Impact of Delivery Room Resuscitation Efforts on Admission Temperatures in Infants Born < 32 Weeks Gestation
Aim: This study aimed to determine how delivery room resuscitation efforts influence admission temperatures in premature infants born before 32 weeks gestation. Methods: We retrospectively analyzed a cohort of premature infants born before 32 weeks gestation from January 2014 until December 2016...
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| Format: | Article |
| Language: | English |
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Faculty of Medicine Osijek
2018-12-01
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| Series: | Southeastern European Medical Journal |
| Subjects: | |
| Online Access: | http://seemedj.mefos.unios.hr/index.php/seemedj/article/view/70/34 |
| _version_ | 1818156012700434432 |
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| author | Darjan Kardum Boris Filipović Grčić Andrijana Muller Damir Lončarević |
| author_facet | Darjan Kardum Boris Filipović Grčić Andrijana Muller Damir Lončarević |
| author_sort | Darjan Kardum |
| collection | DOAJ |
| description | Aim: This study aimed to determine how delivery room resuscitation efforts influence admission temperatures in premature infants born before 32 weeks gestation.
Methods: We retrospectively analyzed a cohort of premature infants born before 32 weeks gestation from January 2014 until December 2016. We compared the impact of resuscitation efforts performed in the delivery room on the admission temperature. Hypothermia was defined as a core temperature of less than 36.5°C on admission. The primary outcome was admission temperature in the Neonatal Intensive Care Unit. Secondary outcomes were Apgar scores in the first and fifth minute, pH on admission, respiratory distress syndrome requiring surfactant, persistent ductus arteriosus, necrotizing enterocolitis, late onset sepsis, kidney failure, intraventricular hemorrhage and death until hospital discharge. Exclusion criteria were chromosomal abnormalities, large congenital anomalies and etc.
Results: We studied 147 infants born < 32 weeks gestation. In the delivery room 66 (44.8%) of infants were given standard thermal care, 20 (13.6%) received standard care and CPAP, 49 (33.3%) received standard care and IPPV and 12 (8.1%) of infants received standard care and extensive resuscitation efforts (intubation and/or chest compressions and/or epinephrine). Patients receiving standard care and IPPV had significantly lower admission temperatures than those given standard care only (35.7°C vs. 36.2 °C, p < 0.02). No correlation was found in infants receiving CPAP or extensive resuscitation efforts compared to those receiving standard thermal care only.
Conclusion: In our study the admission hypothermia was associated with IPPV in the delivery room. Application of CPAP or extensive resuscitation efforts in the delivery room did not influence admission temperatures. |
| first_indexed | 2024-12-11T14:51:32Z |
| format | Article |
| id | doaj.art-0a394d1da15b4a1c86c268cfa310ae14 |
| institution | Directory Open Access Journal |
| issn | 2459-9484 |
| language | English |
| last_indexed | 2024-12-11T14:51:32Z |
| publishDate | 2018-12-01 |
| publisher | Faculty of Medicine Osijek |
| record_format | Article |
| series | Southeastern European Medical Journal |
| spelling | doaj.art-0a394d1da15b4a1c86c268cfa310ae142022-12-22T01:01:27ZengFaculty of Medicine OsijekSoutheastern European Medical Journal2459-94842018-12-0121293510.26332/seemedj.v2i1.70Impact of Delivery Room Resuscitation Efforts on Admission Temperatures in Infants Born < 32 Weeks GestationDarjan Kardum0Boris Filipović Grčić1Andrijana Muller2Damir Lončarević3Faculty of Medicine, Josip Juraj Strossmayer University of Osijek; Neonatal Intensive Care Unit, Department of Pediatrics, University Hospital Osijek, CroatiaSchool of Medicine, University of Zagreb; Neonatal Intensive Care Unit, Department of Pediatrics, University Hospital Centre Zagreb, CroatiaFaculty of Medicine, Josip Juraj Strossmayer University of Osijek; Department of Gynecology and Obstetrics, University Hospital Osijek, CroatiaNeonatal Intensive Care Unit, Department of Gynecology and Obstetrics, University Hospital Centre Zagreb, CroatiaAim: This study aimed to determine how delivery room resuscitation efforts influence admission temperatures in premature infants born before 32 weeks gestation. Methods: We retrospectively analyzed a cohort of premature infants born before 32 weeks gestation from January 2014 until December 2016. We compared the impact of resuscitation efforts performed in the delivery room on the admission temperature. Hypothermia was defined as a core temperature of less than 36.5°C on admission. The primary outcome was admission temperature in the Neonatal Intensive Care Unit. Secondary outcomes were Apgar scores in the first and fifth minute, pH on admission, respiratory distress syndrome requiring surfactant, persistent ductus arteriosus, necrotizing enterocolitis, late onset sepsis, kidney failure, intraventricular hemorrhage and death until hospital discharge. Exclusion criteria were chromosomal abnormalities, large congenital anomalies and etc. Results: We studied 147 infants born < 32 weeks gestation. In the delivery room 66 (44.8%) of infants were given standard thermal care, 20 (13.6%) received standard care and CPAP, 49 (33.3%) received standard care and IPPV and 12 (8.1%) of infants received standard care and extensive resuscitation efforts (intubation and/or chest compressions and/or epinephrine). Patients receiving standard care and IPPV had significantly lower admission temperatures than those given standard care only (35.7°C vs. 36.2 °C, p < 0.02). No correlation was found in infants receiving CPAP or extensive resuscitation efforts compared to those receiving standard thermal care only. Conclusion: In our study the admission hypothermia was associated with IPPV in the delivery room. Application of CPAP or extensive resuscitation efforts in the delivery room did not influence admission temperatures.http://seemedj.mefos.unios.hr/index.php/seemedj/article/view/70/34premature infantsadmissionhypothermia |
| spellingShingle | Darjan Kardum Boris Filipović Grčić Andrijana Muller Damir Lončarević Impact of Delivery Room Resuscitation Efforts on Admission Temperatures in Infants Born < 32 Weeks Gestation Southeastern European Medical Journal premature infants admission hypothermia |
| title | Impact of Delivery Room Resuscitation Efforts on Admission Temperatures in Infants Born < 32 Weeks Gestation |
| title_full | Impact of Delivery Room Resuscitation Efforts on Admission Temperatures in Infants Born < 32 Weeks Gestation |
| title_fullStr | Impact of Delivery Room Resuscitation Efforts on Admission Temperatures in Infants Born < 32 Weeks Gestation |
| title_full_unstemmed | Impact of Delivery Room Resuscitation Efforts on Admission Temperatures in Infants Born < 32 Weeks Gestation |
| title_short | Impact of Delivery Room Resuscitation Efforts on Admission Temperatures in Infants Born < 32 Weeks Gestation |
| title_sort | impact of delivery room resuscitation efforts on admission temperatures in infants born 32 weeks gestation |
| topic | premature infants admission hypothermia |
| url | http://seemedj.mefos.unios.hr/index.php/seemedj/article/view/70/34 |
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