ArticleThe Permanente journal2013
Elimination of admission hypothermia in preterm very low-birth-weight infants by standardization of delivery room management.
Article in The Permanente journal, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT06275932 (Management of Healthy Newborn's Body Temperature With the Use of Blanket), which is not on this map. Cited by 35 papers, 4 of them syntheses that pooled it.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Management of Healthy Newborn's Body Temperature With the Use of Blanket: Randomized Controlled Trial
Who cites it
35 citing papers in PubMed, 4 syntheses or guidelines pooled it, 84 citations in OpenAlex.
- Pooled it
- Prevalence of neonatal hypothermia and its associated factors in East Africa: a systematic review and meta-analysis.BMC pediatrics · 2020Pooled it
- Interventions to prevent hypothermia at birth in preterm and/or low birth weight infants.The Cochrane database of systematic reviews · 2018Pooled it
- Singapore Neonatal Resuscitation Guidelines 2016.Singapore medical journal · 2017Guideline
- Reducing Hypothermia Among Intramural Vaginally Born Preterm Neonates Admitted in Neonatal Intensive Care Unit at a Tertiary Care Centre Using Quality Improvement Approach.Indian journal of pediatrics · 2026Article
- Early postnatal hypothermia in critically transported newborns at a Chinese tertiary care neonatal centre: a retrospective study.BMJ paediatrics open · 2026Observational
- A regional quality-improvement collaborative to reduce early neonatal hypothermia in critically ill newborns.Translational pediatrics · 2026Article
- Newborn Vitals in the First 10 min Do Not Differ With Mode of Delivery.International journal of pediatrics · 2026Article
- Short-Term Maternal and Neonatal Outcomes in Preterm (<33 Weeks Gestation) Cesarean Deliveries Under General Anesthesia with Deferred Cord Clamping.Children (Basel, Switzerland) · 2025Article
- Delayed admission temperature normalisation in preterm infants <32 weeks: impact on mortality and neonatal morbidities.BMJ paediatrics open · 2025Article
- Longer Duration of Cord Clamping Improves Nicu Survival Without Major Morbidities in Very Preterm Infants.Children (Basel, Switzerland) · 2024Article
- Technique and protocol for bedside neuroendoscopic lavage for post-hemorrhagic hydrocephalus: technical note.Child's nervous system : ChNS : official journal of the International Society for Pediatric Neurosurgery · 2024Article
- Association between Neonatal Outcomes and Admission Hypothermia among Very Preterm Infants in Chinese Neonatal Intensive Care Units: A Multicenter Cohort Study.American journal of perinatology · 2024Article
- Preclinical validation of NeoWarm, a low-cost infant warmer and carrier device, to ameliorate induced hypothermia in newborn piglets as models for human neonates.Frontiers in pediatrics · 2024Article
- Assessment of Vitality, Blood Profile, and Degree of Meconium Staining on the Skin in Newborn Dogs According to Its Birth Weight.Veterinary sciences · 2023Article
- Strategies and Mechanisms of Thermal Compensation in Newborn Water Buffaloes.Animals : an open access journal from MDPI · 2023Review
- Quality improvement for neonatal resuscitation and delivery room care.Seminars in perinatology · 2022Review
- Blood Biomarker Profile Alterations in Newborn Canines: Effect of the Mother's Weight.Animals : an open access journal from MDPI · 2021Article
- Causes of preterm and low birth weight neonatal mortality in a rural community in Kenya: evidence from verbal and social autopsy.BMC pregnancy and childbirth · 2021Article
- [Newborn resuscitation and support of transition of infants at birth].Notfall & rettungsmedizin · 2021Review
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
6 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
contextTemperature instability is a serious but potentially preventable morbidity in preterm infants. Admission temperatures below 36°C are associated with increased mortality and late onset sepsis.
objectiveThe goal of our quality-improvement effort was to increase preterm infants' admission temperatures to above 36°C by preventing heat loss in the immediate postnatal period.
designThis quality-improvement initiative used the rapid-cycle Plan-Do-Study-Act approach. Preterm infants born at less than 33 weeks' gestation with very low birth weight less than 1500 g who were born at a Regional Level III Neonatal Intensive Care Unit (NICU) in San Jose, CA, were enrolled. Our intervention involved standardizing the management of thermoregulation from predelivery through admission to the NICU. Data on admission temperature were collected prospectively.
main outcome measuresThe primary outcome measure was hypothermia, defined as temperature below 36°C on admission to the NICU.
resultsThe hypothermia rate was reduced from 44% in early 2006 to 0% by 2009. There was a slight increase to 6% in 2010. Subsequently, with further real-time feedback, we were able to sustain 0% hypothermia through 2011. Our hypothermia rate remained substantially lower than state and national hypothermia benchmarks that have shown moderate improvement over the same period.
conclusionWe reduced hypothermia in very low-birth-weight infants using a standardized protocol, multidisciplinary team approach, and continuous feedback. Sustaining improvement is a challenge that requires real-time progress evaluation of outcomes and ongoing staff education.
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What OpenQuestion holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.