Effectiveness of a measure program to prevent admission hypothermia in very low-birth weight preterm infants,

Detalhes bibliográficos
Autor(a) principal: Caldas,Jamil Pedro de Siqueira
Data de Publicação: 2018
Outros Autores: Millen,Fernanda de Castro, Camargo,Juliana Fernandes de, Castro,Paula Almeida Cavalcanti, Camilo,Ana Letícia da Fonseca, Marba,Sérgio Tadeu Martins
Tipo de documento: Artigo
Idioma: eng
Título da fonte: Jornal de Pediatria (Online)
Texto Completo: http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0021-75572018000400368
Resumo: Abstract Objective: To evaluate the effectiveness of a thermoregulation bundle for preventing admission hypothermia in very low-birth weight preterm infants. Methods: Interventional study with retrospective evaluation of data undertaken in a tertiary neonatal unit including all very low-birth weight preterm infants (<1500 g) born at and admitted to the unit. Two periods were compared: before intervention (PI; 01/01/2012 to 02/28/2014_ and after intervention (PII; 04/01/2014 to 11/30/2016). The intervention started in March 2014. At PI procedures in the delivery room were: placement in a crib with a radiant heat source, doors always closed, polyethylene body plastic bag, double cap (plastic and cotton mesh), room temperature between 24 to 27 ºC and transport to neonatal unit in a pre-heated incubator (36-37.0 ºC). At PII, there was a reinforcement on not opening the plastic bag during the entire resuscitation process, even at an advanced stage, and the anthropometric measures and routine care were performed in the neonatal unit. Maternal, delivery, and neonatal variables were compared. Admission hypothermia was considered when admission axillary temperature was <36.0 ºC. Periodic results were shown to the team every six months and results were discussed. Results: The incidence of admission hypothermia was reduced significantly in PII (37.2 vs. 14.2%, p < 0.0001) and admission temperature medians were higher (36.1 vs. 36.5 ºC, p < 0.001). At PII, there was an increase in the number of infants transported with oxygen (49.5 vs. 75.5%, p < 0.0001). No differences were observed regarding birth weight and gestational age. Conclusion: There was a very important reduction in admission hypothermia incidence and a higher median admission temperature after continued protocol implementation.
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spelling Effectiveness of a measure program to prevent admission hypothermia in very low-birth weight preterm infants,HypothermiaVery low birth weight infantQuality of health careAbstract Objective: To evaluate the effectiveness of a thermoregulation bundle for preventing admission hypothermia in very low-birth weight preterm infants. Methods: Interventional study with retrospective evaluation of data undertaken in a tertiary neonatal unit including all very low-birth weight preterm infants (<1500 g) born at and admitted to the unit. Two periods were compared: before intervention (PI; 01/01/2012 to 02/28/2014_ and after intervention (PII; 04/01/2014 to 11/30/2016). The intervention started in March 2014. At PI procedures in the delivery room were: placement in a crib with a radiant heat source, doors always closed, polyethylene body plastic bag, double cap (plastic and cotton mesh), room temperature between 24 to 27 ºC and transport to neonatal unit in a pre-heated incubator (36-37.0 ºC). At PII, there was a reinforcement on not opening the plastic bag during the entire resuscitation process, even at an advanced stage, and the anthropometric measures and routine care were performed in the neonatal unit. Maternal, delivery, and neonatal variables were compared. Admission hypothermia was considered when admission axillary temperature was <36.0 ºC. Periodic results were shown to the team every six months and results were discussed. Results: The incidence of admission hypothermia was reduced significantly in PII (37.2 vs. 14.2%, p < 0.0001) and admission temperature medians were higher (36.1 vs. 36.5 ºC, p < 0.001). At PII, there was an increase in the number of infants transported with oxygen (49.5 vs. 75.5%, p < 0.0001). No differences were observed regarding birth weight and gestational age. Conclusion: There was a very important reduction in admission hypothermia incidence and a higher median admission temperature after continued protocol implementation.Sociedade Brasileira de Pediatria2018-08-01info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersiontext/htmlhttp://old.scielo.br/scielo.php?script=sci_arttext&pid=S0021-75572018000400368Jornal de Pediatria v.94 n.4 2018reponame:Jornal de Pediatria (Online)instname:Sociedade Brasileira de Pediatria (SBP)instacron:SBPE10.1016/j.jped.2017.06.016info:eu-repo/semantics/openAccessCaldas,Jamil Pedro de SiqueiraMillen,Fernanda de CastroCamargo,Juliana Fernandes deCastro,Paula Almeida CavalcantiCamilo,Ana Letícia da FonsecaMarba,Sérgio Tadeu Martinseng2018-08-16T00:00:00Zoai:scielo:S0021-75572018000400368Revistahttp://www.jped.com.br/https://old.scielo.br/oai/scielo-oai.php||jped@jped.com.br1678-47820021-7557opendoar:2018-08-16T00:00Jornal de Pediatria (Online) - Sociedade Brasileira de Pediatria (SBP)false
