Related Experiment Video

Updated: Jun 16, 2025

A Modified Sonographic Algorithm for Image Acquisition in Life-Threatening Emergencies in the Critically Ill Newborn
11:27

A Modified Sonographic Algorithm for Image Acquisition in Life-Threatening Emergencies in the Critically Ill Newborn

Published on: April 7, 2023

6.2K

Standardized Clinical Assessment and Management Plan Enhances Neonatal Outcomes in Prenatally Diagnosed Congenital

Lior Kashani Ligumsky1,2, Angela Desmond3, Vanessa Kirschner1

  • 1Division of Maternal Fetal Medicine, Department of Obstetrics and Gynecology, David Geffen School of Medicine, University of California Los Angeles, Los Angeles, CA, USA.

Pediatric Cardiology
|June 14, 2025
PubMed

Insights

Implementing a Standardized Clinical Assessment and Management Plan (SCAMP) for congenital heart disease (CHD) improved survival rates and reduced hospital stays for newborns. This standardized approach optimizes care for pregnancies complicated by fetal CHD.

Area of Science:

  • Perinatal Medicine
  • Neonatal Cardiology
  • Public Health Interventions

Background:

  • Congenital heart disease (CHD) is a major cause of newborn illness and death.
  • Optimizing birth timing and mode is crucial for managing pregnancies with fetal CHD.
  • Standardized protocols can improve outcomes in complex neonatal conditions.

Purpose of the Study:

  • To evaluate the impact of a Standardized Clinical Assessment and Management Plan (SCAMP) on neonatal outcomes in pregnancies with fetal CHD.
  • To assess changes in survival to hospital discharge, birth weight, and hospital length of stay after SCAMP implementation.
  • To compare outcomes between neonates with prenatally diagnosed CHD before and after SCAMP adoption.

Main Methods:

  • Retrospective cohort study comparing historical and intervention groups of neonates with prenatally diagnosed CHD.
  • Data collected from five University of California medical centers.
  • Statistical analyses included t-tests for continuous variables and chi-square tests for categorical variables.

Main Results:

  • Overall neonatal survival to discharge significantly increased post-SCAMP (91.1% vs. 83.1%, p=0.04).
  • Survival following cesarean birth improved (89.1% vs. 78.1%, p=0.04), with no significant difference for other birth modes.
  • Mean birth weight increased (2977g vs. 2838g, p=0.01), and hospital length of stay significantly decreased (11.5 vs. 26 days, p<0.01).

Conclusions:

  • SCAMP implementation is associated with improved neonatal survival rates for CHD-affected pregnancies.
  • Standardized perinatal management through SCAMP leads to better birth weights and shorter hospitalizations.
  • These findings highlight the value of standardized care pathways in optimizing outcomes for neonates with congenital heart disease.

Keywords:
Cesarean birthCongenital heart diseaseNeonatal outcomesPreterm birthStandardized Clinical Assessment and Management Plan (SCAMP)

More Related Videos

Hemodynamic Precision in the Neonatal Intensive Care Unit using Targeted Neonatal Echocardiography09:31

Hemodynamic Precision in the Neonatal Intensive Care Unit using Targeted Neonatal Echocardiography

Published on: January 27, 2023

882
Clinical Practice Protocol of Creative Music Therapy for Preterm Infants and Their Parents in the Neonatal Intensive Care Unit11:50

Clinical Practice Protocol of Creative Music Therapy for Preterm Infants and Their Parents in the Neonatal Intensive Care Unit

Published on: January 7, 2020

26.3K

Related Concept Videos

Planning Nursing Care I01:21

Planning Nursing Care I

The planning phase of the nursing process helps nurses set priorities, outline patient-centered goals and expected outcomes, and tailor nursing interventions to align with the aligned care plan. Through the planning phase, the nurse applies critical thinking skills to align and develop interventions according to the patient's needs. It provides continuity of care allowing patients to receive the maximum benefit from treatment. It serves as a pilot plan for allocating individual staff to a...
4.4K
Planning Nursing Care II01:29

Planning Nursing Care II

A nursing care plan can present in two forms: informal and formal. Informal is a care plan for the individual use of the nurse and goals they wish to accomplish during their shift. Informal care plans are not included in the patient chart. A formal nursing care plan is a written or computerized guide that organizes patient care. It is further subdivided into two: standardized and individualized care plans. Standardized care plans are pre-populated care plans for specific patient populations,...
2.6K
Nursing Diagnosis01:22

Nursing Diagnosis

Following assessment, a nursing diagnosis is the next step in the nursing process. It begins after the nurse has collected and recorded the patient data. The purpose of diagnosing is to identify how the client responds to actual or potential health processes, identify factors that bestow or that cause health problems, the etiologies, and identify resources or strengths the individual, group, or community can draw on to prevent or resolve problems.
The nursing diagnosis focuses on evidence-based...
2.7K
Methods of Documentation VI: Case Management Model01:15

Methods of Documentation VI: Case Management Model

The case management model is a multidisciplinary approach that involves healthcare professionals from diverse disciplines, such as physicians, nurses, therapists, social workers, and pharmacists, working collaboratively to address the various needs of patients. Each healthcare professional brings unique expertise and perspectives, contributing to a more comprehensive understanding of the patient's condition and tailoring treatment plans accordingly.
For example, a patient with a chronic...
564
Chronic Obstructive Pulmonary Disease-V: Nursing Management01:30

Chronic Obstructive Pulmonary Disease-V: Nursing Management

Nursing management of Chronic Obstructive Pulmonary Disease (COPD) is crucial for providing thorough care and support to patients. Nurses play an integral role in this process through detailed assessment, careful planning, targeted interventions, and ongoing evaluation. Here's an overview of the critical steps in nursing management for COPD.
Assessment
3.7K
Asthma-IV: Nursing Management01:30

Asthma-IV: Nursing Management

The nursing management of asthma is a comprehensive approach that relies heavily on the expertise and dedication of healthcare professionals. It involves thorough assessment, accurate diagnosis, strategic planning, effective implementation, and diligent evaluation. By meticulously following this step-by-step process, healthcare professionals play a crucial role in providing the best possible care and treatment for patients with asthma, enhancing their overall health and well-being.
First, in...
3.0K