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Assessment of temporal variations in adherence to NRP using video recording in the delivery room
INTRODUCTION: Video recording and video evaluation tools have been successfully used to evaluate neonatal resuscitation performance. The objective of our study was to evaluate differences in Neonatal Resuscitation Program (NRP) adherence at time of birth between three temporal resuscitative periods...
Autores principales: | , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Elsevier
2021
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8427318/ https://www.ncbi.nlm.nih.gov/pubmed/34522904 http://dx.doi.org/10.1016/j.resplu.2021.100162 |
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author | Sloane, Amy J. Kenaley, Kaitlin M. Favara, Michael T. |
author_facet | Sloane, Amy J. Kenaley, Kaitlin M. Favara, Michael T. |
author_sort | Sloane, Amy J. |
collection | PubMed |
description | INTRODUCTION: Video recording and video evaluation tools have been successfully used to evaluate neonatal resuscitation performance. The objective of our study was to evaluate differences in Neonatal Resuscitation Program (NRP) adherence at time of birth between three temporal resuscitative periods using scored video recordings. METHODS: This is a retrospective review of in-situ resuscitation video recordings from a level 3 perinatal center between 2017 and 2018. The modified Neonatal Resuscitation Assessment (mNRA) scoring tool was used as a surrogate marker to assess NRP adherence during daytime, evening, and nighttime hours. RESULTS: A total of 260 resuscitations, of which 258 were births via Cesarean section, were assessed. mNRA composite scores were 86.2% during daytime hours, 87% during evening hours, and 86.6% during nighttime hours. There were no significant differences in mNRA composite scores between any of the three time periods. Differences remained statistically similar after controlling for complexity of resuscitations with administration of positive pressure ventilation (PPV), intubation, or chest compressions. CONCLUSION: Overall adherence to NRP, as measured by composite mNRA scores as a surrogate marker, was high across all three daily resuscitative periods without significant differences between daytime, evening, and nighttime hours. |
format | Online Article Text |
id | pubmed-8427318 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2021 |
publisher | Elsevier |
record_format | MEDLINE/PubMed |
spelling | pubmed-84273182021-09-13 Assessment of temporal variations in adherence to NRP using video recording in the delivery room Sloane, Amy J. Kenaley, Kaitlin M. Favara, Michael T. Resusc Plus Clinical Paper INTRODUCTION: Video recording and video evaluation tools have been successfully used to evaluate neonatal resuscitation performance. The objective of our study was to evaluate differences in Neonatal Resuscitation Program (NRP) adherence at time of birth between three temporal resuscitative periods using scored video recordings. METHODS: This is a retrospective review of in-situ resuscitation video recordings from a level 3 perinatal center between 2017 and 2018. The modified Neonatal Resuscitation Assessment (mNRA) scoring tool was used as a surrogate marker to assess NRP adherence during daytime, evening, and nighttime hours. RESULTS: A total of 260 resuscitations, of which 258 were births via Cesarean section, were assessed. mNRA composite scores were 86.2% during daytime hours, 87% during evening hours, and 86.6% during nighttime hours. There were no significant differences in mNRA composite scores between any of the three time periods. Differences remained statistically similar after controlling for complexity of resuscitations with administration of positive pressure ventilation (PPV), intubation, or chest compressions. CONCLUSION: Overall adherence to NRP, as measured by composite mNRA scores as a surrogate marker, was high across all three daily resuscitative periods without significant differences between daytime, evening, and nighttime hours. Elsevier 2021-09-06 /pmc/articles/PMC8427318/ /pubmed/34522904 http://dx.doi.org/10.1016/j.resplu.2021.100162 Text en © 2021 The Authors https://creativecommons.org/licenses/by-nc-nd/4.0/This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/). |
spellingShingle | Clinical Paper Sloane, Amy J. Kenaley, Kaitlin M. Favara, Michael T. Assessment of temporal variations in adherence to NRP using video recording in the delivery room |
title | Assessment of temporal variations in adherence to NRP using video recording in the delivery room |
title_full | Assessment of temporal variations in adherence to NRP using video recording in the delivery room |
title_fullStr | Assessment of temporal variations in adherence to NRP using video recording in the delivery room |
title_full_unstemmed | Assessment of temporal variations in adherence to NRP using video recording in the delivery room |
title_short | Assessment of temporal variations in adherence to NRP using video recording in the delivery room |
title_sort | assessment of temporal variations in adherence to nrp using video recording in the delivery room |
topic | Clinical Paper |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8427318/ https://www.ncbi.nlm.nih.gov/pubmed/34522904 http://dx.doi.org/10.1016/j.resplu.2021.100162 |
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