Evidence map›Paper›PMID 27623808›Full record

ArticleBMC pediatrics2016

A quality improvement initiative for delayed umbilical cord clamping in very low-birthweight infants.

Jeff Bolstridge, Tracy Bell, Barbara Dean, Amy Mackley, Gina Moore, Cheryl Swift, Dina Viscount, David A Paul, Stephen A Pearlman

Open access · goldAbstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in BMC pediatrics, 2016. 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
3.3field-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, 32 citations in OpenAlex.

  1. Pooled it
  2. Trial
  3. Article
  4. Article
  5. Review
  6. Article
  7. Review
  8. Review
  9. Clinical aspects of incorporating cord clamping into stabilisation of preterm infants.Archives of disease in childhood. Fetal and neonatal edition · 2018
    Review
  10. Article
  11. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors at 1 institution in 1 country.

Jeff BolstridgeDepartment of Neonatology, Christiana Care Health System, 4755 Ogletown Stanton Rd, Suite 217, MAP I, Newark, DE, 19718, USA. jeffrey.m.bolstridge.mil@mail.mil.ORCID 0000-0003-2151-0360
Tracy BellDepartment of Neonatology, Christiana Care Health System, 4755 Ogletown Stanton Rd, Suite 217, MAP I, Newark, DE, 19718, USA.
Barbara DeanDepartment of Neonatology, Christiana Care Health System, 4755 Ogletown Stanton Rd, Suite 217, MAP I, Newark, DE, 19718, USA.
Amy MackleyDepartment of Neonatology, Christiana Care Health System, 4755 Ogletown Stanton Rd, Suite 217, MAP I, Newark, DE, 19718, USA.
Gina MooreDepartment of Neonatology, Christiana Care Health System, 4755 Ogletown Stanton Rd, Suite 217, MAP I, Newark, DE, 19718, USA.
Cheryl SwiftDepartment of Neonatology, Christiana Care Health System, 4755 Ogletown Stanton Rd, Suite 217, MAP I, Newark, DE, 19718, USA.
Dina ViscountDepartment of Neonatology, Christiana Care Health System, 4755 Ogletown Stanton Rd, Suite 217, MAP I, Newark, DE, 19718, USA.
David A PaulDepartment of Neonatology, Christiana Care Health System, 4755 Ogletown Stanton Rd, Suite 217, MAP I, Newark, DE, 19718, USA.
Stephen A PearlmanDepartment of Neonatology, Christiana Care Health System, 4755 Ogletown Stanton Rd, Suite 217, MAP I, Newark, DE, 19718, USA.
Christiana Care Health System · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundDue to clinical benefits, delayed cord clamping (DCC) is recommended in infants born before 37 weeks gestational age. The objective was to institute a delayed cord clamping program and to evaluate clinical outcomes one year after initiation.

methodsThis study occured at Christiana Care Health System, a tertiary care facility with a 52 bed level 3 Neonatal Intensive Care Unit (NICU). A multidisciplinary team created a departmental policy, a DCC protocol and educational programs to support the development of a DCC program. A year after initiation of DCC, we evaluated two cohorts of very low birth weight (VLBW) infants (<1500 g) prior to (Cohort 1) and after initiation (Cohort 2) of DCC (n = 136 and n = 142 respectively). Chart review was conducted to evaluate demographic data and clinical outcomes. Analysis was completed with a retrospective, cohort analysis on an intention-to-treat basis.

resultsThere were no differences in demographic factors between the two cohorts. We demonstrated a 73 % compliance rate with the delayed cord clamping protocol and a decrease in the percentage of VLBW infants requiring red blood cell transfusion from 53.7 to 35.9 % (p = 0.003). We also found a decreased need for respiratory support in the second cohort with no increases in the balancing measures of admission hypothermia and jaundice requiring phototherapy. During the Control Phase ongoing monitoring and education has led to a 93.7 % compliance rate.

conclusionsA multidisciplinary team including key leadership from the obstetric and pediatric departments allowed for the rapid and safe implementation of DCC.

Indexed as

Infant, PrematureInfant, Very Low Birth WeightQuality ImprovementUmbilical CordConstrictionFemaleGuideline AdherenceHumansInfant, NewbornIntention to Treat AnalysisMalePatient Care TeamPerinatal CarePractice Guidelines as TopicRetrospective StudiesDelayed cord clampingNeonatal blood transfusion

Identifiers

PMID27623808
PMCPMC5022231
OpenAlexW2519162730

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.