{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,4]],"date-time":"2026-05-04T10:30:25Z","timestamp":1777890625889,"version":"3.51.4"},"reference-count":17,"publisher":"SAGE Publications","issue":"1","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["NPM"],"published-print":{"date-parts":[[2023,3,28]]},"abstract":"<jats:p>OBJECTIVE: To evaluate the implementation of a systematic approach to improve the resuscitation, stabilization, and admission of infants\u200a&lt;\u200a32 weeks gestation and also to ascertain its effect on organization, efficiency, and clinical outcomes during hospitalization. METHODS: Retrospective study involving a multidisciplinary team with checklists, role assignment, equipment organization, step by step protocol, and real time documentation for the care of infants\u200a&lt;\u200a32 weeks gestation in the delivery room to the neonatal intensive care unit. Pre-data collection (cases) period was from Aug, 2015 to July, 2017, and post-data collection(controls) period was from Aug, 2017 to Aug, 2019. RESULTS: 337 infants were included (179 cases; 158 controls). Increase surfactant use in the resuscitation room (41% vs. 27%, p\u200a=\u200a0.007) and reduction in median time to administer surfactant (34 minutes (range, 6\u2013120) vs. 74 minutes (range, 7\u2013120), p\u200a=\u200a0.001) observed in control-group. There was a significant reduction in incidence of bronchopulmonary dysplasia (27% vs. 39%), intraventricular hemorrhage (11% vs. 17%), severe retinopathy of prematurity (3% vs. 9%), and necrotizing enterocolitis (4% vs. 6%), however these results were not statistically significant after controlling for severity of illness. CONCLUSIONS: A systematic approach to the care of infants\u200a&lt;\u200a32 weeks gestation significantly improved mortality rates and reduced rates of comorbidities.<\/jats:p>","DOI":"10.3233\/npm-210881","type":"journal-article","created":{"date-parts":[[2022,12,30]],"date-time":"2022-12-30T11:43:36Z","timestamp":1672400616000},"page":"33-37","source":"Crossref","is-referenced-by-count":3,"title":["Improving delivery room and admission efficiency and outcomes for infants\u200a&lt;\u200a32 weeks: ELGAN+ (Extremely Low Gestational Age Neonate)"],"prefix":"10.1177","volume":"16","author":[{"given":"M.","family":"Hemingway","sequence":"first","affiliation":[{"name":"Department of Neonatology, Baylor Scott and White Health, Temple, Texas, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"M.","family":"Raju","sequence":"additional","affiliation":[{"name":"Department of Neonatology, Baylor Scott and White Health, Temple, Texas, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"N.","family":"Vora","sequence":"additional","affiliation":[{"name":"Department of Neonatology, Baylor Scott and White Health, Temple, Texas, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"V.","family":"Raju","sequence":"additional","affiliation":[{"name":"Department of Neonatology, Baylor Scott and White Health, Temple, Texas, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"L.H.","family":"Mallett","sequence":"additional","affiliation":[{"name":"Department of Neonatology, Baylor Scott and White Health, Temple, Texas, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"V.","family":"Govande","sequence":"additional","affiliation":[{"name":"Department of Neonatology, Baylor Scott and White Health, Temple, Texas, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","reference":[{"issue":"3","key":"10.3233\/NPM-210881_ref1","doi-asserted-by":"crossref","first-page":"151390","DOI":"10.1016\/j.semperi.2021.151390","article-title":"Preterm birth lifetime costs in the United States in 2016: An update","volume":"45","author":"Waitzman","year":"2021","journal-title":"Semin Perinatol"},{"issue":"6","key":"10.3233\/NPM-210881_ref2","doi-asserted-by":"crossref","first-page":"1337","DOI":"10.1213\/ANE.0000000000000705","article-title":"Outcomes for extremely premature infants","volume":"120","author":"Glass","year":"2015","journal-title":"Anesth Analg"},{"key":"10.3233\/NPM-210881_ref3","unstructured":"Institute of Medicine (US) Committee on Understanding Premature Birth and Assuring Healthy Outcomes. 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