2010 (n=192). Differences between NICU services (tertiary level) and other local neonatal services (non-tertiary) were analysed using Fisher's exact and Student's t-tests.

resultsThere was an 89% response rate (n=171). More tertiary NICUs institute DR CPAP than non-tertiary units (43% vs. 16%, P=0.0001) though there was no significant difference in frequency of elective intubation and surfactant administration for preterm babies. More tertiary units commence DR resuscitation in air (62% vs. 29%, P<0.0001) and fewer in 100% oxygen (11% vs. 41%, P<0.0001). Resuscitation of preterm babies in particular, commences with air in 56% of tertiary units. Significantly more tertiary units use DR pulse oximeters (58% vs. 29%, P<0.01) and titrate oxygen based on saturations. Almost all services use occlusive wrapping to maintain temperature for preterm infants.

conclusionsIn the UK, there are many areas of good evidence based DR practice. However, there is marked variation in management, including between units of different designation, suggesting a need to review practice to fulfil new resuscitation guidance, which will have training and resource implications.

Indexed as

Body TemperatureContinuous Positive Airway PressureDelivery RoomsHumansInfant, NewbornIntensive Care, NeonatalOxygen Inhalation TherapyResuscitationSurveys and QuestionnairesUnited Kingdom

Identifiers

PMID22245743
PMCPMC3350052
OpenAlexW2090587981

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.