ArticleKorean journal of pediatrics2018
The impact of a quality improvement effort in reducing admission hypothermia in preterm infants following delivery.
Article in Korean journal of pediatrics, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers, 1 of them a synthesis that pooled it.
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Who cites it
6 citing papers in PubMed, 1 synthesis or guideline pooled it, 23 citations in OpenAlex.
- Pooled it
- Timely care for tiny lives: quality improvement for golden hour management bundle.BMJ open quality · 2026Article
- Improving the quality of care for preterm infants in the golden hour.BMJ open quality · 2025Article
- 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
- Preventing Perioperative Hypothermia in Neonatal Surgical Patients: A Phased Quality Improvement Initiative within the Wake Up Safe Collaborative.Pediatric quality & safetyArticle
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Authors and funding
6 authors at 1 institution in 1 country.
Funding
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Abstract
purposeHypothermia 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.
methodsThe 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˚C, and a check-list was used for feedback.
resultsAmong 259 preterm infants, the incidence of hypothermia (defined as body temperature <36.0˚C) decreased significantly from 68% to 41%, and the mean body temperature on neonatal intensive care unit admission increased significantly from 35.5˚C to 36.0˚C. 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˚C to 35.9˚C 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.
conclusionOur 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.
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