Survey of preterm neuro-centric care practices in California neonatal intensive care units

Objectiveexamine the adoption and presence of preterm, neuro-centric care practices across neonatal intensive care units (nicus).study designstatewide, cross-sectional survey of california nicus. data were collected surrounding the timing of adoption and presence of delivery room practices, nursing protocols, provider management practices and quality improvement initiatives.resultamong the 95 nicus completing the survey (65%), adoption of all surveyed practices increased between 2005 and 2016, though rates of uptake changed over time and varied by practice. adoption of indomethacin prophylaxis increased 1.8-fold, whereas delayed cord clamping increased 78-fold. adoption of premedication for intubation and a patent ductus arteriosus management algorithm differed by unit level. additionally, two underlying practice domains were identified; adoption of delivery room practices and adoption of any preterm practice.conclusionadoption of preterm, neuro-centric care practices across california nicus has increased, though uptake patterns vary by practice and level.