Evidence map›Paper›PMID 40148581›Full record

ArticleJournal of perinatology : official journal of the California Perinatal Association2025

Quality improvement initiative to decrease severe intraventricular hemorrhage rates in preterm infants by implementation of a care bundle.

Samantha D Peltola, Uduak S Akpan, Dmitry Tumin, Penni Huffman

Abstract read
In one paragraph

Article in Journal of perinatology : official journal of the California Perinatal Association, 2025. 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
–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

3 citing papers in PubMed.

  1. Article
  2. Review
  3. Review
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

4 authors.

Samantha D PeltolaCollege of Nursing, University of South Alabama, Mobile, AL, USA. samanthadpeltola@gmail.com.ORCID http://orcid.org/0009-0006-6638-8978
Uduak S AkpanBrody School of Medicine at East Carolina University, Greenville, NC, USA.ORCID http://orcid.org/0000-0002-3874-8271
Dmitry TuminBrody School of Medicine at East Carolina University, Greenville, NC, USA.
Penni HuffmanCollege of Nursing, University of South Alabama, Mobile, AL, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo decrease the incidence of severe Intraventricular Hemorrhage (sIVH) rates in preterm infants in a Neonatal Intensive Care Unit (NICU) to 10% over eight months. POPULATION: All infants born less than 30 gestational weeks.

methodsTargeted interventions focus on the first 72 h of life and include minimizing disturbance in cerebral blood flow and minimal stimulation. Data were collected from a review of electronic medical records from September 2023 - April 2024. OUTCOME MEASURES: A decrease in sIVH (grade III-IV), an increase in head-of-bed elevation rate, and an evaluation of pedal/pelvic edema due to head-of-bed elevation.

resultsThe rate of sIVH decreased over the eight-month implementation period from 24.4% in the baseline period to 9.3% in the intervention period.

conclusionStandardization of care using a sIVH prevention bundle was instrumental in the success of this project.

Indexed as

Cerebral HemorrhageCerebral Intraventricular HemorrhageInfant, Premature, DiseasesPatient Care BundlesQuality ImprovementFemaleGestational AgeHumansInfant, NewbornInfant, PrematureIntensive Care Units, NeonatalMaleRetrospective Studies

Identifiers

PMID40148581
PMCPMC12367532

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Registered trials

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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.