Using Philips Neonatal Event Review to enhance management of ...

Philips Healthcare
Simplifying clinician workflow • Improving financial outcomes • Helping improve and save lives
Background
Recurrent episodes of apnea can be common in
preterm infants, and the incidence and severity
increase at lower gestational ages. The type of
apnea influences the choice of treatment. Philips
Neonatal Event Review detects and documents
apnea, bradycardia, and desaturation events, and
supports clinicians to manage neonatal patients.
Results in more accurate evaluation
Using Neonatal Event Review, clinicians can
designate any combination of apnea, bradycardia,
or hypoxia as significant neonatal events for
review. According to Professor Toshio Yamazaki
of the Fujita Health University Hospital, “Because
reviews are possible, it has become possible to
Decision Support
Evidence Series
Using Philips Neonatal Event Review to enhance
management of apnea episodes
Fujita Health University Hospital uses Philips Neonatal Event Review clinical decision support to more accurately
classify and treat apnea in the NICU
“The key benefit
of Neonatal Event
Review is that it is
possible for clinicians
to assess the number
and severity of apnea
episodes objectively
and accurately.”
Professor Toshio Yamazaki, MD, PhD
Department of Pediatrics
School of Medicine
Fujita Health University Hospital
Tokyo, Japan
Neonatal Event Review provides automatic capture of events and a 24-hour
event review window.
classify apneas more accurately. When a critical
situation presents itself, it is possible, by looking
at the degree of apnea, bradycardia, and SpO 2 fall,
as well as the pattern, to determine to an extent
whether it is central apnea, obstructive apnea, or
mixed apnea.”
Neonatal Event Review is in use for all patients in
the neonatal intensive care unit (NICU), including
six beds in the NICU and 14 beds in the general
care unit (GCU). The hospital has relied on Philips
patient monitoring solutions for about 20 years.
Allows for more appropriate treatment
Information from Neonatal Event Review
contributes to decision-making by highlighting
characteristics and sequences of neonatal events
that could have predictive value. Knowing the
number, severity, and distribution of events can
help identify underlying diseases and supports the
delivery of the most appropriate treatment. As
Professor Yamazaki states, “Without Neonatal
Event Review, the physician could not evaluate
the disease from one moment to the next in
a critical situation. Neonatal Event Review
makes it possible to gauge the frequency and
severity of episodes. It is also possible to realize
standardized treatment, including the initiation of
pharmacological treatment.”

Key results
• Provides objective and reliable data about apnea
episodes in neonate
• Allows for appropriate evaluation and treatment of
apnea episodes
Advantages for clinical research
In addition to his clinical practice, Professor Yamazaki
has served as principal investigator in multi-year, multi-
center research trials that included the use of Neonatal
Event Review, valuable for its uniform standards.
“To measure drug efficacy, it is necessary to measure
the frequency and severity of apnea episodes. By
using Neonatal Event Review, it was possible to get
objective and highly reliable data. I used Neonatal
Event Review to standardize event criteria for apnea
episodes, target patient selection, and evaluate drug
efficacy,” he reports.
More informed treatment decisions
Clinicians check the daily summaries at the start of each
day, and also during shift handovers. The objectivity of
the data is a key benefit. As Professor Yamazaki explains,
“Before the introduction of Neonatal Event Review,
we relied on nurse records, but with Neonatal Event
Review it has become possible for physicians to check on
their own, allowing more accurate evaluation of apnea
episodes. Benefits derived from this include the ability
to intervene more appropriately and to avoid providing
unnecessary treatment.” Teams also find the data from
Neonatal Event review helpful in educating staff new to
the NICU.
Please visit www.philips.com/evidence
© 2010 Koninklijke Philips Electronics N.V.
All rights are reserved.
Aids efficiency
Philips Healthcare reserves the right to make changes in specifications and/
or to discontinue any product at any time without notice or obligation
and will not be liable for any consequences resulting from the use of this
publication.
Neonatal Event Review contributes to overall efficiency
by automating the documentation of up to 50 events
over a 24-hour period, saving time and helping to reduce
errors associated with manual documentation.
Background
Fujita Health University Hospital is one of Japan’s largest
hospitals, with a staff of about 2,000 as well as 1,505
inpatient beds, and an average of 2,000 outpatients each
day. The hospital plays a vital role in advanced medicine
as a facility supporting research into sophisticated
medical treatments, the development and evaluation
of new medical technologies, and providing high-level
diagnoses and treatment to patients.
The Fujita Health University Hospital School of Medicine in Tokyo, Japan.
Philips Healthcare is part of Royal Philips Electronics
www.philips.com/healthcare
healthcare@philips.com
Printed in The Netherlands
4522 962 61811 * MAY 2010