新生儿复苏实践和结果:建立DRIVE网络注册表
Elizabeth E Foglia1, Beena D Kamath-Rayne2, Arun Gupta3
1Division of Neonatology, Children's Hospital of Philadelphia, Philadelphia, PA, United States; Department of Pediatrics, University of Pennsylvania Perelman School of Medicine, Philadelphia, PA, United States.
Resuscitation
|December 24, 2025
概括
产房干预和评估 (DRIVE) 网络注册表显示,美国各医院新生儿复苏率存在显著差异. 这些数据强调了需要提高分娩室实践的质量.
科学领域:
- 新生儿科学 新生儿科学
- 儿科重症监护 儿科重症监护
- 医疗保健服务研究 医疗服务研究
背景情况:
- 对于美国各种分娩中心的新生儿复苏实践的了解有限.
- 需要一个标准化的系统来跟踪分娩室干预.
研究的目的:
- 建立一个强大的基础设施来描述现实世界的分娩室复苏.
- 提供有关新生儿复苏发生率,特征和结果的数据.
主要方法:
- 创建了交付室干预和评估 (DRIVE) 网络注册表.
- 包括接受持续正气道压力 (CPAP) 或更密集的干预的活产婴儿.
- 从10家创始医院收集了关于患者特征,干预措施和结果的标准化数据.
主要成果:
- 在39878名活产中,有6241名新生儿 (15.7%) 接受了复苏干预.
- 在早产婴儿 (孕期≤28周) 中,复苏率最高,并且随着妊娠年龄的增长而下降.
- 观察到医院级复苏率 (8-34%) 的显著变化,特别是在怀孕34-36周出生的婴儿中.
结论:
- 驱动网络注册表是一个新的多中心倡议.
- 登记数据显示出分娩室复苏实践的医院间变化.
- 这些发现将指导未来的研究和质量改善工作,以优化新生儿护理.
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