RT Journal Article
T1 [Care of the newborn with perinatal asphyxia candidate for therapeutic hypothermia during the first six hours of life in Spain].
T2 Asistencia en España del recién nacido con asfixia perinatal candidato a hipotermia terapéutica durante las primeras seis horas de vida.
A1 Arnaez, Juan
A1 Garcia-Alix, Alfredo
A1 Calvo, Sara
A1 Lubián-López, Simón
A1 Grupo de Trabajo ESP-EHI, 
K1 Asfixia
K1 Asphyxia
K1 España
K1 Golden hours
K1 Hipotermia terapéutica
K1 Hipoxia-isquemia
K1 Horas de oro
K1 Hypoxia-ischaemia
K1 Induced hypothermia
K1 Newborn
K1 Recién nacido
K1 Spain
AB The process of care and assistance from birth to the starting of therapeutic hypothermia (TH) is crucial in order to improve its effectiveness and prevent the worsening of hypoxic-ischaemic injury. A national cross-sectional study carried out in 2015 by use of a questionnaire sent to all level iii units on the care of the newborn≥35 weeks gestation within the first hours of life after a perinatal asphyxia event. According to clinical practice guidelines, the quality of care was compared between the hospitals that carried out or did not carry out TH, and according to the level of care. A total of 89/90 hospitals participated, of which 57/90 performed TH. They all used resuscitation protocols and turned off the radiant warmer after stabilisation. All of them performed glucose and blood gas analysis, monitored the central temperature, put the newborn on a diet, and performed at least two examinations for the diagnosis of hypoxic-ischaemic encephalopathy. Greater than one-third (35%) of hospitals did not have amplitude-integrated electroencephalogram, and 6/57 were TH-hospitals. The quality of care among hospitals with and without TH was similar, childbirth being better in those that performed TH, and those with a higher level of care. Level IIIc hospitals had higher scores than the others. The TH-hospitals mentioned not always having neonatologists with experience in neurological assessment and interpretation of amplitude-integrated electroencephalogram (25%), or in brain ultrasound (62%). In response to the recommendations of the asphyxiated newborn, there is a proper national health care standard with differences according to the level of care and whether TH is offered. More amplitude-integrated electroencephalogram devices are necessary, as well as more neonatologists trained in the evaluations that will be require by the newborn with hypoxic-ischaemic encephalopathy.
YR 2017
FD 2017-12-11
LK http://hdl.handle.net/10668/11908
UL http://hdl.handle.net/10668/11908
LA es
DS RISalud
RD Apr 8, 2025