问题4

R M Tshehla, M Coetzee, P J Becker
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引用次数: 0

摘要

背景。新生儿体温过低,定义为体温36.5°C,是导致新生儿发病率和死亡率的一个已知因素。入院温度是新生儿结局的重要预测指标,也是衡量护理质量的一个指标。目标。本研究旨在确定南非公立三级医院Steve Biko学术医院(sah)新生儿病房入院时体温过低的发生率及其相关因素。方法。使用患者记录数据对2019年9月至2020年2月入住新生儿病房的婴儿进行回顾性横断面研究。结果。入院时低体温的总发生率为66%(轻度25%,中度至重度41%),平均(标准差(SD))入院温度为35.1(4.7)°C,极低出生体重儿为82%(轻度19%,中度至重度62%)。婴儿在入院后平均(SD) 4.1(3.9)小时保持低体温。出生体重≤1 500 g(优势比(OR) 1.87;p=0.019),新生儿重症监护病房入院率(OR 1.97;p<0.0001),以及在出生后60分钟内从产房出院(OR 3.06;P =0.026)是低温的独立危险因素。低温与呼吸支持持续时间增加相关(平均3.2 (5.6)vs 1.7(4.5)天;P<0.0001)和更长的住院时间(平均17.9 (18.8)vs 10.9(12.6)天;术中,0.0001)。结论。入院时体温过低的发生率非常高,体温过低的婴儿需要很长时间才能恢复正常体温。需要在该单位引入预防和管理体温过低的标准化方案。
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Issue 4
Background. Neonatal hypothermia, defined as a body temperature <36.5°C, is a known contributor to neonatal morbidity and mortality. The admission temperature is an important predictor of neonatal outcomes, and a measure of quality of care. Objectives. This study aims to determine the incidence of and factors associated with hypothermia on admission to the neonatal unit at Steve Biko Academic Hospital (SBAH), a public tertiary hospital in South Africa. Methods. A retrospective, cross-sectional study of infants admitted to the neonatal unit from September 2019 to February 2020 using data from patient records. Results. The overall incidence of hypothermia on admission was 66% (mild 25%, moderate to severe 41%), with a mean (standard deviation (SD)) admission temperature of 35.1 (4.7)°C, and 82% (mild 19%, moderate to severe 62%) in very-low-birthweight infants. Infants remained hypothermic for a mean (SD) of 4.1 (3.9) hours post admission. Birthweight ≤1 500 g (odds ratio (OR) 1.87; p=0.019), admission to the neonatal intensive care unit (OR 1.97; p<0.0001), and admission from the delivery room within the first 60 minutes of life (OR 3.06; p=0.026) were independent risk factors for hypothermia. Hypothermia was associated with increased duration of respiratory support (mean 3.2 (5.6) v. 1.7 (4.5) days; p<0.0001), and longer length of hospital stay (mean 17.9 (18.8) v. 10.9 (12.6) days; p<0.0001). Conclusion. The incidence of hypothermia on admission to the unit is significantly high, and hypothermic infants take a significant length of time to regain normothermia. A standardised protocol for the prevention and management of hypothermia needs to be introduced in the unit.
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来源期刊
CiteScore
0.60
自引率
0.00%
发文量
21
审稿时长
12 weeks
期刊最新文献
Low birthweight and maternal smoking as predictors of infant lung function from a South African birth cohort within low socioeconomic communities An audit of electronic discharge summaries of neonates admitted with hypoxic ischaemic encephalopathy to tertiary hospitals in [City], 2018–2019. Borderline hypernatraemia and mortality rates in South African infants: A single-centre observational study The cost-effectiveness and value of C-reactive protein in the diagnosis and management of neonatal late-onset sepsis in resource-limited settings Issue 4
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