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| Name | Class |
|---|---|
| Banner University Medical Center | OTHER |
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This study will review practices in relation to chorioamnionitis (CAM) before and after to the implementation of the Neonatal Early-Onset Sepsis (EOS) Risk Calculator to determine the effect in the nursery at Banner - University Medical Center Phoenix. Newborns enrolled will be at least 35 weeks gestational age (GA) and have a maternal diagnosis of at least suspected or confirmed CAM. The data will include those newborns whose assessment and treatment were not guided by the EOS calculator which was implemented on August 28, 2019 and those with which the EOS calculator was utilized. A secondary objective is to show the economic impact with utilization of the EOS calculator. Data collected will include full laboratory workups including complete blood counts (CBC), blood cultures, antibiotic usage, length of time in the newborn nursery and total length of stay.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Sample | Asymptomatic newborns 35 weeks or greater GA born at Banner - University Medical Center Phoenix whose mothers were determined or suspected to have CAM. |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| EOS Calculator | Diagnostic Test | Neonatal Early-Onset Sepsis Risk Calculator which is a tool that determines the risk of EOS for a particular newborn by looking at maternal risk factors and the newborn's clinical picture as opposed to just laboratory tests alone |
| Measure | Description | Time Frame |
|---|---|---|
| To determine whether the usage of Neonatal EOS Calculator decreased antibiotic usage in newborns with a maternal diagnosis of suspected or confirmed chorioamnionitis (CAM) in our newborn nursery. | To determine the usage of EOS Calculator measuring decreased antibiotic usage. | August 28, 2018 through August 28, 2020 |
| To determine whether the usage of Neonatal EOS Calculator measuring laboratory testing in newborns with a maternal diagnosis of suspected or confirmed chorioamnionitis (CAM) in our newborn nursery. | To determine the usage of EOS Calculator measuring laboratory testing. | August 28, 2018 through August 28, 2020 |
| To determine whether the usage of Neonatal EOS Calculator LOS in newborns with a maternal diagnosis of suspected or confirmed chorioamnionitis (CAM) in our newborn nursery. | To determine the usage of EOS Calculator measuring length of stay (LOS) in newborns | August 28, 2018 through August 28, 2020 |
| Measure | Description | Time Frame |
|---|---|---|
| To evaluate the economic impact after the implementation of the EOS Calculator in antibiotic usage in newborn nursery and total length of hospital stay. | Evaluate the economic impact after the implementation of the EOS Calculator in antibiotic usage. | August 28, 2018 through August 28, 2020 |
| To evaluate the economic impact after the implementation of the EOS Calculator in laboratory tests in newborn nursery and total length of hospital stay. |
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Inclusion Criteria:
Exclusion Criteria:
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Asymptomatic newborns 35 weeks or greater GA born at Banner - University Medical Center Phoenix April 28, 2018 through April 28, 2020 whose mothers were determined or suspected to have CAM.
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Banner - University Medical Center Phoenix | Phoenix | Arizona | 85006 | United States |
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Evaluate the economic impact after the implementation of the EOS Calculator in laboratory tests. |
| August 28, 2018 through August 28, 2020 |
| To evaluate the economic impact after the implementation of the EOS Calculator in LOS in newborn nursery and total length of hospital stay. | Evaluate the economic impact after the implementation of the EOS Calculator LOS in newborn nursery and total length of hospital stay. | August 28, 2018 through August 28, 2020 |
| ID | Term |
|---|---|
| D002821 | Chorioamnionitis |
| D000071074 | Neonatal Sepsis |
| ID | Term |
|---|---|
| D005315 | Fetal Diseases |
| D011248 | Pregnancy Complications |
| D005261 | Female Urogenital Diseases and Pregnancy Complications |
| D000091642 | Urogenital Diseases |
| D005322 | Fetal Membranes, Premature Rupture |
| D007744 | Obstetric Labor Complications |
| D010922 | Placenta Diseases |
| D009358 | Congenital, Hereditary, and Neonatal Diseases and Abnormalities |
| D018805 | Sepsis |
| D007239 | Infections |
| D007232 | Infant, Newborn, Diseases |
| D018746 | Systemic Inflammatory Response Syndrome |
| D007249 | Inflammation |
| D010335 | Pathologic Processes |
| D013568 | Pathological Conditions, Signs and Symptoms |
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