ArticlePediatric research2023
Thermoregulation and golden hour practices in extremely preterm infants: an international survey.
Article in Pediatric research, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.
What it found
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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.
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.
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Who cites it
6 citing papers in PubMed, 19 citations in OpenAlex.
- Temperature probe placement in very preterm infants during delivery room stabilization: an open-label randomized trial.Pediatric research · 2024Trial
- Vascular device practices in extremely preterm infants: an international cross-sectional survey.Journal of perinatology : official journal of the California Perinatal Association · 2026Article
- Approaches to incubator humidification at <25 weeks' gestation and potential impacts on infants.Journal of perinatology : official journal of the California Perinatal Association · 2025Review
- Thermoregulation, incubator humidity, and skincare practices in appropriate for gestational age ultra-low birth weight infants: need for more evidence.World journal of pediatrics : WJP · 2024Review
- Fetal alcohol spectrum disorders.Nature reviews. Disease primers · 2023Review
- Elaboration and implementation of a protocol for the Golden Hour of premature newborns using an Implementation Science lens.Revista latino-americana de enfermagem · 2023Article
Corrections and comments
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Authors and funding
23 authors at 15 institutions in 12 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundAre thermoregulation and golden hour practices in extremely preterm (EP) infants comparable across the world? This study aims to describe these practices for EP infants based on the neonatal intensive care unit's (NICUs) geographic region, country's income status and the lowest gestational age (GA) of infants resuscitated.
methodsThe Director of each NICU was requested to complete the e-questionnaire between February 2019 and August 2021.
resultsWe received 848 responses, from all geographic regions and resource settings. Variations in most thermoregulation and golden hour practices were observed. Using a polyethylene plastic wrap, commencing humidity within 60 min of admission, and having local protocols were the most consistent practices (>75%). The odds for the following practices differed in NICUs resuscitating infants from 22 to 23 weeks GA compared to those resuscitating from 24 to 25 weeks: respiratory support during resuscitation and transport, use of polyethylene plastic wrap and servo-control mode, commencing ambient humidity >80% and presence of local protocols.
conclusionEvidence-based practices on thermoregulation and golden hour stabilisation differed based on the unit's region, country's income status and the lowest GA of infants resuscitated. Future efforts should address reducing variation in practice and aligning practices with international guidelines. IMPACT: A wide variation in thermoregulation and golden hour practices exists depending on the income status, geographic region and lowest gestation age of infants resuscitated. Using a polyethylene plastic wrap, commencing humidity within 60 min of admission and having local protocols were the most consistent practices. This study provides a comprehensive description of thermoregulation and golden hour practices to allow a global comparison in the delivery of best evidence-based practice. The findings of this survey highlight a need for reducing variation in practice and aligning practices with international guidelines for a comparable health care delivery.
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Registered trials
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