Neonatal Med.  2022 Feb;29(1):10-17. 10.5385/nm.2022.29.1.10.

Implementing the Golden Hour Protocol to Improve the Clinical Outcomes in Preterm Infants

• Jeong SH
• Jeong MH
• Park SJ
• Lee N
• Bae MH
• Han YM
• Park KH
• Byun SY

• KMID: 2527256
• DOI: http://doi.org/10.5385/nm.2022.29.1.10

Abstract

Purpose
Since premature infants are sensitive to the changes in blood glucose levels and body temperature, maintaining these parameters is important to avoid the risk of infections. The authors implemented the Golden Hour protocol (GHP) that aims to close the final incubator within one hour of birth by implementing early treatment steps for premature infants after birth, such as maintaining body temperature, securing airway, and rapidly administering glucose fluid and prophylactic antibiotics by securing breathing and rapid blood vessels. This study investigated the effect of GHP application on the short- and long-term clinical outcomes.
Methods
We retrospectively analyzed the medical records between 2017 and 2018 before GHP application and between 2019 and 2020 after GHP application in preterm infants aged 24 weeks or older and those aged less than 33 weeks who were admitted to the neonatal intensive care unit.
Results
Overall, 117 GHP patients and 81 patients without GHP were compared and analyzed. Peripheral vascularization time and prophylactic antibiotic administration time were shortened in the GHP-treated group (P=0.007 and P=0.008). In the short-term results, the GHP-treated group showed reduced hypothermia upon arrival at the neonatal intensive care unit (P=0.002), and the blood glucose level at 1 hour of hospitalization was higher (P=0.012). Furthermore, the incidence of neonatal necrotizing enteritis decreased (P=0.043). As a long-term result, the incidence of BPD was reduced (P=0.004).
Conclusion
We confirmed that applying GHP improved short- and long-term clinical outcomes in premature infants aged <33 weeks age of gestation, and we expect to improve the treatment quality by actively using it for postnatal treatment.

Keyword

Infant, premature; Golden Hour protocol; Quality improvement

Figure

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  Figure 1. Golden Hour protocol worksheet at admission neonatal intensive care unit (NICU). This worksheet was used as the data collection tool for this project. Abbreviations: IV, intravenous; TPN, total parenteral nutrition; GA, gestational age; CPAP, continuous positive airway pressure; UA, umbilical artery; UV, umbilical vein; BT, body temperature; HR, heart rate; RR, respiratory rate; BP, blood pressure; BST, blood sugar test.

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