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Use of standard assessment of post-hemorrhagic ventricular dilation to improve collaboration with referring centers

Journal of Perinatology (2024)Cite this article

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Our quality improvement efforts occurred at a Level 4 NICU that cares for 10–20 infants with post-hemorrhagic ventricular dilation annually. Approximately 80% of post-hemorrhagic ventricular dilation cases come from referring centers.

We assembled a quality improvement team consisting of neonatologists, neurologists, neurosurgeons, and neuroradiologists. Our primary drivers were standard management guidelines, regional collaboration, and outcome monitoring.

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Fig. 1: Coronal section of a cranial ultrasound at the level of the foramen of Monro demonstrating the 3 measurements used to calculate Frontotemporal horn ratio.
Fig. 2: Run chart denoting the percent of infants with a frontotemporal horn ratio available prior to transfer for the management of post-hemorrhagic ventricular dilation.

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Authors and Affiliations

  1. Department of Pediatrics, Medical College of Wisconsin, Milwaukee, WI, USA

    Alicia Sprecher, Erwin Cabacungan, Katherine Carlton, Michael Hokenson, Kimberly Seeger Langlais & Susan Cohen

  2. Children’s Wisconsin – Milwaukee Campus, Milwaukee, WI, USA

    Alicia Sprecher, Samuel Adams, Erwin Cabacungan, Katherine Carlton, Tejaswini Deshmukh, Andrew Foy, Mohit Maheshwari & Susan Cohen

  3. Department of Neurology, Medical College of Wisconsin, Milwaukee, WI, USA

    Samuel Adams

  4. Department of Radiology, Medical College of Wisconsin, Milwaukee, WI, USA

    Tejaswini Deshmukh & Mohit Maheshwari

  5. Department of Neurosurgery, Medical College of Wisconsin, Milwaukee, WI, USA

    Andrew Foy

  6. Children’s Wisconsin - Fox Valley, Neenah, WI, USA

    Michael Hokenson

  7. Ascension SE Wisconsin Hospital – St. Joseph Campus, Milwaukee, WI, USA

    Daniel Murphy

  8. Prohealth Waukesha Memorial Hospital, Waukesha, WI, USA

    Mario Powell

  9. Ascension NE Wisconsin Hospital – St Elizabeth Campus, Appleton, WI, USA

    Kimberly Seeger Langlais

Authors
  1. Alicia Sprecher
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  2. Samuel Adams
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  3. Erwin Cabacungan
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  4. Katherine Carlton
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  5. Tejaswini Deshmukh
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  8. Mohit Maheshwari
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  11. Kimberly Seeger Langlais
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  12. Susan Cohen
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Contributions

AS: Design, data collection, analysis, drafting manuscript. SA, EC, KC, TD, AF, MM: Establishment of guidelines, critical review of manuscript. MH, DM, MP, KSL: Data collection, expansion of guidelines, critical review of manuscript. SC: Design, establishment of guidelines, analysis, critical review of manuscript. All authors approved the final manuscript as submitted and agree to be accountable for all aspects of the work.

Corresponding author

Correspondence to Alicia Sprecher.

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Competing interests

The authors declare no competing interests.

Ethical approval

The Children’s Wisconsin Human Research Protection Program determined this quality improvement effort to be exempt from formal IRB review.

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Supplementary information

41372_2024_2142_MOESM1_ESM.pdf

Practice Guidelines for the Care of Infants with Intraventricular Hemorrhage at Risk for Post-Hemorrhagic Ventricular Dilation

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Sprecher, A., Adams, S., Cabacungan, E. et al. Use of standard assessment of post-hemorrhagic ventricular dilation to improve collaboration with referring centers. J Perinatol (2024). https://doi.org/10.1038/s41372-024-02142-8

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