dc.title.none.fl_str_mv Effectiveness of a measure program to prevent admission hypothermia in very low-birth weight preterm infants,
title Effectiveness of a measure program to prevent admission hypothermia in very low-birth weight preterm infants,
spellingShingle Effectiveness of a measure program to prevent admission hypothermia in very low-birth weight preterm infants,
Caldas,Jamil Pedro de Siqueira
Hypothermia
Very low birth weight infant
Quality of health care
title_short Effectiveness of a measure program to prevent admission hypothermia in very low-birth weight preterm infants,
title_full Effectiveness of a measure program to prevent admission hypothermia in very low-birth weight preterm infants,
title_fullStr Effectiveness of a measure program to prevent admission hypothermia in very low-birth weight preterm infants,
title_full_unstemmed Effectiveness of a measure program to prevent admission hypothermia in very low-birth weight preterm infants,
title_sort Effectiveness of a measure program to prevent admission hypothermia in very low-birth weight preterm infants,
author Caldas,Jamil Pedro de Siqueira
author_facet Caldas,Jamil Pedro de Siqueira
Millen,Fernanda de Castro
Camargo,Juliana Fernandes de
Castro,Paula Almeida Cavalcanti
Camilo,Ana Letícia da Fonseca
Marba,Sérgio Tadeu Martins
author_role author
author2 Millen,Fernanda de Castro
Camargo,Juliana Fernandes de
Castro,Paula Almeida Cavalcanti
Camilo,Ana Letícia da Fonseca
Marba,Sérgio Tadeu Martins
author2_role author
author
author
author
author
dc.contributor.author.fl_str_mv Caldas,Jamil Pedro de Siqueira
Millen,Fernanda de Castro
Camargo,Juliana Fernandes de
Castro,Paula Almeida Cavalcanti
Camilo,Ana Letícia da Fonseca
Marba,Sérgio Tadeu Martins
dc.subject.por.fl_str_mv Hypothermia
Very low birth weight infant
Quality of health care
topic Hypothermia
Very low birth weight infant
Quality of health care
description Abstract Objective: To evaluate the effectiveness of a thermoregulation bundle for preventing admission hypothermia in very low-birth weight preterm infants. Methods: Interventional study with retrospective evaluation of data undertaken in a tertiary neonatal unit including all very low-birth weight preterm infants (<1500 g) born at and admitted to the unit. Two periods were compared: before intervention (PI; 01/01/2012 to 02/28/2014_ and after intervention (PII; 04/01/2014 to 11/30/2016). The intervention started in March 2014. At PI procedures in the delivery room were: placement in a crib with a radiant heat source, doors always closed, polyethylene body plastic bag, double cap (plastic and cotton mesh), room temperature between 24 to 27 ºC and transport to neonatal unit in a pre-heated incubator (36-37.0 ºC). At PII, there was a reinforcement on not opening the plastic bag during the entire resuscitation process, even at an advanced stage, and the anthropometric measures and routine care were performed in the neonatal unit. Maternal, delivery, and neonatal variables were compared. Admission hypothermia was considered when admission axillary temperature was <36.0 ºC. Periodic results were shown to the team every six months and results were discussed. Results: The incidence of admission hypothermia was reduced significantly in PII (37.2 vs. 14.2%, p < 0.0001) and admission temperature medians were higher (36.1 vs. 36.5 ºC, p < 0.001). At PII, there was an increase in the number of infants transported with oxygen (49.5 vs. 75.5%, p < 0.0001). No differences were observed regarding birth weight and gestational age. Conclusion: There was a very important reduction in admission hypothermia incidence and a higher median admission temperature after continued protocol implementation.
publishDate 2018
dc.date.none.fl_str_mv 2018-08-01
dc.type.driver.fl_str_mv info:eu-repo/semantics/article
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dc.identifier.uri.fl_str_mv http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0021-75572018000400368
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dc.language.iso.fl_str_mv eng
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dc.relation.none.fl_str_mv 10.1016/j.jped.2017.06.016
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dc.publisher.none.fl_str_mv Sociedade Brasileira de Pediatria
publisher.none.fl_str_mv Sociedade Brasileira de Pediatria
dc.source.none.fl_str_mv Jornal de Pediatria v.94 n.4 2018
reponame:Jornal de Pediatria (Online)
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collection Jornal de Pediatria (Online)
repository.name.fl_str_mv Jornal de Pediatria (Online) - Sociedade Brasileira de Pediatria (SBP)
repository.mail.fl_str_mv ||jped@jped.com.br
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