Clinical Report: Adoption of a Golden Hour Protocol for Preterm Infants
Overview
The implementation of a Golden Hour protocol for preterm infants improved thermal regulation and team efficiency during the first hour of life without adversely affecting clinical outcomes. The protocol led to earlier blood glucose evaluations and reduced instances of hypothermia.
Background
Premature infants face significant risks during their transition to extrauterine life, necessitating prompt and coordinated care. The Golden Hour concept emphasizes the importance of structured interventions in the first hour of life to enhance stabilization and reduce morbidity. Variability in care practices highlighted the need for a standardized approach to improve outcomes in this vulnerable population.
Data Highlights
Outcome
GH Group (n=77)
Control Group (n=72)
P-value
Hypothermia
23
36
0.03
First blood glycemia evaluation (min)
43 (35–50)
63 (53–77)
<0.001
Median incubator closure time (min)
64 (58–71)
-
-
Key Findings
The Golden Hour protocol reduced hypothermia rates (23/77 vs. 36/72, p=0.03).
First blood glucose evaluations were conducted significantly earlier in the GH group (43 min vs. 63 min, p<0.001).
The median time to incubator closure was close to the target of 60 minutes (64 min).
Rates of hypoglycemia, mortality, and major comorbidities were similar between the GH and control groups.
Team members reported improved anticipation, communication, and job satisfaction after protocol implementation.
Clinical Implications
The Golden Hour protocol can be effectively implemented in NICUs to enhance the management of preterm infants during their critical first hour of life. Improved thermal regulation and team dynamics may contribute to better care delivery without compromising clinical outcomes.
Conclusion
The adoption of a Golden Hour protocol demonstrates significant improvements in procedural efficiency and team collaboration, suggesting its potential for broader application in neonatal care settings.
