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Published on: April 7, 2023
24/7 in house attending staff coverage improves neonatal short-term outcomes: A retrospective study
Brahim Bensouda1, Jessica Boucher1, Romain Mandel1
1Maisonneuve Rosemont Hospital, University of Montreal, Quebec, Canada.
Objectives:
to compare short-term outcomes of newborns over 36 weeks with Apgar scores≤3 at 1min, following the adoption of a 24/7 in house coverage schedule STUDY DESIGN: A retrospective chart review comparing two 12-month epochs. Epoch 1: coverage provided by residents with availability on call at home of attending staff. Epoch 2: On site coverage by attending staff.
Results:
71 and 60 charts were reviewed from Epoch 1 and 2 respectively. The number of infants receiving chest compressions was reduced during Epoch 2 (from 19% to 1.6%, p<0.0001). The proportion of infants admitted to the NICU (81% vs 61%, p<0.01), and the median length of stay in hospital (61 vs 48h, p=0.03) were significantly reduced in Epoch 2.
Conclusion(S):
Continuous coverage by attending staff decreased the number of admissions to intensive care as well as the duration of hospitalization stay for newborns with low Apgar scores.
