Evidence map›Paper›PMID 33986475›Full record

ArticleJournal of perinatology : official journal of the California Perinatal Association2021

A quality improvement initiative to reduce hypothermia in a Baby-Friendly nursery - our story of algorithms, K-cards, and Key cards.

Noel Joseph, Tal Dror, Eva Takhalova, Ranjith Kamity, Ulka Kothari, Alena Connelly, Nazeeh Hanna, Amrita Nayak

Abstract read
PubMed Publisher
In one paragraph

Article in Journal of perinatology : official journal of the California Perinatal Association, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
1.0field-weighted citation impact, top 23% of its field
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

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.

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

3 citing papers in PubMed, 9 citations in OpenAlex.

  1. Article
  2. Article
  3. Article
4 · The record

Corrections and comments

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 at 2 institutions in 1 country.

Noel Joseph *Department of Pediatrics, Le Bonheur Children's Hospital, Memphis, TN, USA.
Tal Dror *Department of Pediatrics, NYU Langone Hospital-Long Island, Mineola, NY, USA.ORCID http://orcid.org/0000-0002-6454-6403
Eva TakhalovaDepartment of Pediatrics, NYU Langone Hospital-Long Island, Mineola, NY, USA.
Ranjith KamityDepartment of Pediatrics, NYU Langone Hospital-Long Island, Mineola, NY, USA.ORCID http://orcid.org/0000-0002-3247-9701
Ulka KothariDepartment of Pediatrics, NYU Langone Hospital-Long Island, Mineola, NY, USA.
Alena ConnellyDepartment of Pediatrics, NYU Langone Hospital-Long Island, Mineola, NY, USA.
Nazeeh HannaDepartment of Pediatrics, NYU Langone Hospital-Long Island, Mineola, NY, USA.
Amrita NayakDepartment of Pediatrics, NYU Langone Hospital-Long Island, Mineola, NY, USA. amrita.nayak@nyulangone.org.ORCID http://orcid.org/0000-0001-5526-1660
Island Hospital · USLe Bonheur Children's Hospital · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundBaby-Friendly hospitals encourage rooming-in newborns with mothers. In our institution, we noticed increased incidence of hypothermia following Baby-Friendly designation. We aimed to reduce the incidence of hypothermia in the mother-baby-unit to <15% and to decrease the rate of isolated hypothermia admissions to the neonatal intensive care unit (NICU) by 20% over two years.

methodsAfter a retrospective review of newborns ≥35 weeks gestation in the mother-baby-unit with hypothermia, we implemented multiple interventions such as nursing education, hypothermia algorithm, Kamishibai cards, and Key cards.

resultsHypothermia incidence in the mother-baby-unit decreased from 20.9 to 14.5% (p < 0.001) and infants requiring NICU admission decreased by 71% (p < 0.001) following all interventions. Apart from nursing education, all interventions led to significant reductions in both outcomes from baseline.

conclusionInstituting a hypothermia algorithm and utilizing K-cards and Key cards reduces the incidence of hypothermia in the mother-baby-unit and NICU admissions for isolated hypothermia.

Indexed as

HypothermiaQuality ImprovementAlgorithmsFemaleHumansInfantInfant, NewbornIntensive Care Units, NeonatalRetrospective Studies

Identifiers

PMID33986475
OpenAlexW3162889989

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

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.