Addressing the gap in preterm resuscitation practices in high-income and low-middle income countries: a multicenter survey of the Asian neonatal network collaboration
BackgroundOptimum neonatal resuscitation practices are vital for improving neonatal survival and neurodevelopment outcomes, particularly in extremely preterm infants. However, such practices may vary between high-income countries (HICs) and low-middle-income countries (LMICs). This study aimed to ev...
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Frontiers Media S.A.
2025-01-01
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| Series: | Frontiers in Pediatrics |
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| Online Access: | https://www.frontiersin.org/articles/10.3389/fped.2024.1517843/full |
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| author | Rinawati Rohsiswatmo Rizalya Dewi Jennie Sutantio Zubair Amin Young-Ah Youn Sae Yun Kim Su Jin Cho Yun Sil Chang Satoshi Kusuda Fuyu Miyake Tetsuya Isayama |
| author_facet | Rinawati Rohsiswatmo Rizalya Dewi Jennie Sutantio Zubair Amin Young-Ah Youn Sae Yun Kim Su Jin Cho Yun Sil Chang Satoshi Kusuda Fuyu Miyake Tetsuya Isayama |
| author_sort | Rinawati Rohsiswatmo |
| collection | DOAJ |
| description | BackgroundOptimum neonatal resuscitation practices are vital for improving neonatal survival and neurodevelopment outcomes, particularly in extremely preterm infants. However, such practices may vary between high-income countries (HICs) and low-middle-income countries (LMICs). This study aimed to evaluate the resuscitation practices of high-risk infants in a large multi-country sample of healthcare facilities among HICs and LMICs in Asia under the AsianNeo Network.MethodsIn 2021, a customized 6-item online survey on resuscitation practices of infants born at <29 weeks gestation (or birth weight <1,200 g) was sent by the representative of each country's neonatal network to all the Neonatal Intensive Care Units (NICUs) participating in AsianNeo network. At the time of the survey, there were 446 participating hospitals in eight countries: four high-income countries (Japan, Singapore, South Korea, and Taiwan) and four low-middle-income countries (Malaysia, Indonesia, Philippines, and Thailand).ResultsThe study included 446 hospitals, with a response rate of 72.6% (ranging from 62.7% to 100%), with 179 (55.2%) in HICs and 145 (44.7%) in LMICs. Routine attendance of experienced NICU physicians during resuscitations is reported to be higher in HICs than LMICs, both during daytime (79% vs. 40%) and nighttime (62% vs. 23%). The NRP guidelines in each country were varied, with 4 out of 8 countries using indigenously developed guidelines. Equipment availability during resuscitation was also variable; saturation monitors, radiant warmers, and plastic wraps were available in almost all hospitals, whereas oxygen and air blenders, heated humidified gas, and end-tidal CO2 detectors were more available in HICs. The most common device for Positive Pressure Ventilation (PPV) was the T-piece resuscitator (52.3%).ConclusionThe neonatal resuscitation practices for extremely preterm infants, encompassing staff, equipment, and guidelines, exhibited variance between HICs and LMICs in the AsianNeo region. Further enhancements are imperative to narrow this gap and optimize neonatal outcomes. |
| format | Article |
| id | doaj-art-379c8fa8233f4724aa517aa8eb8d86cc |
| institution | Kabale University |
| issn | 2296-2360 |
| language | English |
| publishDate | 2025-01-01 |
| publisher | Frontiers Media S.A. |
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| series | Frontiers in Pediatrics |
| spelling | doaj-art-379c8fa8233f4724aa517aa8eb8d86cc2025-01-30T06:22:53ZengFrontiers Media S.A.Frontiers in Pediatrics2296-23602025-01-011210.3389/fped.2024.15178431517843Addressing the gap in preterm resuscitation practices in high-income and low-middle income countries: a multicenter survey of the Asian neonatal network collaborationRinawati Rohsiswatmo0Rizalya Dewi1Jennie Sutantio2Zubair Amin3Young-Ah Youn4Sae Yun Kim5Su Jin Cho6Yun Sil Chang7Satoshi Kusuda8Fuyu Miyake9Tetsuya Isayama10Department of Child Health, Universitas Indonesia/Dr. Cipto Mangunkusumo Hospital, Jakarta, IndonesiaDepartment of Child Health, Budhi Mulia Mother and Child Hospital, Pekanbaru, IndonesiaDepartment of Child Health, Universitas Indonesia/Dr. Cipto Mangunkusumo Hospital, Jakarta, IndonesiaDepartmentof Neonatology, Khoo Teck Puat-National University Children’s Medical Institute, National University Hospital, Singapore, SingaporeDepartment of Pediatrics, College of Medicine, The Catholic University of Korea, Seoul, Republic of KoreaDepartment