Your browser doesn't support javascript.
loading
A Hybrid Form of Telemedicine and Quality Improvement: A Unique Way to Extend Intensive Care Services to Neonates.
Agarwal, Nikita; Anand, Rohit; Jindal, Atul; Varghese, Anjali Rachel; Gajjala, Chandana; Ryavanki, Sridhar Prahlad; Singh, Gajendra.
Afiliación
  • Agarwal N; Department of Pediatrics, All India Institute of Medical Sciences, Raipur, Chhattisgarh, 492099, India.
  • Anand R; Department of Neonatology, All India Institute of Medical Sciences, Raipur, Chhattisgarh, India.
  • Jindal A; Department of Pediatrics, All India Institute of Medical Sciences, Raipur, Chhattisgarh, 492099, India. dratuljindal@gmail.com.
  • Varghese AR; Department of Pediatrics, All India Institute of Medical Sciences, Raipur, Chhattisgarh, 492099, India.
  • Gajjala C; Department of Pediatrics, All India Institute of Medical Sciences, Raipur, Chhattisgarh, 492099, India.
  • Ryavanki SP; Health Specialist, UNICEF Field Office for Andhra Pradesh, Karnataka and Telangana, UNICEF, Hyderabad, India.
  • Singh G; Health Specialist, UNICEF Raipur Office, UNICEF, Raipur, India.
Indian J Pediatr ; 2024 Jul 15.
Article en En | MEDLINE | ID: mdl-39007957
ABSTRACT

OBJECTIVES:

To evaluate the impact of hybrid support (tele-mentoring and conventional support) on adverse outcome among neonates admitted to 10 special newborn care units (SNCUs) in Chhattisgarh.

METHODS:

This before-and-after study was conducted at 10 SNCUs in Chhattisgarh in 2022. Conventional support was given earlier and later, that was supplemented with tele-rounds which were carried out using Skype technology. The principal investigator (PI) visited each unit for one day per month to kickstart quality improvement (QI) projects and provide guidance. Patient outcome data were collected on clinical sepsis proportion, IV fluid usage, antibiotic usage, length of stay, referral and mortality.

RESULTS:

A total of 2807 babies across 10 units were assessed. This was retrospectively correlated with 5169 babies in these units in the year before the intervention was started. The percentage of clinical neonatal sepsis cases decreased from 53.4% to 29.4% (P < 0.05). IV fluid usage dropped from 40% to 22.2% (P < 0.05). The initiation and continuation of kangaroo mother care (KMC) increased from 55.5% to 93.8% (P < 0.05). The average length of stay decreased from 5.5 ± 0.97 d to 4 ± 0.2 d (P < 0.05). Oxygen utilization decreased from 39.3% to 33.6% (P < 0.05). The proportion of antibiotic usage decreased from 50.2% to 39.7% (P < 0.05). The mortality rate decreased from 8.18% to 6.99% (P < 0.05). Referral rate decreased from 13.12% to 11.93% (P < 0.05).

CONCLUSIONS:

The implementation of a QI package through hybrid support, which includes tele-mentoring, supportive supervision visits, and local QI project advocacy, proves to be an effective approach in enhancing newborn intensive care.
Palabras clave
Texto completo
Añadir a Mi BVS
Imprimir
XML
PubMed Links
Buscar en Google

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Idioma: En Revista: Indian J Pediatr Año: 2024 Tipo del documento: Article País de afiliación: India Pais de publicación: India
Texto completo
Añadir a Mi BVS
Imprimir
XML
PubMed Links
Buscar en Google

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Idioma: En Revista: Indian J Pediatr Año: 2024 Tipo del documento: Article País de afiliación: India Pais de publicación: India