Impact of teleneonatology on time to goal temperature in outborn neonates with hypoxic-ischemic encephalopathy requiring therapeutic hypothermia.

IF 2.4 3区医学 Q2 OBSTETRICS & GYNECOLOGY

Journal of Perinatology Pub Date : 2025-05-29 DOI:10.1038/s41372-025-02324-y

Mark Kaczor, Roland Hentz, Paul E Youssef, Anthony Fine, Jennifer Fang

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引用次数: 0

Abstract

Objective: We assessed whether teleneonatology reduces time to goal temperature and early neurologic morbidity or mortality in outborn neonates with hypoxic-ischemic encephalopathy (HIE) that required therapeutic hypothermia (TH).

Study design: This retrospective observational study included outborn neonates with HIE treated with TH. The exposure was teleneonatology consultation. The primary outcome was time from birth to goal temperature (33-34 °C). The secondary outcome was a composite of early neurologic morbidity and in-hospital mortality.

Results: Of the 77 neonates included in the study, 42 (55%) received teleneonatology consultations. Teleneonatology reduced time to goal temperature (mean ratio 0.76 [95% CI, 0.58, 0.99]). This was partially mediated by earlier transport team activation and more frequent initiation of passive cooling prior to transport team arrival. There was no difference in early neurologic morbidity or mortality.

Conclusions: Teleneonatology reduced time to goal temperature in outborn neonates with HIE requiring TH by expediting key steps in care processes.

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远程呼吸学对需要低温治疗的缺氧缺血性脑病的早产新生儿到达目标温度时间的影响。

目的：我们评估远程通气是否减少了需要低温治疗的缺氧缺血性脑病（HIE）早产新生儿达到目标温度的时间和早期神经系统发病率或死亡率。研究设计：这项回顾性观察性研究纳入了接受TH治疗的先天性HIE新生儿。暴露是远程呼吸学咨询。主要终点为从出生到目标温度（33-34°C）的时间。次要结局是早期神经系统发病率和住院死亡率的综合结果。结果：在纳入研究的77名新生儿中，42名（55%）接受了远程产科咨询。远程呼吸缩短了达到目标温度的时间（平均比值0.76 [95% CI, 0.58, 0.99]）。这部分是由于运输小组较早启动和在运输小组到达之前更频繁地启动被动冷却。在早期神经系统发病率和死亡率方面没有差异。结论：远程分娩通过加快护理过程中的关键步骤，缩短了需要TH的HIE早产新生儿达到目标温度的时间。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Journal of Perinatology 医学-妇产科学

CiteScore

5.40

自引率

6.90%

发文量

284

审稿时长

3-8 weeks

期刊介绍： The Journal of Perinatology provides members of the perinatal/neonatal healthcare team with original information pertinent to improving maternal/fetal and neonatal care. We publish peer-reviewed clinical research articles, state-of-the art reviews, comments, quality improvement reports, and letters to the editor. Articles published in the Journal of Perinatology embrace the full scope of the specialty, including clinical, professional, political, administrative and educational aspects. The Journal also explores legal and ethical issues, neonatal technology and product development. The Journal’s audience includes all those that participate in perinatal/neonatal care, including, but not limited to neonatologists, perinatologists, perinatal epidemiologists, pediatricians and pediatric subspecialists, surgeons, neonatal and perinatal nurses, respiratory therapists, pharmacists, social workers, dieticians, speech and hearing experts, other allied health professionals, as well as subspecialists who participate in patient care including radiologists, laboratory medicine and pathologists.