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Early identification of impending deterioration could prevent irreversible damage and save life of vulnerable newborn infants.1 Inspired by the popular implementation of early warning scores (EWS) and trigger and track charts in other areas, similar tools were designed for newborn infants. In 2015, the British Association of Perinatal Medicine (BAPM) published a framework for practice: the BAPM Newborn Early Warning Trigger and Track (NEWTT) chart. This framework is being revised.
A review of EWS in neonates found four tools, all based on limited evidence and none adequately validated.2 For many clinical questions, published evidence is limited, too indirect or non-existent.3 While opinions are the lowest quality of evidence, where there is little or no systematic empirical evidence, opinions may be helpful in guiding recommendations.4 To inform the review of the BAPM NEWTT guidance, we conducted an online survey of healthcare professionals …
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Contributors SO created the survey questionnaire, participated in the concept and design, performed the analysis and interpretation of the data and drafted the manuscript. KM, SA, RJM, OR and WT participated in the concept and design, interpretation of data and revised the manuscript. All authors approve the final manuscript as submitted and agree to be accountable for all aspects of the work.
Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.
Competing interests The authors are all members of the British Association of Perinatal Medicine Working Group for revision the Newborn Early Warning Score.
Provenance and peer review Not commissioned; internally peer reviewed.