Evidence map›Paper›PMID 34630783›Full record

ArticlePaediatrics & child health2021

Extremely low gestational age infants: Developing a multidisciplinary care bundle.

Emanuela Ferretti, Thierry Daboval, Nicole Rouvinez-Bouali, Sarah L Lawrence, Brigitte Lemyre

Open access · greenAbstract read
In one paragraph

Article in Paediatrics & child health, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
0.3field-weighted citation impact, top 37% 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

3 citing papers in PubMed, 5 citations in OpenAlex.

  1. Article
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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

5 authors at 1 institution in 1 country.

Emanuela FerrettiDepartment of Obstetrics, Gynecology and Newborn Care, The Ottawa Hospital, Ottawa, Ontario.
Thierry DabovalDepartment of Obstetrics, Gynecology and Newborn Care, The Ottawa Hospital, Ottawa, Ontario.ORCID https://orcid.org/0000-0002-5321-6193
Nicole Rouvinez-BoualiDepartment of Obstetrics, Gynecology and Newborn Care, The Ottawa Hospital, Ottawa, Ontario.
Sarah L LawrenceDepartment of Obstetrics, Gynecology and Newborn Care, The Ottawa Hospital, Ottawa, Ontario.
Brigitte LemyreDepartment of Obstetrics, Gynecology and Newborn Care, The Ottawa Hospital, Ottawa, Ontario.ORCID https://orcid.org/0000-0003-2743-0417
Children's Hospital of Eastern Ontario · CA

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundClinical experience in managing extremely low gestational age infants, particularly those born <24 weeks' gestation, is limited in Canada. Our goal was to develop a bedside care bundle for infants born <26 weeks' gestation, with special considerations for infants of <24 weeks, to harmonize and improve quality of care.

methodsWe created a multidisciplinary working group with experience in caring for preterm infants, searched the literature from 2000 to 2019 to identify best practices for the care of extremely preterm infants and consulted colleagues across Canada and internationally. Iterative improvements were made following the Plan-Do-Study-Act methodology.

resultsA care bundle, created in October 2015, was divided into three time periods: initial resuscitation/stabilization, the first 72 hours and days 4 to 7, with each period subdivided in 8 to 12 care themes. Revisions and practice changes were implemented to improve skin integrity, admission temperature, timing of initiation of feeds, reliability of transcutaneous CO

conclusionIt will be important to determine, with ongoing auditing and further evaluation, whether our care bundle led to improvements of short- and long-term outcomes in this population. Our experience may be useful to others caring for extremely low gestational age infants.

Indexed as

Care bundleExtremely low gestational ageNeonateQuality improvement

Identifiers

PMID34630783
PMCPMC8491076
OpenAlexW3112741747

What OpenQuestion holds

Textmetadata
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.