A Randomized Trial of Exothermic Mattresses for Preterm Newborns in Polyethylene Bags
| Autor: | Eleanor J. Molloy, Colm P F O'Donnell, A Twomey, John F A Murphy, Lisa K McCarthy |
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| Rok vydání: | 2013 |
| Předmět: |
Male
Hyperthermia Pediatrics medicine.medical_specialty Randomization Gestational Age Beds Hypothermia Infant Premature Diseases Hospitals Maternity law.invention Heating Eosinophilia–myalgia syndrome Randomized controlled trial law Interquartile range Intensive Care Units Neonatal medicine Humans business.industry Food Packaging Infant Newborn Gestational age medicine.disease Very preterm Perinatal Care Polyethylene Anesthesia Pediatrics Perinatology and Child Health Female medicine.symptom business Ireland Body Temperature Regulation |
| Zdroj: | Pediatrics. 132:e135-e141 |
| ISSN: | 1098-4275 0031-4005 |
| DOI: | 10.1542/peds.2013-0279 |
| Popis: | BACKGROUND AND OBJECTIVE: Hypothermia on admission to the NICU is associated with increased mortality in preterm infants. Many newborns are hypothermic on admission despite using polyethylene bags (PBs). Using exothermic mattresses (EMs) in addition to PBs may reduce hypothermia but increase hyperthermia. We wished to determine whether placing preterm newborns in PBs on EMs in the DR results in more infants with rectal temperature outside the range 36.5 to 37.5°C on NICU admission. METHODS: Infants RESULTS: The data safety monitoring committee recommended stopping for efficacy after analyzing data from half the planned sample. We report data for 72 infants enrolled at this time. Fewer infants in PBs on EMs had temperatures within the target range (15/37 [41%] vs 27/35 [77%], P = .002) and more had temperatures >37.5°C (17/37 [46%] vs 6/35 [17%], P = .009). CONCLUSIONS: In very preterm newborns, using EMs in addition to PBs in the DR resulted in more infants with temperatures outside the normal range and more hyperthermia on NICU admission. |
| Databáze: | OpenAIRE |
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