{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,8,31]],"date-time":"2025-08-31T23:18:39Z","timestamp":1756682319268,"version":"3.40.5"},"reference-count":21,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2019,6,22]],"date-time":"2019-06-22T00:00:00Z","timestamp":1561161600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["J Paediatrics Child Health"],"published-print":{"date-parts":[[2020,1]]},"abstract":"<jats:sec><jats:title>Aim<\/jats:title><jats:p>To determine if the routine use of automatically calculated birthweight centiles prior to discharge from the delivery unit is associated with improved adherence to the neonatal hypoglycaemia guideline.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>We conducted retrospective audits of adherence to the neonatal hypoglycaemia guideline in a tertiary maternity hospital in Auckland, New Zealand in a randomly selected cohort of newborn infants at risk of neonatal hypoglycaemia before (2011) and after (2015) the introduction of routine use of calculated birthweight centiles for all infants. The primary outcome was adherence to the guideline, defined as (i) blood glucose concentration screening in the first 48\u2009h after birth; (ii) the initial measurement taken 1\u20132 h after birth; and (iii) at least three consecutive blood glucose concentrations \u22652.6 mmol\/L, over 12\u2009h, prior to cessation of screening.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>The audits examined the records of 400 infants (200 each in 2011 and 2015) to determine guideline adherence. Adherence improved from 2011 to 2015 (59\/200 (30%) vs. 95\/200 (48%), <jats:italic>P<\/jats:italic>\u2009&lt;\u20090.001), with the largest improvement in large\u2010for\u2010gestational age infants (7\/50 (14%) vs. 25\/50 (50%), <jats:italic>P<\/jats:italic> = &lt;0.001). Screened infants whose care was adherent to the guideline had a higher incidence of hypoglycaemia detection (adherent, 64\/154 (42%) vs. non\u2010adherent, 34\/246 (14%), <jats:italic>P<\/jats:italic>\u2009&lt;\u20090.001).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>The routine use of calculated birthweight centiles was associated with improved adherence to the neonatal hypoglycaemia guideline and increased detection of neonatal hypoglycaemia in at\u2010risk infants. Thus, identifying practices that improve guideline adherence may improve the detection of hypoglycaemia in asymptomatic at\u2010risk infants.<\/jats:p><\/jats:sec>","DOI":"10.1111\/jpc.14544","type":"journal-article","created":{"date-parts":[[2019,6,22]],"date-time":"2019-06-22T12:20:24Z","timestamp":1561206024000},"page":"148-154","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":5,"title":["Adherence to neonatal hypoglycaemia guidelines: A retrospective cohort study"],"prefix":"10.1111","volume":"56","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-0874-6654","authenticated-orcid":false,"given":"Jane M","family":"Alsweiler","sequence":"first","affiliation":[{"name":"Department of Paediatrics: Child and Youth Health University of Auckland  Auckland New Zealand"},{"name":"Neonatal Intensive Care Unit Auckland City Hospital  Auckland New Zealand"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Leanora","family":"Gomes","sequence":"additional","affiliation":[{"name":"Neonatal Intensive Care Unit Auckland City Hospital  Auckland New Zealand"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Tess","family":"Nagy","sequence":"additional","affiliation":[{"name":"Department of Paediatrics: Child and Youth Health University of Auckland  Auckland New Zealand"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Catherine A","family":"Gilchrist","sequence":"additional","affiliation":[{"name":"Department of Paediatrics: Child and Youth Health University of Auckland  Auckland New Zealand"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Joanne E","family":"Hegarty","sequence":"additional","affiliation":[{"name":"Neonatal Intensive Care Unit Auckland City Hospital  Auckland New Zealand"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2019,6,22]]},"reference":[{"key":"e_1_2_7_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jpeds.2012.05.022"},{"key":"e_1_2_7_3_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.297.6659.1304"},{"key":"e_1_2_7_4_1","first-page":"07","article-title":"Association of neonatal glycemia with neurodevelopmental outcomes at 4.5 years","volume":"07","author":"McKinlay CJD","year":"2017","journal-title":"JAMA Pediatr."},{"key":"e_1_2_7_5_1","doi-asserted-by":"publisher","DOI":"10.1001\/jamapediatrics.2015.1631"},{"key":"e_1_2_7_6_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.pediatrneurol.2017.05.028"},{"key":"e_1_2_7_7_1","doi-asserted-by":"publisher","DOI":"10.1542\/peds.2010-3851"},{"key":"e_1_2_7_8_1","doi-asserted-by":"publisher","DOI":"10.1111\/jpc.12293"},{"key":"e_1_2_7_9_1","doi-asserted-by":"publisher","DOI":"10.1136\/archdischild-2016-310936"},{"key":"e_1_2_7_10_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1479-828X.2004.00272.x"},{"key":"e_1_2_7_11_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1440-1754.1996.tb00965.x"},{"key":"e_1_2_7_12_1","doi-asserted-by":"publisher","DOI":"10.1093\/pch\/9.10.723"},{"key":"e_1_2_7_13_1","unstructured":"Queensland Clinical Guidelines.Neonatal Hypoglycaemia. Guideline No. MN13.8\u2010V5\u2010R18. Brisbane: Queensland Health; 2013. Available from:http:\/\/www.health.qld.gov.au\/qcg. [accessed 9 April 2019]."},{"key":"e_1_2_7_14_1","doi-asserted-by":"publisher","DOI":"10.1136\/archdischild-2016-311473"},{"key":"e_1_2_7_15_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jpeds.2015.10.066"},{"key":"e_1_2_7_16_1","doi-asserted-by":"publisher","DOI":"10.1056\/NEJMoa1504909"},{"key":"e_1_2_7_17_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jpeds.2015.03.057"},{"key":"e_1_2_7_18_1","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pmed.1002155"},{"key":"e_1_2_7_19_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12887-015-0440-6"},{"key":"e_1_2_7_20_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(03)14546-1"},{"key":"e_1_2_7_21_1","unstructured":"British Association of Perinatal Medicine.Identification and Management of Neonatal Hypocycaemia in the Full Term Infant: Framework for Practice. 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