| Autor: |
Fetuga Bolanle M, Adekanmbi Folashade A, Ogunfowora Olusoga B, Ogunlesi Tinuade A, Olanrewaju Durotoye M |
| Jazyk: |
angličtina |
| Rok vydání: |
2008 |
| Předmět: |
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| Zdroj: |
BMC Pediatrics, Vol 8, Iss 1, p 40 (2008) |
| Druh dokumentu: |
article |
| ISSN: |
1471-2431 |
| DOI: |
10.1186/1471-2431-8-40 |
| Popis: |
Abstract Background Facilities which manage high-risk babies should frequently assess the burden of hypothermia and strive to reduce the incidence. Objective To determine the incidence and outcome of point-of-admission hypothermia among hospitalized babies. Methods The axillary temperatures of consecutive admissions into a Nigerian Newborn Unit were recorded. Temperature Results Of 150 babies aged 0 to 648 hours, 93 had hypothermia with an incidence of 62%. Mild and moderate hypothermia accounted for 47.3% and 52.7% respectively. The incidence of hypothermia was highest (72.4%) among babies aged less than 24 hours. It was also higher among out-born babies compared to in-born babies (64.4% vs 58.3%). Preterm babies had significantly higher incidence of hypothermia (82.5%) compared with 54.5% of term babies (RR = 1.51; CI = 1.21 – 1.89). The incidence of hypothermia was also highest (93.3%) among very-low-birth-weight babies. The Case-Fatality-Rate was significantly higher among hypothermic babies (37.6% vs 16.7%; RR = 2.26, CI = 1.14 – 4.48) and among out-born hypothermic babies (50% vs 17.1%; RR = 0.34, CI = 0.16 – 0.74). CFR was highest among hypothermic babies with severe respiratory distress, sepsis, preterm birth and asphyxia. Conclusion The high incidence and poor outcome of hypothermia among high-risk babies is important. The use of the 'warm chain' and skin-to-skin contact between mother and her infant into routine delivery services in health facilities and at home may be useful. |
| Databáze: |
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| Externí odkaz: |
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