Current practice of neonatal resuscitation documentation in North America: A multicenter retrospective chart review (2024)

Braga, M. S., Kabbur, P., Alur, P., Goodstein, M. H., Roberts, K. D., Satrom, K., Shivananda, S., Goswami, I., Pappagallo, M., Briere, C. E. (2015). Current practice of neonatal resuscitation documentation in North America: A multicenter retrospective chart review. BMC Pediatrics, 15(1), Article 184. https://doi.org/10.1186/s12887-015-0503-8

Braga, Matthew S. ; Kabbur, Prakash ; Alur, Pradeep et al. / Current practice of neonatal resuscitation documentation in North America : A multicenter retrospective chart review. In: BMC Pediatrics. 2015 ; Vol. 15, No. 1.

@article{7740bd808a89465fb7e25831b6a35da3,

title = "Current practice of neonatal resuscitation documentation in North America: A multicenter retrospective chart review",

abstract = "Background: To determine the comprehensiveness of neonatal resuscitation documentation and to determine the association of various patient, provider and institutional factors with completeness of neonatal documentation. Methods: Multi-center retrospective chart review of a sequential sample of very low birth weight infants born in 2013. The description of resuscitation in each infant's record was evaluated for the presence of 29 Resuscitation Data Items and assigned a Number of items documented per record. Covariates associated with this Assessment were identified. Results: Charts of 263 infants were reviewed. The mean gestational age was 28.4 weeks, and the mean birth weight 1050 g. Of the infants, 69 % were singletons, and 74 % were delivered by Cesarean section. A mean of 13.2 (SD 3.5) of the 29 Resuscitation Data Items were registered for each birth. Items most frequently present were; review of obstetric history (98 %), Apgar scores (96 %), oxygen use (77 %), suctioning (71 %), and stimulation (62 %). In our model adjusted for measured covariates, the institution was significantly associated with documentation. Conclusions: Neonatal resuscitation documentation is not standardized and has significant variation. Variation in documentation was mostly dependent on institutional factors, not infant or provider characteristics. Understanding this variation may lead to efforts to standardize documentation of neonatal resuscitation.",

keywords = "Code documentation, Documentation, Neonatal documentation, Neonatal resuscitation, Neonatal resuscitation program",

author = "Braga, {Matthew S.} and Prakash Kabbur and Pradeep Alur and Goodstein, {Michael H.} and Roberts, {Kari D.} and Katie Satrom and Sandesh Shivananda and Ipsita Goswami and Mariann Pappagallo and Briere, {Carrie Ellen} and Gautham Suresh",

note = "Publisher Copyright: {\textcopyright} 2015 Braga et al.",

year = "2015",

month = nov,

day = "14",

doi = "10.1186/s12887-015-0503-8",

language = "English",

volume = "15",

journal = "BMC Pediatrics",

issn = "1471-2431",

publisher = "BioMed Central Ltd.",

number = "1",

}

Braga, MS, Kabbur, P, Alur, P, Goodstein, MH, Roberts, KD, Satrom, K, Shivananda, S, Goswami, I, Pappagallo, M, Briere, CE 2015, 'Current practice of neonatal resuscitation documentation in North America: A multicenter retrospective chart review', BMC Pediatrics, vol. 15, no. 1, 184. https://doi.org/10.1186/s12887-015-0503-8

Current practice of neonatal resuscitation documentation in North America: A multicenter retrospective chart review. / Braga, Matthew S.; Kabbur, Prakash; Alur, Pradeep et al.
In: BMC Pediatrics, Vol. 15, No. 1, 184, 14.11.2015.

Research output: Contribution to journal › Article › peer-review

TY - JOUR

T1 - Current practice of neonatal resuscitation documentation in North America

T2 - A multicenter retrospective chart review

AU - Braga, Matthew S.

AU - Kabbur, Prakash

AU - Alur, Pradeep

AU - Goodstein, Michael H.

AU - Roberts, Kari D.

AU - Satrom, Katie

AU - Shivananda, Sandesh

AU - Goswami, Ipsita

AU - Pappagallo, Mariann

AU - Briere, Carrie Ellen

AU - Suresh, Gautham

N1 - Publisher Copyright:© 2015 Braga et al.

PY - 2015/11/14

Y1 - 2015/11/14

N2 - Background: To determine the comprehensiveness of neonatal resuscitation documentation and to determine the association of various patient, provider and institutional factors with completeness of neonatal documentation. Methods: Multi-center retrospective chart review of a sequential sample of very low birth weight infants born in 2013. The description of resuscitation in each infant's record was evaluated for the presence of 29 Resuscitation Data Items and assigned a Number of items documented per record. Covariates associated with this Assessment were identified. Results: Charts of 263 infants were reviewed. The mean gestational age was 28.4 weeks, and the mean birth weight 1050 g. Of the infants, 69 % were singletons, and 74 % were delivered by Cesarean section. A mean of 13.2 (SD 3.5) of the 29 Resuscitation Data Items were registered for each birth. Items most frequently present were; review of obstetric history (98 %), Apgar scores (96 %), oxygen use (77 %), suctioning (71 %), and stimulation (62 %). In our model adjusted for measured covariates, the institution was significantly associated with documentation. Conclusions: Neonatal resuscitation documentation is not standardized and has significant variation. Variation in documentation was mostly dependent on institutional factors, not infant or provider characteristics. Understanding this variation may lead to efforts to standardize documentation of neonatal resuscitation.

AB - Background: To determine the comprehensiveness of neonatal resuscitation documentation and to determine the association of various patient, provider and institutional factors with completeness of neonatal documentation. Methods: Multi-center retrospective chart review of a sequential sample of very low birth weight infants born in 2013. The description of resuscitation in each infant's record was evaluated for the presence of 29 Resuscitation Data Items and assigned a Number of items documented per record. Covariates associated with this Assessment were identified. Results: Charts of 263 infants were reviewed. The mean gestational age was 28.4 weeks, and the mean birth weight 1050 g. Of the infants, 69 % were singletons, and 74 % were delivered by Cesarean section. A mean of 13.2 (SD 3.5) of the 29 Resuscitation Data Items were registered for each birth. Items most frequently present were; review of obstetric history (98 %), Apgar scores (96 %), oxygen use (77 %), suctioning (71 %), and stimulation (62 %). In our model adjusted for measured covariates, the institution was significantly associated with documentation. Conclusions: Neonatal resuscitation documentation is not standardized and has significant variation. Variation in documentation was mostly dependent on institutional factors, not infant or provider characteristics. Understanding this variation may lead to efforts to standardize documentation of neonatal resuscitation.

KW - Code documentation

KW - Documentation

KW - Neonatal documentation

KW - Neonatal resuscitation

KW - Neonatal resuscitation program

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U2 - 10.1186/s12887-015-0503-8

DO - 10.1186/s12887-015-0503-8

M3 - Article

C2 - 26572859

AN - SCOPUS:84946866854

SN - 1471-2431

VL - 15

JO - BMC Pediatrics

JF - BMC Pediatrics

IS - 1

M1 - 184

ER -

Braga MS, Kabbur P, Alur P, Goodstein MH, Roberts KD, Satrom K et al. Current practice of neonatal resuscitation documentation in North America: A multicenter retrospective chart review. BMC Pediatrics. 2015 Nov 14;15(1):184. doi: 10.1186/s12887-015-0503-8