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Therapeutic hypothermia and hypoxic ischemic encephalopathy: opinion and practice of pediatricians in South Africa
-
Yaseen Joolay
,
Michael C. Harrison
Published/Copyright:
March 14, 2012
Abstract
Background: Recent newborn resuscitation guidelines recommend therapeutic hypothermia (TH) as a treatment to reduce long-term neurological deficit in hypoxic ischemic encephalopathy (HIE) survivors. In South Africa, varied resource constraints may present difficulties in the implementation of TH.
Objective: To determine the opinions and practice of South African pediatricians, regarding TH and the management of HIE.
Methods: We invited 288 South African pediatricians and neonatologists to participate in a web-based survey by e-mail. Practitioners were identified using the Medpages™ database.
Results: Responses were received from 37.8% of the e-mails. Seventy-six percent of respondents stated that hypothermia was either effective or very effective while 4% stated TH was ineffective in the management of HIE. Only 42% of respondents offered TH and a further 9% transferred patients to other units for cooling. Twenty-four percent had not implemented TH nor planned to introduce it into practice in the near future. Ninety-eight percent of respondents stated TH should be the standard of care in tertiary neonatal units.
Conclusion: Most pediatricians in South Africa who responded to the survey stated that TH is effective to reduce the neurological deficit in HIE, however, less than half offered it as a treatment.
Keywords: Developing countries; guideline adherence; health care surveys; hypoxic-ischemic encephalopathy; induced hypothermia; neonate
Received: 2011-11-24
Revised: 2012-1-23
Accepted: 2012-1-27
Published Online: 2012-03-14
Published in Print: 2012-06-01
©2012 by Walter de Gruyter Berlin Boston
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Keywords for this article
Developing countries;
guideline adherence;
health care surveys;
hypoxic-ischemic encephalopathy;
induced hypothermia;
neonate
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