ArticleJournal of perinatology : official journal of the California Perinatal Association2017
Implementation of a multidisciplinary guideline improves preterm infant admission temperatures.
Article in Journal of perinatology : official journal of the California Perinatal Association, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers, 2 of them syntheses that pooled it.
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Who cites it
17 citing papers in PubMed, 2 syntheses or guidelines pooled it, 49 citations in OpenAlex.
- Pooled it
- Interventions to prevent hypothermia at birth in preterm and/or low birth weight infants.The Cochrane database of systematic reviews · 2018Pooled it
- Relationship of neonatal hypothermia and hypoglycemia in late preterm and term born neonates.Molecular and cellular pediatrics · 2025Review
- Acceptance and implementation of evidence-based practices in delivery room resuscitation: A qualitative study.SSM. Qualitative research in health · 2025Article
- Improving the quality of care for preterm infants in the golden hour.BMJ open quality · 2025Article
- Combining orofacial stimulation with gentle touch therapy improves breastfeeding tolerance and weight gain in preterm infants.American journal of translational research · 2025Article
- Association Between Persistent Hypothermia After Cardiopulmonary Bypass in Neonates and Odds of Serious Complications.Critical care explorations · 2024Article
- Outcomes of infants with birthweights less than 501 g compared to infants weighing 501-750 g at a center utilizing first intention high frequency jet ventilation.Frontiers in pediatrics · 2024Article
- Developmental care pathway for hospitalised infants with CHD: on behalf of the Cardiac Newborn Neuroprotective Network, a Special Interest Group of the Cardiac Neurodevelopmental Outcome Collaborative.Cardiology in the young · 2023Article
- Quality improvement for neonatal resuscitation and delivery room care.Seminars in perinatology · 2022Review
- Improvement in thermoregulation outcomes following the implementation of a thermoregulation bundle for preterm infants.Journal of paediatrics and child health · 2022Article
- A standardized implementation of multicenter quality improvement program of very low birth weight newborns could significantly reduce admission hypothermia and improve outcomes.BMC pediatrics · 2022Article
- Implementation of a temperature bundle improves admission hypothermia in very-low-birth-weight infants in China: a multicentre study.BMJ open quality · 2022Article
- The impact of a quality improvement project to reduce admission hypothermia on mortality and morbidity in very low birth weight infants.European journal of pediatrics · 2020Observational
- Perinatal quality improvement bundle to decrease hypothermia in extremely low birthweight infants with birth weight less than 1000 g: single-center experience over 6 years.Journal of investigative medicine : the official publication of the American Federation for Clinical Research · 2020Article
- Vermont Oxford Network: a worldwide learning community.Translational pediatrics · 2019Review
- A Quality Improvement Initiative to Improve Normothermia While Transitioning Premature Infants to an Open Crib.Pediatric quality & safetyArticle
Corrections and comments
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Authors and funding
6 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundHypothermia is a common problem in preterm infants immediately following delivery.Local problem:The rate of admission hypothermia in our neonatal intensive care unit (NICU) was above the rate of comparable NICUs in the Vermont Oxford Network.
methodsTo reduce the rate of preterm admission hypothermia, a quality improvement (QI) project was implemented, utilizing the plan-do-study-act (PDSA) methodology. A guideline for delivery room thermoregulation management in <35-week infants at the University of Virginia was created and put into practice by a multidisciplinary team.
interventionsClinical practice changes in the guideline included: increasing operating room temperatures, obtaining a 10-min axillary temperature, using an exothermic mattress for all infants <35 weeks, and using a polyethylene wrap for infants <32 weeks.
resultsThe baseline rate of hypothermia (<36.5 °CC) was 63%. Three PDSA cycles data were completed on 168 consecutive preterm births. The post-implementation rate of hypothermia (<36.5 °C) was reduced to 30% (P<0.001). The incidence of moderate hypothermia (< 36 °C) was reduced from a baseline of 29% to a rate of 9% (P<0.001).
conclusionUse of a multidisciplinary guideline to increase preterm NICU admission temperatures resulted in a decrease in hypothermic infants.
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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.