Version 1
: Received: 22 July 2024 / Approved: 23 July 2024 / Online: 24 July 2024 (07:25:31 CEST)
How to cite:
Nguyen, T.; Manon, M.; Pierre-Yves, A.; Paola, S.; Gauthier, L.; Beatrice, H.; Elisabeth, L.; Priscille, S.; Chantry, A. A.; Isabelle, G. First Hours Care of Hypoxic-Ischemic Encephalopathy: A French Delphi Consensus. Preprints2024, 2024071828. https://doi.org/10.20944/preprints202407.1828.v1
Nguyen, T.; Manon, M.; Pierre-Yves, A.; Paola, S.; Gauthier, L.; Beatrice, H.; Elisabeth, L.; Priscille, S.; Chantry, A. A.; Isabelle, G. First Hours Care of Hypoxic-Ischemic Encephalopathy: A French Delphi Consensus. Preprints 2024, 2024071828. https://doi.org/10.20944/preprints202407.1828.v1
Nguyen, T.; Manon, M.; Pierre-Yves, A.; Paola, S.; Gauthier, L.; Beatrice, H.; Elisabeth, L.; Priscille, S.; Chantry, A. A.; Isabelle, G. First Hours Care of Hypoxic-Ischemic Encephalopathy: A French Delphi Consensus. Preprints2024, 2024071828. https://doi.org/10.20944/preprints202407.1828.v1
APA Style
Nguyen, T., Manon, M., Pierre-Yves, A., Paola, S., Gauthier, L., Beatrice, H., Elisabeth, L., Priscille, S., Chantry, A. A., & Isabelle, G. (2024). First Hours Care of Hypoxic-Ischemic Encephalopathy: A French Delphi Consensus. Preprints. https://doi.org/10.20944/preprints202407.1828.v1
Chicago/Turabian Style
Nguyen, T., Anne Alice Chantry and Guellec Isabelle. 2024 "First Hours Care of Hypoxic-Ischemic Encephalopathy: A French Delphi Consensus" Preprints. https://doi.org/10.20944/preprints202407.1828.v1
Abstract
Introduction: Management of hypoxic-ischemic encephalopathy (HIE) has been the subject of international recommendations. However, some aspects remain within the realm of service practices and appear to vary greatly from one center to another. Objectives: To achieve a multidisciplinary consensus in France regarding management of HIE newborns that are not covered by international and national guidelines. Methods: This is a prospective, multicenter study using the Delphi method from April 21, 2021, to July 15, 2021. Perinatal professionals were contacted through professional societies. Participants received a questionnaire in three successive rounds. Each proposal was rated using a Likert scale from 1 (completely disagree) to 8 (completely agree). An item was considered consensual if at least 70% of responses were in agreement or disagreement. Results: 58 french neonatal professionals participated. A consensus was reached in the first round concerning the use of passive hypothermia in maternity ward, with 84% agreement and to define the target temperature between 35.0°C and 35.5°C at the third round. Regarding hypoglycemia in the delivery room, 79.2% agreed in the first round to correct blood glucose levels below a threshold of <2.2 mmol/l. Parenteral route was the preferred correction method for 91.4% of respondents, while enteral route via nasogastric tube did not reach consensus. Conclusion: This study highlights the variability in definitions and practices among professionals in the management of HIE. Consensus was found regarding certain care practices performed without formal guidelines. The work to harmonize definitions and practices for the management of HIE likely needs to continue.
Medicine and Pharmacology, Pediatrics, Perinatology and Child Health
Copyright:
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