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Oct 8, 2018

7th Congress of the European Academy of Paediatric Societies

HYPOTHERMIA IN PRETERM INFANTS IN THE FIRST 72 HOURS AFTER NICU ADMISSION: INCIDENCE AND IMPACT OF CLINICAL PROCEDURES

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preterm infants

hypothermia

neonatology

temperature managament

clinical procedures

Abstract

Abstract

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Keywords

preterm infants

hypothermia

neonatology

temperature managament

clinical procedures

Abstract

Background Although hypothermia (WHO, temperature<36.5°C) at admission to the Neonatal Intensive Care Unit (NICU) is associated with higher morbidity and mortality, little is known about hypothermia during the first 72h after admission. Aim To investigate the incidence of hypothermia in preterm infants during the first 72h after NICU admission and to evaluate if clinical procedures are associated with hypothermia. Methods Single-center retrospective cohort study of 111 premature infants with Gestational Age (GA) <30 weeks admitted to the NICU of the Máxima Medical Center, July 2016 - August 2017. The first temperature (admission) was measured rectally, all following temperatures were measured using a skin probe device. Temperatures were registered at 2-h intervals. Clinical procedures were less invasive surfactant administration (LISA), intubation, insertion of umbilical or central lines and ultrasound. Temperature differences were calculated between control state and during procedure (∆Tprocedure) and between control state and post-procedure (∆Tpost-procedure). Results 38% of the infants were hypothermic at NICU admission. At 2-72 hours the mean percentage of hypothermia was 8% (range 4-18%). Intubation, line-insertion and ultrasound were associated with a significant decrease in temperature, with intubation having the largest effect. Conclusion This study shows that hypothermia during the first days of NICU admission is common and several clinical procedures are associated with a decrease in temperature. LISA was not related with hypothermia, probably because of shorter procedure duration. This study underlines the importance of developing strategies to prevent hypothermia during the first days after NICU admission, particularly during procedures.

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© Copyright 2019 Morressier GmbH.
All rights reserved.