{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,2,21]],"date-time":"2025-02-21T08:34:08Z","timestamp":1740126848524,"version":"3.37.3"},"reference-count":21,"publisher":"Georg Thieme Verlag KG","issue":"S 01","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Am J Perinatol"],"published-print":{"date-parts":[[2024,5]]},"abstract":"<jats:p>\n            Objective\u2003The objective of this study is to determine if a postresuscitation care (PRC) protocol in the well baby nursery (WBN) would improve identification of infants requiring neonatal intensive care unit (NICU) admission.<\/jats:p><jats:p>\n            Study Design\u2003This is a retrospective and prospective cohort study of a PRC protocol in 765 WBN admissions after delivery room (DR) resuscitation with continuous positive airway pressure and\/or positive pressure ventilation.<\/jats:p><jats:p>\n            Results\u2003After protocol initiation, NICU transfers during the birth hospitalization increased significantly (11.17 vs. 16.08%, p\u2009&lt;\u20090.05). There was no difference in incidence of NICU transfer (5.99 vs. 7.29%, pre-PRC vs. PRC, p\u2009=\u20090.47) during the first 4\u2009hours of life during protocol administration. Respiratory distress was the most common indication for NICU transfer in both cohorts (7.90 vs. 11.81%, p\u2009=\u20090.09, pre-PRC vs. PRC). Noninvasive positive pressure and\/or high-flow nasal cannula (5.72 vs. 9.55%, p\u2009=\u20090.06, pre-PRC vs. PRC) were routinely administered in the NICU to transferred infants.<\/jats:p><jats:p>\n            Conclusion\u2003After apparent recovery from DR resuscitation, WBN admissions experience significant risk of complications requiring NICU transfer, supporting Neonatal Resuscitation Program recommendation for enhanced monitoring. In our study, we demonstrated the feasibility of standardized PRC protocol in the WBN. NICU transfers increased after initiation of a PRC protocol; however, further studies are needed to confirm possible benefits of this PRC protocol in improving identification of infants requiring a higher level of care.<\/jats:p><jats:p>\n            Key Points\n          <\/jats:p>","DOI":"10.1055\/a-2068-6297","type":"journal-article","created":{"date-parts":[[2023,4,4]],"date-time":"2023-04-04T23:24:25Z","timestamp":1680650665000},"page":"e1717-e1724","source":"Crossref","is-referenced-by-count":0,"special_numbering":"S","title":["The Feasibility and Impact of a Postresuscitation Care Protocol in the Well Baby Nursery"],"prefix":"10.1055","volume":"41","author":[{"given":"Andy J.","family":"Reyes Santos","sequence":"additional","affiliation":[{"name":"Department of Pediatrics, Hackensack University Medical Center, Joseph M. Sanzari Children's Hospital, Hackensack Meridian Health Network, Hackensack, New Jersey"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Caroline","family":"Basta","sequence":"additional","affiliation":[{"name":"Department of Pediatrics, Hackensack University Medical Center, Joseph M. Sanzari Children's Hospital, Hackensack Meridian Health Network, Hackensack, New Jersey"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kristen Allyson","family":"Ramones","sequence":"additional","affiliation":[{"name":"Department of Pediatrics, Hackensack University Medical Center, Joseph M. 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