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The impact of a quality improvement effort in reducing admission hypothermia in preterm infants following delivery / 소아과
Korean Journal of Pediatrics ; : 239-244, 2018.
Artículo en Inglés | WPRIM | ID: wpr-716325
ABSTRACT

PURPOSE:

Hypothermia at admission is associated with increased mortality and morbidity in preterm infants. We performed a quality improvement (QI) effort to determine the impact of a decrease in admission hypothermia in preterm infants.

METHODS:

The study enrolled very low birth weight (VLBW) infants born at Gangnam Severance Hospital between January 2013 and December 2016. This multidisciplinary QI effort included the use of occlusive wraps, warm blankets, and caps; the delivery room temperature was maintained above 23.0℃, and a check-list was used for feedback.

RESULTS:

Among 259 preterm infants, the incidence of hypothermia (defined as body temperature <36.0℃) decreased significantly from 68% to 41%, and the mean body temperature on neonatal intensive care unit admission increased significantly from 35.5℃ to 36.0℃. In subgroup analysis of VLBW infants, admission hypothermia and neonatal outcomes were compared between the pre-QI (n=55) and post-QI groups (n=75). Body temperature on admission increased significantly from 35.4℃ to 35.9℃ and the number of infants with hypothermia decreased significantly from 71% to 45%. There were no cases of neonatal hyperthermia. The incidence of pulmonary hemorrhage was significantly decreased (P=0.017). Interaction analysis showed that birth weight and gestational age were not correlated with hypothermia following implementation of the protocol.

CONCLUSION:

Our study demonstrated a significant reduction in admission hypothermia following the introduction of a standardized protocol in our QI effort. This resulted in an effective reduction in the incidence of massive pulmonary hemorrhage.
Asunto(s)

Texto completo: Disponible Índice: WPRIM (Pacífico Occidental) Asunto principal: Peso al Nacer / Temperatura Corporal / Recien Nacido Prematuro / Cuidado Intensivo Neonatal / Incidencia / Mortalidad / Edad Gestacional / Recién Nacido de muy Bajo Peso / Qi / Salas de Parto Tipo de estudio: Estudio de incidencia / Estudio pronóstico Límite: Humanos / Lactante / Recién Nacido Idioma: Inglés Revista: Korean Journal of Pediatrics Año: 2018 Tipo del documento: Artículo

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Texto completo: Disponible Índice: WPRIM (Pacífico Occidental) Asunto principal: Peso al Nacer / Temperatura Corporal / Recien Nacido Prematuro / Cuidado Intensivo Neonatal / Incidencia / Mortalidad / Edad Gestacional / Recién Nacido de muy Bajo Peso / Qi / Salas de Parto Tipo de estudio: Estudio de incidencia / Estudio pronóstico Límite: Humanos / Lactante / Recién Nacido Idioma: Inglés Revista: Korean Journal of Pediatrics Año: 2018 Tipo del documento: Artículo