Evaluation of 'Try' an algorithm for neonatal cpap in low-income settings (Record no. 76618)
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| fixed length control field | 02530cam a2200169 4500 |
| 001 - CONTROL NUMBER | |
| control field | NMDX7846 |
| 008 - FIXED-LENGTH DATA ELEMENTS--GENERAL INFORMATION | |
| fixed length control field | 120401t2018 xxu||||| |||| 00| 0 eng d |
| 100 ## - MAIN ENTRY--PERSONAL NAME | |
| Personal name | Crehan, C. |
| 240 ## - UNIFORM TITLE | |
| Uniform title | <a href="Archives of Disease in Childhood">Archives of Disease in Childhood</a> |
| 245 ## - TITLE STATEMENT | |
| Title | Evaluation of 'Try' an algorithm for neonatal cpap in low-income settings |
| 260 ## - PUBLICATION, DISTRIBUTION, ETC. (IMPRINT) | |
| Date of publication, distribution, etc. | 2018 |
| 500 ## - GENERAL NOTE | |
| General note | NMUH Staff Publications |
| 500 ## - GENERAL NOTE | |
| General note | EMBASE |
| 500 ## - GENERAL NOTE | |
| General note | 103 |
| 520 ## - SUMMARY, ETC. | |
| Summary, etc. | <span style="font-size: 10pt;"><span style="color: #4a4a4a; font-family: Lato, &quot;Helvetica Neue&quot;, Helvetica, Arial, sans-serif; text-decoration-color: initial;">Background Non-invasive respiratory support using bubble continuous positive airway pressure (bCPAP) is useful in treating babies with respiratory distress syndrome. Despite its proven clinical and cost effectiveness, implementation is hampered by inappropriate administration of bCPAP in low-resource settings. A clinical algorithm-'TRY' (based on Tone: good, Respiratory distress: Yes: heart rate above 100 beats/min) has been developed to correctly identify which newborns would benefit from bCPAP in a teaching hospital in Malawi. Objective To evaluate the reliability, sensitivity and specificity of TRY when employed by nurses in a Malawian district hospital. Methods Nursing staff in a Malawian district hospital neonatal unit were asked, over a 2 month period, to complete TRY assessments for every newly admitted baby with the inclusion criteria: clinical evidence of respiratory distress and/or birth weight less than 1.3 kg. A visiting paediatrician, blinded to the nurses' assessments, concurrently assessed each baby providing both a TRY assessment and a clinical decision regarding the need for CPAP administration. Interrater reliability was calculated comparing nursing and paediatrician TRY assessment out-comes. Sensitivity and specificity were estimated comparing nurse TRY assessments against the paediatrician's clinical decision. Results 287 infants were admitted during the study period; 145 (51%) met the inclusion criteria and of these, 57 (39%) received joint assessments. The inter-rater reliability was high, (kappa(K) 0.822). Sensitivity and specificity were 92% and 96% respectively. Conclusions District hospital nurses, using the TRY-CPAP algorithm, reliably identify babies that might benefit from bCPAP and thus improve its effective implementation.</span>&nbsp;[Conference abstract]</span> |
| 856 ## - ELECTRONIC LOCATION AND ACCESS | |
| Uniform Resource Identifier | <a href="http://adc.bmj.com/content/archdischild/103/Suppl_1/A105.2.full.pdf">http://adc.bmj.com/content/archdischild/103/Suppl_1/A105.2.full.pdf</a> |
| Withdrawn status | Lost status | Damaged status | Not for loan | Collection code | Home library | Current library | Shelving location | Date acquired | Total Checkouts | Date last seen | Price effective from | Koha item type |
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| Staff publications for NMDX | Ferriman information and Library Service (North Middlesex) | Ferriman information and Library Service (North Middlesex) | Shelves | 07/06/2022 | 07/06/2022 | 07/06/2022 | Book |