of Pediatrics, College of Medicine, The Catholic University of Korea, Seoul, Republic of KoreaDepartment of Pediatrics, Ewha Womans University College of Medicine, Seoul, Republic of KoreaDepartment of Pediatrics, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Republic of KoreaNeonatal Research Network of Japan, Kyorin University, Tokyo, JapanDivision of Neonatology, National Research Institute for Child Health and Development, Tokyo, JapanDivision of Neonatology, National Research Institute for Child Health and Development, Tokyo, JapanBackgroundOptimum neonatal resuscitation practices are vital for improving neonatal survival and neurodevelopment outcomes, particularly in extremely preterm infants. However, such practices may vary between high-income countries (HICs) and low-middle-income countries (LMICs). This study aimed to evaluate the resuscitation practices of high-risk infants in a large multi-country sample of healthcare facilities among HICs and LMICs in Asia under the AsianNeo Network.MethodsIn 2021, a customized 6-item online survey on resuscitation practices of infants born at <29 weeks gestation (or birth weight <1,200 g) was sent by the representative of each country's neonatal network to all the Neonatal Intensive Care Units (NICUs) participating in AsianNeo network. At the time of the survey, there were 446 participating hospitals in eight countries: four high-income countries (Japan, Singapore, South Korea, and Taiwan) and four low-middle-income countries (Malaysia, Indonesia, Philippines, and Thailand).ResultsThe study included 446 hospitals, with a response rate of 72.6% (ranging from 62.7% to 100%), with 179 (55.2%) in HICs and 145 (44.7%) in LMICs. Routine attendance of experienced NICU physicians during resuscitations is reported to be higher in HICs than LMICs, both during daytime (79% vs. 40%) and nighttime (62% vs. 23%). The NRP guidelines in each country were varied, with 4 out of 8 countries using indigenously developed guidelines. Equipment availability during resuscitation was also variable; saturation monitors, radiant warmers, and plastic wraps were available in almost all hospitals, whereas oxygen and air blenders, heated humidified gas, and end-tidal CO2 detectors were more available in HICs. The most common device for Positive Pressure Ventilation (PPV) was the T-piece resuscitator (52.3%).ConclusionThe neonatal resuscitation practices for extremely preterm infants, encompassing staff, equipment, and guidelines, exhibited variance between HICs and LMICs in the AsianNeo region. Further enhancements are imperative to narrow this gap and optimize neonatal outcomes.https://www.frontiersin.org/articles/10.3389/fped.2024.1517843/fullneonatal resuscitation, gap practicelow-middle income countrieshigh-income countriesmulticenter surveypreterm (birth) |
| spellingShingle | Rinawati Rohsiswatmo Rizalya Dewi Jennie Sutantio Zubair Amin Young-Ah Youn Sae Yun Kim Su Jin Cho Yun Sil Chang Satoshi Kusuda Fuyu Miyake Tetsuya Isayama Addressing the gap in preterm resuscitation practices in high-income and low-middle income countries: a multicenter survey of the Asian neonatal network collaboration Frontiers in Pediatrics neonatal resuscitation, gap practice low-middle income countries high-income countries multicenter survey preterm (birth) |
| title | Addressing the gap in preterm resuscitation practices in high-income and low-middle income countries: a multicenter survey of the Asian neonatal network collaboration |
| title_full | Addressing the gap in preterm resuscitation practices in high-income and low-middle income countries: a multicenter survey of the Asian neonatal network collaboration |
| title_fullStr | Addressing the gap in preterm resuscitation practices in high-income and low-middle income countries: a multicenter survey of the Asian neonatal network collaboration |
| title_full_unstemmed | Addressing the gap in preterm resuscitation practices in high-income and low-middle income countries: a multicenter survey of the Asian neonatal network collaboration |
| title_short | Addressing the gap in preterm resuscitation practices in high-income and low-middle income countries: a multicenter survey of the Asian neonatal network collaboration |
| title_sort | addressing the gap in preterm resuscitation practices in high income and low middle income countries a multicenter survey of the asian neonatal network collaboration |
| topic | neonatal resuscitation, gap practice low-middle income countries high-income countries multicenter survey preterm (birth) |
| url | https://www.frontiersin.org/articles/10.3389/fped.2024.1517843/full |
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