Reducinǵ hypothermia in preterm infants followinǵ delivery

Anne Russo, Mary McCready, Lisandra Torres, Claudette Theuriere, Susan Venturini, Morǵan Spaiǵht, Rae Jean Hemway, Suzanne Handrinos, Deborah Perlmutter, Trang Huynh, Amos Grunebaum, Jeffrey Perlman

Research output: Contribution to journalArticle

44 Citations (Scopus)

Abstract

BACKGROUND: Moderate hypothermia (temperature 37.5°C. The plan included use of occlusive wrap a transwarmer mattress and cap for all infants and maintaininǵ an operatinǵ room temperature between 21°C and 23°C. Data were obtained at baseline (n = 66), during phasing in (n = 102), and at full implementation (n = 193). RESULTS: Infant axillary temperature in the delivery room (DR) increased from 36.1°C ± 0.6°C to 36.2°C ± 0.6°C to 36.6°C ± 0.6°C (P > .001), and admitting temperature increased from 36.0°C ± 0.8°C to 36.3°C ± 0.6°C to 36.7°C ± 0.5°C at baseline, phasing in, and full implementation, respectively (P <.001). The number of infants with temperature 37.5°C over time. The use of occlusive wrap, mattress, and cap increased from 33% to 88% at baseline versus full implementation. Control charts showed significant improvement in DR ambient temperature at baseline versus full implementation. CONCLUSIONS: The practice plan was associated with a significant increase in DR and admitting axillary infant temperatures and a corresponding decrease in the number of infants with moderate hypothermia. There was an associated reduction in intubation at 24 hours. These positive findings reflect increased compliance with the practice plan.

Original languageEnglish (US)
JournalPediatrics
Volume133
Issue number4
DOIs
StatePublished - 2014
Externally publishedYes

Fingerprint

Hypothermia
Premature Infants
Temperature
Delivery Rooms
Intubation

Keywords

  • Hypothermia
  • Newborn
  • Quality improvement
  • Temperature

ASJC Scopus subject areas

  • Pediatrics, Perinatology, and Child Health
  • Arts and Humanities (miscellaneous)

Cite this

Russo, A., McCready, M., Torres, L., Theuriere, C., Venturini, S., Spaiǵht, M., ... Perlman, J. (2014). Reducinǵ hypothermia in preterm infants followinǵ delivery. Pediatrics, 133(4). https://doi.org/10.1542/peds.2013-2544

Reducinǵ hypothermia in preterm infants followinǵ delivery. / Russo, Anne; McCready, Mary; Torres, Lisandra; Theuriere, Claudette; Venturini, Susan; Spaiǵht, Morǵan; Hemway, Rae Jean; Handrinos, Suzanne; Perlmutter, Deborah; Huynh, Trang; Grunebaum, Amos; Perlman, Jeffrey.

In: Pediatrics, Vol. 133, No. 4, 2014.

Research output: Contribution to journalArticle

Russo, A, McCready, M, Torres, L, Theuriere, C, Venturini, S, Spaiǵht, M, Hemway, RJ, Handrinos, S, Perlmutter, D, Huynh, T, Grunebaum, A & Perlman, J 2014, 'Reducinǵ hypothermia in preterm infants followinǵ delivery', Pediatrics, vol. 133, no. 4. https://doi.org/10.1542/peds.2013-2544
Russo A, McCready M, Torres L, Theuriere C, Venturini S, Spaiǵht M et al. Reducinǵ hypothermia in preterm infants followinǵ delivery. Pediatrics. 2014;133(4). https://doi.org/10.1542/peds.2013-2544
Russo, Anne ; McCready, Mary ; Torres, Lisandra ; Theuriere, Claudette ; Venturini, Susan ; Spaiǵht, Morǵan ; Hemway, Rae Jean ; Handrinos, Suzanne ; Perlmutter, Deborah ; Huynh, Trang ; Grunebaum, Amos ; Perlman, Jeffrey. / Reducinǵ hypothermia in preterm infants followinǵ delivery. In: Pediatrics. 2014 ; Vol. 133, No. 4.
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AU - Torres, Lisandra

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AU - Hemway, Rae Jean

AU - Handrinos, Suzanne

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AB - BACKGROUND: Moderate hypothermia (temperature 37.5°C. The plan included use of occlusive wrap a transwarmer mattress and cap for all infants and maintaininǵ an operatinǵ room temperature between 21°C and 23°C. Data were obtained at baseline (n = 66), during phasing in (n = 102), and at full implementation (n = 193). RESULTS: Infant axillary temperature in the delivery room (DR) increased from 36.1°C ± 0.6°C to 36.2°C ± 0.6°C to 36.6°C ± 0.6°C (P > .001), and admitting temperature increased from 36.0°C ± 0.8°C to 36.3°C ± 0.6°C to 36.7°C ± 0.5°C at baseline, phasing in, and full implementation, respectively (P <.001). The number of infants with temperature 37.5°C over time. The use of occlusive wrap, mattress, and cap increased from 33% to 88% at baseline versus full implementation. Control charts showed significant improvement in DR ambient temperature at baseline versus full implementation. CONCLUSIONS: The practice plan was associated with a significant increase in DR and admitting axillary infant temperatures and a corresponding decrease in the number of infants with moderate hypothermia. There was an associated reduction in intubation at 24 hours. These positive findings reflect increased compliance with the practice plan.

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