Evidence map›Paper›PMID 28880259›Full record

ArticleJournal of perinatology : official journal of the California Perinatal Association2017

Management of asymptomatic neonates born in the setting of chorioamnionitis: a safety comparison of the well-baby and intensive care setting.

D Peterson, S B Hoffman, D El-Metwally, M Martino-Gomez, D R Chinta, C Hughes Driscoll

Abstract readEvaluation Study
PubMed Publisher
In one paragraph

Article in Journal of perinatology : official journal of the California Perinatal Association, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact
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

2 citing papers in PubMed.

  1. Impact of early-onset sepsis guidelines on breastfeeding.Journal of perinatology : official journal of the California Perinatal Association · 2021
    Article
  2. 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

6 authors.

D PetersonUniversity of Maryland School of Medicine, Office of Student Affairs, Baltimore, MD, USA.
S B HoffmanUniversity of Maryland School of Medicine, Department of Pediatrics, Baltimore, MD, USA.
D El-MetwallyUniversity of Maryland School of Medicine, Department of Pediatrics, Baltimore, MD, USA.
M Martino-GomezUniversity of Maryland School of Medicine, Department of Pediatrics, Baltimore, MD, USA.
D R ChintaUniversity of Maryland School of Medicine, Department of Pediatrics, Baltimore, MD, USA.
C Hughes DriscollUniversity of Maryland School of Medicine, Department of Pediatrics, Baltimore, MD, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundEvaluate the safety of a change in care setting for asymptomatic neonates born to mothers with chorioamnionitis from the neonatal intensive care unit to the well baby nursery.Local problem:The neonatal intensive care unit evaluation and management of babies born to mothers with chorioamionitis often involves separation of the mother-baby dyad and more invasive interventions.

methodsA single-center pre/post-intervention study of neonates born from January 2011 to November 2016, comparing safety outcomes in the neonatal intensive care unit (pre-intervention) and well baby nursery (post-intervention), following initiation of a triage protocol.

interventionsA protocolized, systematic change was done in the practice location.

resultsGroups were similar for time to first antibiotic administration, sepsis symptom development and positive blood cultures. Length of stay (median 73.5 vs 64.4 h, P=0.0192) and % of neonates with intravenous fluid exposure (50.4% vs 7.6%, P<0.0001) were lower in the post-intervention group. Exclusive breastfeeding rates improved (pre-7.3% vs post-46.1%, P<0.0001).

conclusionsAsymptomatic neonates born to mothers with chorioamnionitis were safely treated in a well baby nursery under the guidance of a protocol for triage, thereby reducing NICU exposure for these neonates.

Indexed as

Patient SafetyAdultAnti-Bacterial AgentsAntibiotic ProphylaxisAsymptomatic DiseasesBreast FeedingChorioamnionitisFemaleHumansInfant, NewbornIntensive Care Units, NeonatalLongitudinal StudiesMalePregnancyRetrospective StudiesYoung AdultAnti-Bacterial Agents

Identifiers

PMID28880259

What OpenQuestion holds

Textmetadata
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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.