Neonatal Therapeutic Hypothermia Audit
The National Perinatal Epidemiology Centre ( Dept. of Obstetrics and Gynaecology, 5th Floor, Cork University Maternity Hospital, Wilton, Cork) in collaboration with the National Clinical Programme for Paediatrics and Neonatology (NCPPN) and the National Women and Infant Health Programme (NWIHP).
2016
The purpose of the Audit is to present an overview and national statistics of Neonatal Therapeutic Hypothermia. TH is now considered the standard treatment for term infants with moderate to severe HIE. It is a therapy during which the infant is cooled within six hours of birth to a targeted core body temperature of between 33°C to 34°C for a duration of 72 hours. Following the 72-hour period, the infant is rewarmed to normal body temperature over a 6-12 hour period. Encompassing data on all cases of TH will serve as a platform for identification of maternal, infant and clinical risks factors associated with the requirement for TH interventions; development of best practice guidelines; and identification of trends over time.
National coverage: involves every infant who underwent TH in Ireland.
Data is collected on an annual basis starting on the 1st of January and finishing on the 31st of December.
For the national neonatal TH review, medical records are the primary source of information. Data were collected on site in the 19 maternity units/hospitals and neonatal intensive care units or special care baby units (NICU/SCBU) in the Republic of Ireland. The NCPPN, NPEC and NWIHP collected data on all cases of neonatal therapeutic hypothermia in 2019 by taking an active case ascertainment approach.
Maternity care staff, neonatal staff, unit co-ordinators, hospital senior management, hospital risk management, policy develops in the HSE, DOH staff, service users. Academics working in research institutions and employees undertaking research in national and international agencies.
Maternal details (demographics, past medical history, current pregnancy details including delivery and maternal outcomes); hospital details; Baby outcome detail.
Available on request from npec@ucc.ie
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Ethnic group, Occupation, Social capital, Gender health coverage (i.e., public, and private).
Data is collected by the national neonatal TH co-ordinator on site in the 19 maternity units/hospitals and neonatal intensive care units from medical records. Data is uploaded to the electronic register hosted by the NPEC and the data is processed.
Data is submitted on the secure online NPEC database on an annual basis.
Not in use.
The 2016-2017 reported on 140 infants who were treated with TH. In 2018, 69 infants were treated with TH, and in 2019, 72 infants were treated with TH.
In 2018, a report was published with data from 2016 and 2017. From then, reports are published annually.
It is the NPEC's policy that all requests for data for research purposes be considered by a committee, termed the Data Access Committee.
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