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National variations in retinopathy of prematurity screening criteria in Canada: existent guidelines and actual practice patterns.

https://arctichealth.org/en/permalink/ahliterature118349
Source
Can J Ophthalmol. 2012 Dec;47(6):473-8
Publication Type
Article
Date
Dec-2012
Author
Vasudha Gupta
Kaitlyn F Whelan
Laura Schneider
Forough Farrokhyar
Sandesh Shivananda
Shoo Lee
Kourosh Sabri
Author Affiliation
Department of Surgery, McMaster University, Hamilton, Ont.
Source
Can J Ophthalmol. 2012 Dec;47(6):473-8
Date
Dec-2012
Language
English
Publication Type
Article
Keywords
Birth weight
Canada
Gestational Age
Guideline Adherence - standards
Health Care Surveys
Humans
Infant, Newborn
Intensive Care Units, Neonatal
Neonatal Screening
Physician's Practice Patterns - standards
Practice Guidelines as Topic - standards
Questionnaires
Retinopathy of Prematurity - diagnosis
Time Factors
Abstract
To survey the current inclusion criteria used for retinopathy of prematurity (ROP) screening across tertiary level 3 neonatal intensive care units (NICUs) in Canada.
Clinical directors from 29 level 3 NICUs in Canada.
Survey of all 29 level 3 NICUs in Canada in September 2010. The survey inquired about the current ROP screening criteria in use in each centre including which neonates are enrolled in the screening program and the timing of when screening begins. The survey was sent via email to the clinical directors at each site. Nonrespondents were contacted by telephone.
In total, 23 centres replied, representing a 79% response rate with the survey. Seven different ROP screening inclusion criteria were found to be in use, although one of the centres did not have a clear inclusion protocol. The variation between centres was significant, with some using a combination of birth weight and gestational age and others using birth weight or gestational age alone as their criterion. There was also variation in the timing of initial eye examinations, with 8 different criteria currently in use. Discrepancies were also found among treatment patterns at the centres.
Despite the publication of updated Canadian guidelines in 2000, there continues to be significant variation in the actual inclusion criteria being used across the country. Therefore, a need exists for comprehensive, evidence-based Canadian guidelines to optimize the screening inclusion criteria for ROP.
PubMed ID
23217498 View in PubMed
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Outcomes of neonatal patent ductus arteriosus ligation in Canadian neonatal units with and without pediatric cardiac surgery programs.

https://arctichealth.org/en/permalink/ahliterature113672
Source
J Pediatr Surg. 2013 May;48(5):909-14
Publication Type
Article
Date
May-2013
Author
Charles Wong
Michael Mak
Sandesh Shivananda
Junmin Yang
Prakeshkumar S Shah
Wendy Seidlitz
Julia Pemberton
Peter G Fitzgerald
Brian H Cameron
Author Affiliation
McMaster Pediatric Surgery Research Collaborative, Hamilton ON, Canada.
Source
J Pediatr Surg. 2013 May;48(5):909-14
Date
May-2013
Language
English
Publication Type
Article
Keywords
Abnormalities, Multiple - epidemiology
Anti-Inflammatory Agents, Non-Steroidal - therapeutic use
Brain Diseases - epidemiology - etiology - ultrasonography
Canada
Cardiology Service, Hospital - organization & administration
Combined Modality Therapy
Databases, Factual
Ductus Arteriosus, Patent - drug therapy - mortality - surgery
Female
Hospital Departments - organization & administration
Hospital Mortality
Humans
Infant, Low Birth Weight
Infant, Newborn
Infant, Premature
Infant, Premature, Diseases - mortality - surgery
Infant, Small for Gestational Age
Intensive Care Units, Neonatal - statistics & numerical data
Ligation
Male
Patient Transfer - statistics & numerical data
Pediatrics - organization & administration
Postoperative Complications - epidemiology - etiology - ultrasonography
Retrospective Studies
Sepsis - epidemiology - etiology
Severity of Illness Index
Surgery Department, Hospital - organization & administration
Tertiary Care Centers - organization & administration - statistics & numerical data
Treatment Outcome
Abstract
Preterm infants needing patent ductus arteriosus (PDA) ligation are transferred to a pediatric cardiac center (CC) unless the operation can be done locally by a pediatric surgeon at a non-cardiac center (NCC). We compared infant outcomes after PDA ligation at CC and NCC.
We analyzed 990 preterm infants who had PDA ligation between 2005 and 2009 using the Canadian Neonatal Network database. In-hospital mortality and major morbidities were compared between CC (n=18) and NCC (n=9).
SNAP-II-adjusted mortality rates were similar (CC=8.7% vs NCC=10.7%, P=.32). Significant cranial ultrasound abnormalities (CC=24.1% vs NCC=32.1%, P
PubMed ID
23701758 View in PubMed
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Standardizing umbilical catheter usage in preterm infants.

https://arctichealth.org/en/permalink/ahliterature104299
Source
Pediatrics. 2014 Jun;133(6):e1742-52
Publication Type
Conference/Meeting Material
Article
Date
Jun-2014
Author
Shaneela Shahid
Sourabh Dutta
Amanda Symington
Sandesh Shivananda
Author Affiliation
Division of Neonatology, Department of Pediatrics, McMaster University and Children's Hospital Hamilton, Ontario.
Source
Pediatrics. 2014 Jun;133(6):e1742-52
Date
Jun-2014
Language
English
Publication Type
Conference/Meeting Material
Article
Keywords
Bacteremia - prevention & control - transmission
Catheterization, Central Venous - utilization
Catheters, Indwelling - standards - utilization
Cross Infection - prevention & control - transmission
Feasibility Studies
Female
Gestational Age
Humans
Infant, Newborn
Infant, Premature, Diseases - prevention & control - therapy
Intensive Care Units, Neonatal
Intervention Studies
Male
Ontario
Pilot Projects
Practice Guidelines as Topic
Quality Improvement - standards
Sepsis - prevention & control - transmission
Umbilical Arteries
Umbilical Veins
Unnecessary Procedures - utilization
Utilization Review
Abstract
Absence of guidelines on umbilical arterial catheter (UAC) and umbilical venous catheter (UVC) use and inability to predict the hospital course may sway the frontline staff to overuse umbilical catheters in preterm infants. Our objective was to evaluate the feasibility of implementing guidelines standardizing the use of umbilical catheters and its impact on the incidence of sepsis and resource use.
All inborn infants delivered at
PubMed ID
24843063 View in PubMed
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