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Current practice of neonatal resuscitation documentation in North America: a multi-center retrospective chart review

Overview of attention for article published in BMC Pediatrics, November 2015
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Title
Current practice of neonatal resuscitation documentation in North America: a multi-center retrospective chart review
Published in
BMC Pediatrics, November 2015
DOI 10.1186/s12887-015-0503-8
Pubmed ID
Authors

Matthew S. Braga, Prakash Kabbur, Pradeep Alur, Michael H. Goodstein, Kari D. Roberts, Katie Satrom, Sandesh Shivananda, Ipsita Goswami, Mariann Pappagallo, Carrie-Ellen Briere, Gautham Suresh

Abstract

To determine the comprehensiveness of neonatal resuscitation documentation and to determine the association of various patient, provider and institutional factors with completeness of neonatal documentation. Multi-center retrospective chart review of a sequential sample of very low birth weight infants born in 2013. The description of resuscitation in each infant's record was evaluated for the presence of 29 Resuscitation Data Items and assigned a Number of items documented per record. Covariates associated with this Assessment were identified. Charts of 263 infants were reviewed. The mean gestational age was 28.4 weeks, and the mean birth weight 1050 g. Of the infants, 69 % were singletons, and 74 % were delivered by Cesarean section. A mean of 13.2 (SD 3.5) of the 29 Resuscitation Data Items were registered for each birth. Items most frequently present were; review of obstetric history (98 %), Apgar scores (96 %), oxygen use (77 %), suctioning (71 %), and stimulation (62 %). In our model adjusted for measured covariates, the institution was significantly associated with documentation. Neonatal resuscitation documentation is not standardized and has significant variation. Variation in documentation was mostly dependent on institutional factors, not infant or provider characteristics. Understanding this variation may lead to efforts to standardize documentation of neonatal resuscitation.

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Mendeley readers

The data shown below were compiled from readership statistics for 35 Mendeley readers of this research output. Click here to see the associated Mendeley record.

Geographical breakdown

Country Count As %
Unknown 35 100%

Demographic breakdown

Readers by professional status Count As %
Student > Bachelor 7 20%
Researcher 3 9%
Other 3 9%
Professor > Associate Professor 3 9%
Student > Doctoral Student 2 6%
Other 7 20%
Unknown 10 29%
Readers by discipline Count As %
Medicine and Dentistry 13 37%
Nursing and Health Professions 6 17%
Biochemistry, Genetics and Molecular Biology 1 3%
Social Sciences 1 3%
Unspecified 1 3%
Other 0 0%
Unknown 13 37%