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Master Thesis

Conformité des pratiques de l'hypothermie aux recommandations : étude multicentrique chez le nouveau-né à terme

Abstract : AIM : The objective of this study was to describe the French practice of hypothermia treatment (HT) in fullterm newborns with hypoxic-ischemic encephalopathy (HIE) and to analyze the deviations from the guidelines of the French Society of Neonatology. MATERIAL AND METHOD : From May 2010 to March 2012 we included all cases of HIE treated by HT entered in a declarative French national database of HIE. The population was divided into two groups, "optimal hypothermia" (OHT) and "sub-optimal hypothermia" (SOHT), according to whether the guidelines were fully followed or not. RESULTS : Of the 311 newborns registered in the database and having hypothermia treatment, 65% were classified in the OHT group and 35% in the SOHT group. In the SOHT group, 62% of newborns (n = 68) started HT at over 6h and 38% (n = 27) had insufficient criteria for implementing HT. In the whole population, 46% of newborns had no electrophysiological examination before starting HT. Nevertheless in the SOHT group, severe acidosis, resuscitation at birth and neonatal complications of HIE were less frequent. CONCLUSION : This first report illustrates the difficulties in implementing guidelines for HT and should lead to an optimization of perinatal care for HIE.
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Master Thesis
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https://dumas.ccsd.cnrs.fr/dumas-00869140
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Submitted on : Wednesday, October 2, 2013 - 2:50:47 PM
Last modification on : Tuesday, May 11, 2021 - 11:36:17 AM
Long-term archiving on: : Friday, April 7, 2017 - 5:23:40 AM

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  • HAL Id : dumas-00869140, version 1
  • PPN : 172061849

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Marie Chevallier. Conformité des pratiques de l'hypothermie aux recommandations : étude multicentrique chez le nouveau-né à terme. Médecine humaine et pathologie. 2013. ⟨dumas-00869140⟩

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