A PHP Error was encountered

Severity: Warning

Message: file_get_contents(https://...@pubfacts.com&api_key=b8daa3ad693db53b1410957c26c9a51b4908&a=1): Failed to open stream: HTTP request failed! HTTP/1.1 429 Too Many Requests

Filename: helpers/my_audit_helper.php

Line Number: 176

Backtrace:

File: /var/www/html/application/helpers/my_audit_helper.php
Line: 176
Function: file_get_contents

File: /var/www/html/application/helpers/my_audit_helper.php
Line: 250
Function: simplexml_load_file_from_url

File: /var/www/html/application/helpers/my_audit_helper.php
Line: 3122
Function: getPubMedXML

File: /var/www/html/application/controllers/Detail.php
Line: 575
Function: pubMedSearch_Global

File: /var/www/html/application/controllers/Detail.php
Line: 489
Function: pubMedGetRelatedKeyword

File: /var/www/html/index.php
Line: 316
Function: require_once

Neonatal Hypoglycaemia Management Guideline appraisal using the AGREE II instrument and report of variations in unit guidelines in Australia and New Zealand. | LitMetric

Neonatal Hypoglycaemia Management Guideline appraisal using the AGREE II instrument and report of variations in unit guidelines in Australia and New Zealand.

J Paediatr Child Health

Maternal Fetal Medicine Joan Kirner Women's and Children's, Sunshine Hospital, Western Health, Melbourne, Victoria, Australia.

Published: December 2024

Aim: To assess the quality and rigour of Neonatal Hypoglycaemia guidelines used in the major Australian and New Zealand neonatal care centres. To compare and highlight any major differences in management guidelines between centres.

Methods: All level III NICUs in Australia and New Zealand were invited to participate. The AGREE II (Appraisal of Guidelines, Research & Evaluation) was used to critically appraise the guideline for the management of neonatal hypoglycaemia. Recommendations regarding definition, treatment, method of testing and admission criteria were compared from the guidelines provided.

Results: Neonatal Hypoglycaemia guidelines were received from 19 of the 29 invited hospitals; two guidelines were excluded as the hospitals providing these guidelines did not provide care for inborn neonates. None of the 17 guidelines received a standardised score of 50% or higher on all six domains of the AGREE II tool. The mean scores of each of the AGREE II domains were as follows: Scope and Purpose 76%; Stakeholder Involvement 41%; Rigour of Development 20%; Clarity of Presentation 66%; Applicability 30% and Editorial Independence 0.1%. The glycaemic threshold defining hypoglycaemia varied between 2.0 and 2.6 mmol/L in the guidelines. True blood glucose using either a glucose oxidase method or blood gas analyser was recommended as the first line test in 35% of the guidelines. Fifteen of the 17 guidelines recommended buccal gel as first-line treatment of hypoglycaemia.

Conclusions: Neonatal Hypoglycaemia guidelines are of varying methodological quality. There are inconsistences in the management of hypoglycaemia across neonatal units in Australia and New Zealand.

Download full-text PDF

Source
http://dx.doi.org/10.1111/jpc.16729DOI Listing

Publication Analysis

Top Keywords

neonatal hypoglycaemia
20
guidelines
13
australia zealand
12
hypoglycaemia guidelines
12
guidelines received
8
neonatal
7
hypoglycaemia
6
management
4
hypoglycaemia management
4
management guideline
4

Similar Publications

Want AI Summaries of new PubMed Abstracts delivered to your In-box?

Enter search terms and have AI summaries delivered each week - change queries or unsubscribe any time!