Evidence map›Paper›PMID 32766492›Full record

ArticlePediatric quality & safety

A Quality Initiative for Reducing Postoperative Hypothermia for Neonatal Intensive Care Unit Surgical Patients.

Jessica A Cronin, Lamia Soghier, Kara Ryan, Christine Shen, Sopnil Bhattarai, Sohel Rana, Rahul Shah, Eugenie Heitmiller

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Article in Pediatric quality & safety. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
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1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

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.

2 · The registry

The trial behind it

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Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

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4 · The record

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PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors.

Jessica A CroninDivision of Anesthesiology, Pain and Perioperative Medicine, Children's National Hospital, George Washington University, Washington, D.C.
Lamia SoghierDivision of Neonatology, Children's National Hospital, George Washington University, Washington, D.C.
Kara RyanDivision of Anesthesiology, Pain and Perioperative Medicine, Children's National Hospital, George Washington University, Washington, D.C.
Christine ShenDivision of Anesthesiology, Pain and Perioperative Medicine, Children's National Hospital, George Washington University, Washington, D.C.
Sopnil BhattaraiDivision of Quality and Safety, Children's National Hospital, George Washington University, Washington, D.C.
Sohel RanaCenter for Surgical Care, Children's National Hospital, George Washington University, Washington, D.C.
Rahul ShahDivision of Quality and Safety, Children's National Hospital, George Washington University, Washington, D.C.
Eugenie HeitmillerDivision of Anesthesiology, Pain and Perioperative Medicine, Children's National Hospital, George Washington University, Washington, D.C.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionThe association between hypothermia in the neonatal intensive care unit (NICU) patients and morbidity and mortality is well described. Neonates are at higher risk of perioperative hypothermia when compared to older children. Previous studies showed that quality improvement tools reduced postoperative hypothermia in NICU patients, but none showed sustained improvement at incidence rates of <10%. As a single institution, we aimed to reduce the percentage of postoperative temperatures < 36°C in NICU patients from 10% to 6% over 6 months and sustain for 6 months.

methodsAn interdisciplinary team created a key driver diagram and implemented interventions, including monthly reporting of postoperative hypothermia incidence to the anesthesiologists, individual feedback sessions with the anesthesiologists, use of a perioperative checklist, and continuous axillary temperature monitoring of the infant throughout the perioperative period. Data were collected retrospectively using a chart review of electronic medical records. The primary outcome was the percentage of hypothermic patients (T < 36°C) based on the first postoperative temperature taken in the NICU. We tracked this measure using a statistical control chart and evaluated it using Plan-Do-Study-Act cycles.

resultsFrom February 1, 2016 to May 30, 2018, data were collected for 554 patients (pre-intervention: 242 and post-intervention: 312). The percentage of surgical patients who returned to the NICU hypothermic decreased from 9.7% to 2.5% (

conclusionsQuality improvement tools are useful in reducing postoperative hypothermia in NICU surgical patients and in maintaining these results.

Identifiers

PMID32766492
PMCPMC7360329

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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.