The Second Golden Hour

Hartmann, Frederike Vivien

Unterschiede in der Versorgung Frühgeborener in der zweiten Lebensstunde

dc.contributor.advisor	Paul, Thomas Prof. Dr.
dc.contributor.author	Hartmann, Frederike Vivien
dc.date.accessioned	2021-03-26T11:20:02Z
dc.date.available	2022-12-16T00:50:11Z
dc.date.issued	2021-03-26
dc.identifier.uri	http://hdl.handle.net/21.11130/00-1735-0000-0008-57D5-6
dc.identifier.uri	http://dx.doi.org/10.53846/goediss-8493
dc.language.iso	deu	de
dc.rights.uri	http://creativecommons.org/licenses/by-nc-nd/4.0/
dc.subject.ddc	610	de
dc.title	The Second Golden Hour	de
dc.title.alternative	Unterschiede in der Versorgung Frühgeborener in der zweiten Lebensstunde	de
dc.type	doctoralThesis	de
dc.title.translated	The Second Golden Hour	de
dc.contributor.referee	Bauerschmitz, Gerd-Johannes PD Dr.
dc.date.examination	2021-04-13
dc.description.abstracteng	Objectives As quality of care in the delivery room has major impact on outcome of preterm infants, multiple guidelines have been established in recent years. There is, however, little evidence on how to proceed during postdelivery room care, the time of transfer and admission to the neonatal intensive care unit (NICU). The aim of this study was to identify processes taking place during this period with potential impact on outcome. Study design Prospective observational study. Setting Single-centre German tertiary NICU. Patients 40 inborn preterm infants undergoing postdelivery room care. Main outcome Prevalence of prolonged duration of postdelivery room care, disconnections from the ventilator and positioning of preterm infants. Results TotaldurationofpostdeliveryroomcareandNICU admission procedures were shorter in infants transferred in a transport incubator compared with using a NICU care station from birth. Extremely low birth weight (ELBW) infants spend 8% of the time in prone position in contrast to 39% in non-ELBW. Total duration of disconnection from the ventilator was 50 s and was ten times longer in infants who had nasal CPAP compared with infants intratracheally intubated. Infants with nCPAP had longer duration of disconnection from the ventilator if body weight was >1000 g or if they were transferred in a transport incubator. Conclusions Multiple parameters like birth weight or type of transport affect neonatal care during the postdelivery room period. Prospective studies are needed to identify and optimise parameters within this period that affect long-term outcome.	de
dc.contributor.coReferee	Küster, Helmut Dr.
dc.title.alternativeTranslated	Differences in the care of preterm infants in the second hour of life	de
dc.subject.ger	Neonatology	de
dc.subject.ger	preterm infant	de
dc.subject.ger	Second Golden Hour	de
dc.subject.ger	postdelivery room care	de
dc.subject.eng	Neonatology	de
dc.subject.eng	preterm infant	de
dc.subject.eng	postdelivery room care	de
dc.subject.eng	Second Golden Hour	de
dc.identifier.urn	urn:nbn:de:gbv:7-21.11130/00-1735-0000-0008-57D5-6-9
dc.affiliation.institute	Medizinische Fakultät	de
dc.subject.gokfull	Pädiatrie, Neonatologie (PPN619876107)	de
dc.identifier.ppn	1752644050
dc.notes.externeng	These files are not accessible until the state exam has been completed.

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Human- und Zahnmedizin [2873]

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