Survey of Quaternary Neonatal Management of Posthemorrhagic Hydrocephalus.
Am J Perinatol
; 40(8): 883-892, 2023 06.
Article
en En
| MEDLINE
| ID: mdl-34293803
ABSTRACT
OBJECTIVE:
This study aimed to determine clinical care practices for infants at risk for posthemorrhagic hydrocephalus (PHH) across level IV neonatal intensive care units (NICUs). STUDYDESIGN:
Cross-sectional survey that addressed center-specific surveillance, neurosurgical intervention, and follow-up practices within the Children's Hospitals Neonatal Consortium.RESULTS:
We had a 59% (20/34 sites) response rate, with 10 sites having at least two participants. Respondents included neonatologists (53%) and neurosurgeons (35%). Most participants stated having a standard guideline for PHH (79%). Despite this, 42% of respondents perceive inconsistencies in management. Eight same-center pairs of neonatologists and neurosurgeons were used to determine response agreement. Half of these pairs disagreed on nearly all aspects of care. The greatest agreement pertained to a willingness to adopt a consensus-based protocol.CONCLUSION:
Practice variation in the management of infants at risk of PHH in level IV NICUs exists despite the perception that a common practice is available and used. KEY POINTS · Practice variation exists despite the perception that common practices are available/used for PHH.. · Our survey had same-center pairs of neonatologist and neurosurgeons to determine response agreement.. · The greatest agreement pertained to a willingness to adopt a consensus-based protocol..
Texto completo:
1
Base de datos:
MEDLINE
Asunto principal:
Recien Nacido Prematuro
/
Hidrocefalia
Tipo de estudio:
Guideline
/
Qualitative_research
/
Risk_factors_studies
Idioma:
En
Revista:
Am J Perinatol
Año:
2023
Tipo del documento:
Article