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学科主题临床医学
Impact of a nationwide training program for neonatal resuscitation in China
Xu Tao3; Wang Hui-shan3; Ye Hong-mao4; Yu Ren-jie5; Huang Xing-hua6; Wang Dan-hua7; Wang Li-xin6; Feng Qi8; Gong Li-min3; Ma Yi3; Keenan, William9,10; Niermeyer, Susan1,2
关键词Resuscitation Asphyxia Neonatorum Infant Neonatal Mortality Newborn In-service Training China
刊名CHINESE MEDICAL JOURNAL
2012-04-20
DOI10.3760/cma.j.issn.0366-6999.2012.08.017
125期:8页:1448-1456
收录类别SCI ; SSCI
文章类型Article
WOS标题词Science & Technology
类目[WOS]Medicine, General & Internal
研究领域[WOS]General & Internal Medicine
关键词[WOS]MIDDLE-INCOME COUNTRIES ; SCALING-UP ; CARE ; INTERVENTIONS ; NEWBORN ; HEALTH ; CHALLENGES ; CONTINUUM ; HOSPITALS ; QUALITY
英文摘要

Background Seventeen million births occur in China each year. Neonatal mortality is the leading cause of under 5-year-old child deaths, and intrapartum-related injury accounts for much of mental retardation in young children. The Chinese Ministry of Health sought to improve infant and child survival through a nationwide initiative to have at least one person trained in neonatal resuscitation at every birth. The aim of the current study was to evaluate the impact of China Neonatal Resuscitation Program (NRP) on policy and infrastructure changes and its effectiveness in decreasing the incidence of mortality among newborn infants.

Methods The Chinese NRP incorporated policy change, professional education, and creation of a sustainable health system infrastructure for resuscitation. Multidisciplinary teams from all 31 provinces and municipal states disseminated NRP in a train-the-trainer cascade. The intervention targeted 20 provinces with high neonatal mortality and programs to reduce maternal mortality. Program evaluation data came from 322 representative hospitals in those provinces.

Results Changes in policy permitted midwives to initiate resuscitation and required resuscitation training for licensure. From 2004 through 2009 more than 110659 professionals received NRP training in the 20 target provinces, with 94% of delivery facilities and 99% of counties reached. Intrapartum-related deaths in the delivery room decreased from 7.5 to 3.4 per 10000 from 2003 to 2008, and the incidence of Apgar 57 at 1 minute decreased from 6.3% to 2.9%.

Conclusions The Chinese NRP achieved policy changes promoting resuscitation, trained large numbers of professionals, and contributed to reduction in delivery room mortality. Improved adherence to the resuscitation algorithm, extension of training to the township level, and coverage of births now occurring outside health facilities can further increase the number of lives saved. Chin Med J 2012;125(8):1448-1456

语种英语
WOS记录号WOS:000304022400017
资助机构Johnson and Johnson Pediatric Institute (JJPI)
引用统计
被引频次:17[WOS]   [WOS记录]     [WOS相关记录]
文献类型期刊论文
条目标识符http://ir.bjmu.edu.cn/handle/400002259/50926
专题北京大学第三临床医学院_儿科
作者单位1.Childrens Hosp, Sect Neonatol, Aurora, CO 80045 USA
2.St Louis Univ, Sch Med, St Louis, MO USA
3.Univ Colorado, Denver Sch Med, Colorado Sch Publ Hlth, Aurora, CO 80045 USA
4.Chinese Ctr Dis Control & Prevent, Natl Ctr Women & Childrens Hlth, Beijing 100089, Peoples R China
5.Peking Univ Third Hosp, Dept Pediat, Beijing 100191, Peoples R China
6.Tsinghua Univ First Hosp, Dept Pediat, Beijing 100016, Peoples R China
7.Capital Med Univ, Beijing Obstet & Gynecol Hosp, Dept Obstet, Beijing 100026, Peoples R China
8.Beijing Union Med Coll Hosp, Dept Pediat, Beijing 100730, Peoples R China
9.Peking Univ First Hosp, Dept Pediat, Beijing 100034, Peoples R China
10.St Louis Univ, Cardinal Glennon Childrens Hosp, St Louis, MO USA
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GB/T 7714
Xu Tao,Wang Hui-shan,Ye Hong-mao,et al. Impact of a nationwide training program for neonatal resuscitation in China[J]. CHINESE MEDICAL JOURNAL,2012,125(8):1448-1456.
APA Xu Tao.,Wang Hui-shan.,Ye Hong-mao.,Yu Ren-jie.,Huang Xing-hua.,...&Niermeyer, Susan.(2012).Impact of a nationwide training program for neonatal resuscitation in China.CHINESE MEDICAL JOURNAL,125(8),1448-1456.
MLA Xu Tao,et al."Impact of a nationwide training program for neonatal resuscitation in China".CHINESE MEDICAL JOURNAL 125.8(2012):1448-1456.
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