Publications by authors named "M Klemme"
[Does the nursing shortage in neonatal intensive care units (NICU) threaten the warranty of healthcare for newborns? : The "Mary and Joseph" project].
Bundesgesundheitsblatt Gesundheitsforschung Gesundheitsschutz
September 2023
Article Synopsis
- Germany is facing a significant shortage of nursing staff, especially in neonatal intensive care units (NICUs), leading to fewer available beds and potentially harming newborn healthcare.
- A study from the University Hospital of Munich analyzed four years of data and found that about 21% of necessary nursing positions were unfilled, resulting in blocked beds despite adequate care quality.
- The shortage has forced hospitals to cancel services and increase the frequency of neonatal transfers every three days, creating risks for newborns due to strict quality guidelines.
Intracranial penetration during attempted nasotracheal intubation is a potentially devastating complication, which should be carefully evaluated and the risk should be addressed in neonatal resuscitation trainings.
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- The study aimed to estimate the incidence of perinatal arterial ischemic stroke (PAIS) in term and preterm infants in Germany and analyze clinical differences between them.
- A total of 126 term and 19 preterm infants with MRI-confirmed PAIS were reported, resulting in an overall corrected incidence of 22 cases per 100,000 live births, with higher occurrences in preterm infants (32 per 100,000).
- While both groups showed similar risk factors, preterm infants had more risk factors, a later median diagnosis age, and significantly fewer clinical seizures compared to term infants.
Introduction: Incidence, risk factors, clinical presentation, onset of symptoms, and age at diagnosis differ between neonatal arterial ischaemic stroke (AIS) and cerebral sinovenous thrombosis (CSVT). A more accurate and earlier discrimination of these two entities can be of eminent importance.
Methods: Active surveillance for AIS and CSVT was performed in 345 German paediatric hospitals.
Aim: To describe the incidence of term and preterm neonatal cerebral sinovenous thrombosis (CSVT) and identify perinatal risk factors.
Method: This was a national capture-recapture calculation-corrected surveillance and nested case-control study. Infants born preterm and at term with magnetic resonance imaging-confirmed neonatal CSVT were identified by surveillance in all paediatric hospitals in Germany (2015-2017).