Premium
What clinical practice strategies have been shown to decrease incidence rates of intraventricular haemorrhage in preterm infants?
Author(s) -
Howes Alexander,
Hilditch Cathie,
Keir Amy
Publication year - 2019
Publication title -
journal of paediatrics and child health
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.631
H-Index - 76
eISSN - 1440-1754
pISSN - 1034-4810
DOI - 10.1111/jpc.14613
Subject(s) - medicine , incidence (geometry) , intraventricular hemorrhage , neonatal intensive care unit , cochrane library , clinical practice , medline , pediatrics , clinical significance , meta analysis , pregnancy , gestational age , family medicine , physics , biology , political science , law , optics , genetics
Aim To answer the clinical question ‘In infants about to be delivered and admitted to neonatal units, what clinical practice strategies, compared to standard care, have been shown to decrease incidence rates of intraventricular haemorrhage (IVH)?’ Methods MEDLINE via Ovid (1943 to 5 January 2018), Embase via Ovid (1974 to 5 January 2018) and the Cochrane Library (5 January 2018) were searched for relevant articles. Results A total of 478 articles, after the removal of duplicates, were found and screened by title and abstract. Forty full‐text articles were subsequently reviewed, and 19 were included as relevant to the structured clinical question. An additional article was included based on expert advice. Conclusion There are various levels of research evidence for clinical practice strategies to decrease the incidence rates of IVH. Higher‐quality evidence suggests that antenatal corticosteroids decrease the rates of IVH, and multiple evidence‐based intervention bundles implemented in the neonatal unit are associated with decreased rates of IVH.