Observational studyEuropean journal of pediatrics2020
The impact of a quality improvement project to reduce admission hypothermia on mortality and morbidity in very low birth weight infants.
Observational study in European journal of pediatrics, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers, 1 of them a synthesis that pooled it.
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Who cites it
11 citing papers in PubMed, 1 synthesis or guideline pooled it, 20 citations in OpenAlex.
- Factors influencing hypothermia in very low/extremely low birth weight infants: a meta-analysis.PeerJ · 2023Pooled it
- Pre-discharge Outcomes of Very Preterm and Very Low Birth Weight Infants from a Tertiary Care Neonatal Center in India.Indian journal of pediatrics · 2026Article
- Timely care for tiny lives: quality improvement for golden hour management bundle.BMJ open quality · 2026Article
- Nurse-Driven Quality Indicators for Neonatal Intensive Care: A Delphi Consensus on Family-Integrated Priorities in NICUs.Advances in neonatal care : official journal of the National Association of Neonatal Nurses · 2026Article
- A regional quality-improvement collaborative to reduce early neonatal hypothermia in critically ill newborns.Translational pediatrics · 2026Article
- Delayed admission temperature normalisation in preterm infants <32 weeks: impact on mortality and neonatal morbidities.BMJ paediatrics open · 2025Article
- Improving the quality of care for preterm infants in the golden hour.BMJ open quality · 2025Article
- Development, implementation, and evaluation of neonatal thermoregulation decision support web application.BMC medical informatics and decision making · 2023Article
- Quality improvement for neonatal resuscitation and delivery room care.Seminars in perinatology · 2022Review
- 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
- Outcomes of neonatal hypothermia among very low birth weight infants: a Meta-analysis.Maternal health, neonatology and perinatology · 2021Review
Corrections and comments
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Authors and funding
8 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
This prospective observational study was aimed to analyze the impact of a quality improvement project to reduce admission hypothermia on composite outcome of neonatal mortality and major morbidities. Infants with birth weight between 500 and 1499 g and gestation ≥ 25 weeks without major congenital malformations delivered between January 2018 and January 2020 who were admitted directly from delivery room to NICU were included in the study. Study period was divided in three phases including pre-intervention, intervention and post-intervention phase. There were a total of 368 VLBW infants included in the study. Mean admission temperature of neonates was 35.3 ± 0.6 °C, 36.0 ± 0.8 °C, and 36.4 ± 0.4 °C during pre-intervention, intervention, and post-intervention phase, respectively. Absolute incidence of composite outcome was 31%, 20%, and 13.2% during pre-intervention, intervention, and post-intervention phase, respectively. Risk of adverse composite outcome was significantly lower in post-intervention period as compared to pre-intervention period (aRR 0.68, 95% CI 0.49-0.92). Nosocomial sepsis and need for invasive ventilation was also significantly less in post-intervention period as compared to pre-intervention period.Conclusion: Implementation of thermoregulatory interventions best suited to local settings help in significant reduction of neonatal hypothermia, which in turn can help to improve neonatal outcomes. What is known: • Admission hypothermia is associated with adverse neonatal outcomes. • Implementation of quality improvement projects help reducing hypothermia incidence. What is new: • Implementation of quality improvement project to reduce admission hypothermia resulted in reduction in incidence of adverse composite neonatal outcome. • Also implementation of quality improvement project led to reduction in incidence of nosocomial sepsis and need of invasive ventilation.
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