Evidence map›Paper›PMID 38443526›Full record

Trial reportPediatric research2024

Temperature probe placement in very preterm infants during delivery room stabilization: an open-label randomized trial.

Pranav R Jani, Rajesh Maheshwari, Hannah Skelton, Patricia Viola, Sheela Thomas, Lynette Ryder, Mihaela Culcer, Umesh Mishra, Swapnil Shah, Jane Baird and 6 more

Open access · hybridAbstract readRandomized Controlled TrialMulticenter Study
In one paragraph

Trial report in Pediatric research, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
0.4field-weighted citation impact, top 39% 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

0 citing papers in PubMed, 1 citations in OpenAlex.

No citing paper in PubMed yet.

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

16 authors at 3 institutions in 1 country.

Pranav R Jani *Department of Neonatology, Westmead Hospital, Westmead, NSW, Australia. pranav.jani@sydney.edu.au.
Rajesh Maheshwari *Department of Neonatology, Westmead Hospital, Westmead, NSW, Australia.
Hannah SkeltonDepartment of Neonatology, Westmead Hospital, Westmead, NSW, Australia.
Patricia ViolaDepartment of Neonatology, Westmead Hospital, Westmead, NSW, Australia.
Sheela ThomasDepartment of Neonatology, Westmead Hospital, Westmead, NSW, Australia.
Lynette RyderDepartment of Maternal and Fetal Medicine, Westmead Hospital, Westmead, NSW, Australia.
Mihaela CulcerDepartment of Neonatology, Westmead Hospital, Westmead, NSW, Australia.
Umesh MishraDepartment of Neonatology, Westmead Hospital, Westmead, NSW, Australia.
Swapnil ShahDepartment of Neonatology, Westmead Hospital, Westmead, NSW, Australia.
Jane BairdDepartment of Neonatology, Westmead Hospital, Westmead, NSW, Australia.
James ElhindiThe Reproduction and Perinatal Centre, Faculty of Medicine and Health, The University of Sydney, Sydney, NSW, Australia.
Ann-Maree PaderniaDepartment of Neonatology, Westmead Hospital, Westmead, NSW, Australia.
Traci-Anne GoyenDepartment of Neonatology, Westmead Hospital, Westmead, NSW, Australia.
Daphne D'CruzDepartment of Neonatology, Westmead Hospital, Westmead, NSW, Australia.
Melissa LuigDepartment of Neonatology, Westmead Hospital, Westmead, NSW, Australia.
Dharmesh ShahDepartment of Neonatology, Westmead Hospital, Westmead, NSW, Australia.
Westmead Hospital · AUThe University of Sydney · AUWestern Sydney University · AU

Funding

CAUL and its Member Institutions
6 · The paper itself

Abstract

backgroundVariation in practice exists for temperature probe positioning during stabilization of very preterm infants (<32 weeks gestation). We explored the influence of temperature probe sites on thermoregulation.

methodsAn open-label, stratified, balanced, parallel, randomized trial was conducted. Inborn infants were randomly assigned temperature probe to the axilla or to the upper back. The primary outcome was normothermia (local range: 36.8-37.3 °C and World Health Organization (WHO) range: 36.5-37.5 °C) at admission to the neonatal intensive care unit.

resultsBetween 1 November 2018 and 4 July 2022, 178 infants were randomly assigned to one of the two sites (n = 89 each), 175 included in the final analysis. Normothermia (local range) was achieved for 39/87 infants (44.8%) assigned to the upper back compared to 28/88 infants (31.8%) assigned to the axilla [risk difference:13%; 95% CI -1.3-27.3]. Normothermia (WHO range) was achieved for 78/87 infants (89.7%) assigned to the upper back compared to 70/88 infants (79.6%) assigned to the axilla [risk difference:10.1%; 95% CI -0.5-20.7]. No infant recorded temperatures >38 °C or developed skin injury.

conclusionsIn very preterm infants, upper back site was equally effective as the axilla in maintaining normothermia, with no increase in adverse events. CLINICAL

trial registrationThe study was registered with the Australian New Zealand Clinical Trials Registry (ACTRN12620000293965). IMPACT: Substantial variation in practice exists for the site of securing a temperature probe during delivery room stabilization of very preterm infants and the influence of temperature probe site on thermoregulation remains unknown. In this study, upper back site was equally effective as the axilla in maintaining normothermia, with no increase in adverse events. Clinicians could adopt upper back site for maintaining normothermia. This study may contribute data to future international participant data prospective meta analysis of randomized controlled trials worldwide on temperature probe positioning in very preterm infants, increasing translation of research findings to optimize thermoregulation and clinical outcomes.

Indexed as

AxillaBody Temperature RegulationDelivery RoomsBackBody TemperatureFemaleGestational AgeHumansHypothermiaInfant, Extremely PrematureInfant, NewbornInfant, PrematureIntensive Care Units, NeonatalMale

Identifiers

PMID38443526
PMCPMC11257937
OpenAlexW4392450476

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.