Hypothermia and Related Factors in High-Risk Infants
Child Health Nursing Research
;
: 505-514, 2017.
Article
in Korean
| WPRIM
| ID: wpr-220611
ABSTRACT
PURPOSE:
Maintaining body temperature is a key vital function of human beings, but little is known about how body temperature of high-risk infants is sustained during early life after birth. The aim of this study was to describe hypothermia in high-risk infants during their first week of life and examine demographic, environmental, and clinical attributors of hypothermia.METHODS:
A retrospective longitudinal study was done from January 1, 2013 to December 31, 2015. Medical records of 570 high-risk infants hospitalized at Neonatal Intensive Care Units (NICU) of a university affiliated hospital were examined. Body temperature and related factors were assessed for seven days after birth.RESULTS:
A total of 336 events of hypothermia (212 mild and 124 moderate) occurred in 280 neonates (49.1%) and most events (84.5%) occurred within 24 hours after birth. Logistic regression analysis revealed that phototherapy (aOR=0.28, 95% CI=0.10-0.78), Apgar score at 5 minute (aOR=2.20, 95% CI=1.17-4.12), and intra-uterine growth retardation or small for gestational age (aOR=3.58, 95% CI=1.69-7.58) were statistically significant contributors to hypothermia.CONCLUSION:
Findings indicate that high-risk infants are at risk for hypothermia even when in the NICU. More advanced nursing interventions are necessary to prevent hypothermia of high-risk infants.
Full text:
Available
Index:
WPRIM (Western Pacific)
Main subject:
Apgar Score
/
Phototherapy
/
Body Temperature
/
Intensive Care Units, Neonatal
/
Logistic Models
/
Medical Records
/
Retrospective Studies
/
Longitudinal Studies
/
Gestational Age
/
Nursing
Type of study:
Etiology study
/
Observational study
/
Prognostic study
/
Risk factors
Limits:
Humans
/
Infant
/
Infant, Newborn
Language:
Korean
Journal:
Child Health Nursing Research
Year:
2017
Type:
Article
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