Implementation of the Golden Hour for Preterm Infants : a Quality Improvement Study

Centre Hospitalier Universitaire de Liege50 enrolled

Overview

Effective initial stabilization of preterm neonates in the initial 60 minutes of life ("golden hour") was shown to improve outcomes. Keys components include anticipative and collaborative approach, respiratory support, thermal regulation and early initiation of parenteral nutrition. The objective is to complete the admission within 60 minutes of delivery.

Study Type

OBSERVATIONAL

Enrollment

Conditions

Premature Birth

Interventions

golden hour : an initial standardized stabilizationOTHER

This is a quality improvement project to evaluate the implementation of "Golden hour", a standardized stabilization during the first hour of life in inborn preterm infants younger than 31 weeks of gestational age or weighting less than 1300 g in the NICU of the University of Liege. There is no comparative arm.

Eligibility

Sex: ALLMax age: 1 Hour

Medical Language ↔ Plain English

Inclusion Criteria: * Premature infants (\< 31 weeks' gestation) * Infants with expected weight less than 1300 g * Inborn babies Exclusion Criteria: * Infants outborn * Infants with major congenital anomalies (laparoschisis, omphalocèle, diaphragmatic hernia, …) * Parental refusal

Locations (1)

CHU Liège

Liège, Belgium

RECRUITING

Outcomes

Primary Outcomes

Completion of the procedure : closing time of the incubator

Number of minutes of life at incubator closure

Time frame: 1 hour

Glycemia at admission and within 24 hours

blood glucose measurement on admission and then every 3 hours for the first 24 hours of life

Time frame: 24 hours

Thermal stability : temperature at admission and at the end of the procedure

Time frame: 1 hour

Mortality rate

Time frame: 3 months

Secondary Outcomes

Process of the procedure:

Number of minutes of life at initiation of parenteral nutrition, caffeine and antibiotics administration.

Time frame: 1 hour

Incidence of hypotension and bradycardia

Time frame: 1 hour

Intubation rate and duration of mechanical ventilation

Number of hours of mechanical ventilation

Time frame: 3 months

Need for surfactant administration and time of administration

Number of hours of life at surfactant administration

Time frame: 3 days

Comorbidities of prematurity: NEC, BPD, ROP, sepsis, PDA, cPVL, IVH

Time frame: 3 months

Duration of hospital stay (only if no transfer)

Central Contacts

Sophie Tribolet

CONTACT

003243215648 sophie.tribolet@chuliege.Be

Data from ClinicalTrials.gov

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