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Please use this identifier to cite or link to this item: http://acervodigital.unesp.br/handle/11449/112313
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dc.contributor.authorBranco de Almeida, Maria Fernanda-
dc.contributor.authorGuinsburg, Ruth-
dc.contributor.authorSancho, Guilherme Assis-
dc.contributor.authorMachado Rosa, Izilda Rodrigues-
dc.contributor.authorLamy, Zeni Carvalho-
dc.contributor.authorMartinez, Francisco Eulogio-
dc.contributor.authorVieira Cavalcante da Silva, Regina Paula Guimaraes-
dc.contributor.authorLopes Ferrari, Ligia Silvana-
dc.contributor.authorRugolo, Ligia Maria Suppo de Souza-
dc.contributor.authorSteffen Abdallah, Vania Olivetti-
dc.contributor.authorSilveira, Rita de Cassia-
dc.contributor.authorBrazilian Network Neonatal Res-
dc.date.accessioned2014-12-03T13:10:36Z-
dc.date.accessioned2016-10-25T20:10:54Z-
dc.date.available2014-12-03T13:10:36Z-
dc.date.available2016-10-25T20:10:54Z-
dc.date.issued2014-02-01-
dc.identifierhttp://dx.doi.org/10.1016/j.jpeds.2013.09.049-
dc.identifier.citationJournal Of Pediatrics. New York: Mosby-elsevier, v. 164, n. 2, p. 271-+, 2014.-
dc.identifier.issn0022-3476-
dc.identifier.urihttp://hdl.handle.net/11449/112313-
dc.identifier.urihttp://acervodigital.unesp.br/handle/11449/112313-
dc.description.abstractObjective To evaluate intervention practices associated with hypothermia at both 5 minutes after birth and at neonatal intensive care unit (NICU) admission and to determine whether hypothermia at NICU admission is associated with early neonatal death in preterm infants.Study design This prospective cohort included 1764 inborn neonates of 22-33 weeks without malformations admitted to 9 university NICUs from August 2010 through April 2012. All centers followed neonatal International Liaison Committee on Resuscitation recommendations for the stabilization and resuscitation in the delivery room (DR). Variables associated with hypothermia (axillary temperature <36.0 degrees C) 5 minutes after birth and at NICU admission, as well as those associated with early death, were analyzed by logistic regression.Results Hypothermia 5 minutes after birth and at NICU admission was noted in 44% and 51%, respectively, with 6% of early neonatal deaths. Adjusted for confounding variables, practices associated with hypothermia at 5 minutes after birth were DR temperature <25 degrees C (OR 2.13, 95% CI 1.67-2.28), maternal temperature at delivery <36.0 degrees C (OR 1.93, 95% CI 1.49-2.51), and use of plastic bag/wrap (OR 0.53, 95% CI 0.40-0.70). The variables associated with hypothermia at NICU admission were DR temperature <25 degrees C (OR 1.44, 95% CI 1.10-1.88), respiratory support with cold air in the DR (OR 1.40, 95% CI 1.03-1.88) and during transport to NICU (OR 1.51, 95% CI 1.08-2.13), and cap use (OR 0.55, 95% CI 0.39-0.78). Hypothermia at NICU admission increased the chance of early neonatal death by 1.64-fold (95% CI 1.03-2.61).Conclusion Simple interventions, such as maintaining DR temperature >25 degrees C, reducing maternal hypothermia prior to delivery, providing plastic bags/wraps and caps for the newly born infants, and using warm resuscitation gases, may decrease hypothermia at NICU admission and improve early neonatal survival.en
dc.description.sponsorshipConselho Nacional de Desenvolvimento Científico e Tecnológico (CNPq)-
dc.description.sponsorshipMinistry of Health of Brazil-
dc.format.extent271-+-
dc.language.isoeng-
dc.publisherElsevier B.V.-
dc.sourceWeb of Science-
dc.titleHypothermia and Early Neonatal Mortality in Preterm Infantsen
dc.typeoutro-
dc.contributor.institutionUniversidade Federal de São Paulo (UNIFESP)-
dc.contributor.institutionUniversidade Estadual de Campinas (UNICAMP)-
dc.contributor.institutionUniversidade Federal do Maranhão (UFMA)-
dc.contributor.institutionUniversidade de São Paulo (USP)-
dc.contributor.institutionUniversidade Federal do Paraná (UFPR)-
dc.contributor.institutionUniversidade Estadual de Londrina (UEL)-
dc.contributor.institutionUniversidade Estadual Paulista (UNESP)-
dc.contributor.institutionUniversidade Federal de Uberlândia (UFU)-
dc.contributor.institutionUniversidade Federal do Rio Grande do Sul (UFRGS)-
dc.description.affiliationUniv Fed Sao Paulo, Escola Paulista Med, Div Neonatal Med, Sao Paulo, Brazil-
dc.description.affiliationUniv Estadual Campinas, Hosp Mulher Prof Dr Jose Aristodemo Pinotti, Dept Pediat, Campinas, SP, Brazil-
dc.description.affiliationUniv Fed Maranhao, Univ Hosp, Dept Publ Hlth, Sao Luis, MA, Brazil-
dc.description.affiliationUniv Sao Paulo, Hosp Clin Ribeirao Preto, Dept Pediat, BR-14049 Ribeirao Preto, SP, Brazil-
dc.description.affiliationUniv Fed Parana, Hosp Clin, Dept Pediat, BR-80060000 Curitiba, Parana, Brazil-
dc.description.affiliationUniv Estadual Londrina, Univ Hosp, Dept Pediat & Pediat Surg, Londrina, PR, Brazil-
dc.description.affiliationUniv Estadual Paulista, Fac Med Botucatu, Dept Pediat, Botucatu, SP, Brazil-
dc.description.affiliationUniv Fed Uberlandia, Hosp Clin, Dept Pediat, BR-38400 Uberlandia, MG, Brazil-
dc.description.affiliationUniv Fed Rio Grande do Sul, Hosp Clin, Dept Pediat, Porto Alegre, RS, Brazil-
dc.description.affiliationUnespUniv Estadual Paulista, Fac Med Botucatu, Dept Pediat, Botucatu, SP, Brazil-
dc.description.sponsorshipIdCNPq: 472827-2009-0-
dc.description.sponsorshipIdMinistry of Health of BrazilMS/VIGISUS 1755/2000-
dc.description.sponsorshipIdMinistry of Health of BrazilMS/FNS 274-
dc.description.sponsorshipIdMinistry of Health of BrazilFIOCRUZ/PDTSP-
dc.identifier.doi10.1016/j.jpeds.2013.09.049-
dc.identifier.wosWOS:000330122900010-
dc.rights.accessRightsAcesso restrito-
dc.relation.ispartofJournal of Pediatrics-
Appears in Collections:Artigos, TCCs, Teses e Dissertações da Unesp

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