Evidence map›Paper›PMID 37532760›Full record

ArticleJournal of perinatology : official journal of the California Perinatal Association2023

A quality improvement initiative for neonatal hypoglycemia screening and management in a level III neonatal intensive care unit.

Whitley N Hulse, Krista Schulte, Victoria Eickelkamp-Marron, Hannah Redder, Jessica M Davidson, Belinda Chan, Carrie Torr, Tara L DuPont, Peter H Grubb

Abstract read
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In one paragraph

Article in Journal of perinatology : official journal of the California Perinatal Association, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. Improving timing of early neonatal hypoglycemia screening in the well-baby nursery.Journal of perinatology : official journal of the California Perinatal Association · 2026
    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.

Whitley N HulseDivision of Neonatology, Department of Pediatrics, University of Wisconsin School of Medicine and Public Health, Madison, WI, USA. whulse@wisc.edu.ORCID 0000-0002-5228-6501
Krista SchulteUniversity of Utah Hospital, Salt Lake City, UT, USA.
Victoria Eickelkamp-MarronDivision of Neonatology, Department of Pediatrics, University of Utah Health, Salt Lake City, UT, USA.
Hannah RedderUniversity of Utah Hospital, Salt Lake City, UT, USA.
Jessica M DavidsonDivision of Neonatology, Department of Pediatrics, University of Utah Health, Salt Lake City, UT, USA.ORCID 0000-0002-6150-5569
Belinda ChanDivision of Neonatology, Department of Pediatrics, University of Utah Health, Salt Lake City, UT, USA.
Carrie TorrDivision of Neonatology, Department of Pediatrics, University of Utah Health, Salt Lake City, UT, USA.ORCID 0000-0001-5791-8961
Tara L DuPontDivision of Neonatology, Department of Pediatrics, University of Utah Health, Salt Lake City, UT, USA.ORCID 0000-0002-1159-5279
Peter H GrubbDivision of Neonatology, Department of Pediatrics, University of Utah Health, Salt Lake City, UT, USA.ORCID 0000-0002-9544-7555

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo bring screening and management of neonatal hypoglycemia in alignment with the 2011 AAP hypoglycemia clinical report

methodsA multidisciplinary team developed a quality improvement initiative for neonatal hypoglycemia in neonates ≥35 weeks gestational age in a Level III neonatal intensive care unit between July 2020 and December 2021. A key driver diagram identified interventions for plan-do-study-act testing with corresponding measures to implement a hypoglycemia management protocol and improve adherence to AAP guidelines.

resultsTime to first blood glucose measurement increased from 49.8 to 122.7 min of life and time to first enteral feed decreased from 14.2 to 3.6 h of life. Neonates receiving intravenous dextrose decreased from 97.1 to 24.7% and discharge rates as a mother-neonate dyad increased from 35 to 62.4%.

conclusionsAdherence to the AAP guidelines improved during testing and implementation of a hypoglycemia protocol and was associated with an increased mother-neonate dyad discharge rate.

Indexed as

HypoglycemiaIntensive Care Units, NeonatalNeonatal ScreeningQuality ImprovementBlood GlucoseFemaleGlucoseGuideline AdherenceHumansInfant, NewbornMalePractice Guidelines as TopicBlood GlucoseGlucose

Identifiers

PMID37532760

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.