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DC Field | Value | Language |
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dc.contributor.author | Branco de Almeida, Maria Fernanda | - |
dc.contributor.author | Guinsburg, Ruth | - |
dc.contributor.author | Sancho, Guilherme Assis | - |
dc.contributor.author | Machado Rosa, Izilda Rodrigues | - |
dc.contributor.author | Lamy, Zeni Carvalho | - |
dc.contributor.author | Martinez, Francisco Eulogio | - |
dc.contributor.author | Vieira Cavalcante da Silva, Regina Paula Guimaraes | - |
dc.contributor.author | Lopes Ferrari, Ligia Silvana | - |
dc.contributor.author | Rugolo, Ligia Maria Suppo de Souza | - |
dc.contributor.author | Steffen Abdallah, Vania Olivetti | - |
dc.contributor.author | Silveira, Rita de Cassia | - |
dc.contributor.author | Brazilian Network Neonatal Res | - |
dc.date.accessioned | 2014-12-03T13:10:36Z | - |
dc.date.accessioned | 2016-10-25T20:10:54Z | - |
dc.date.available | 2014-12-03T13:10:36Z | - |
dc.date.available | 2016-10-25T20:10:54Z | - |
dc.date.issued | 2014-02-01 | - |
dc.identifier | http://dx.doi.org/10.1016/j.jpeds.2013.09.049 | - |
dc.identifier.citation | Journal Of Pediatrics. New York: Mosby-elsevier, v. 164, n. 2, p. 271-+, 2014. | - |
dc.identifier.issn | 0022-3476 | - |
dc.identifier.uri | http://hdl.handle.net/11449/112313 | - |
dc.identifier.uri | http://acervodigital.unesp.br/handle/11449/112313 | - |
dc.description.abstract | Objective 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.sponsorship | Conselho Nacional de Desenvolvimento Científico e Tecnológico (CNPq) | - |
dc.description.sponsorship | Ministry of Health of Brazil | - |
dc.format.extent | 271-+ | - |
dc.language.iso | eng | - |
dc.publisher | Elsevier B.V. | - |
dc.source | Web of Science | - |
dc.title | Hypothermia and Early Neonatal Mortality in Preterm Infants | en |
dc.type | outro | - |
dc.contributor.institution | Universidade Federal de São Paulo (UNIFESP) | - |
dc.contributor.institution | Universidade Estadual de Campinas (UNICAMP) | - |
dc.contributor.institution | Universidade Federal do Maranhão (UFMA) | - |
dc.contributor.institution | Universidade de São Paulo (USP) | - |
dc.contributor.institution | Universidade Federal do Paraná (UFPR) | - |
dc.contributor.institution | Universidade Estadual de Londrina (UEL) | - |
dc.contributor.institution | Universidade Estadual Paulista (UNESP) | - |
dc.contributor.institution | Universidade Federal de Uberlândia (UFU) | - |
dc.contributor.institution | Universidade Federal do Rio Grande do Sul (UFRGS) | - |
dc.description.affiliation | Univ Fed Sao Paulo, Escola Paulista Med, Div Neonatal Med, Sao Paulo, Brazil | - |
dc.description.affiliation | Univ Estadual Campinas, Hosp Mulher Prof Dr Jose Aristodemo Pinotti, Dept Pediat, Campinas, SP, Brazil | - |
dc.description.affiliation | Univ Fed Maranhao, Univ Hosp, Dept Publ Hlth, Sao Luis, MA, Brazil | - |
dc.description.affiliation | Univ Sao Paulo, Hosp Clin Ribeirao Preto, Dept Pediat, BR-14049 Ribeirao Preto, SP, Brazil | - |
dc.description.affiliation | Univ Fed Parana, Hosp Clin, Dept Pediat, BR-80060000 Curitiba, Parana, Brazil | - |
dc.description.affiliation | Univ Estadual Londrina, Univ Hosp, Dept Pediat & Pediat Surg, Londrina, PR, Brazil | - |
dc.description.affiliation | Univ Estadual Paulista, Fac Med Botucatu, Dept Pediat, Botucatu, SP, Brazil | - |
dc.description.affiliation | Univ Fed Uberlandia, Hosp Clin, Dept Pediat, BR-38400 Uberlandia, MG, Brazil | - |
dc.description.affiliation | Univ Fed Rio Grande do Sul, Hosp Clin, Dept Pediat, Porto Alegre, RS, Brazil | - |
dc.description.affiliationUnesp | Univ Estadual Paulista, Fac Med Botucatu, Dept Pediat, Botucatu, SP, Brazil | - |
dc.description.sponsorshipId | CNPq: 472827-2009-0 | - |
dc.description.sponsorshipId | Ministry of Health of BrazilMS/VIGISUS 1755/2000 | - |
dc.description.sponsorshipId | Ministry of Health of BrazilMS/FNS 274 | - |
dc.description.sponsorshipId | Ministry of Health of BrazilFIOCRUZ/PDTSP | - |
dc.identifier.doi | 10.1016/j.jpeds.2013.09.049 | - |
dc.identifier.wos | WOS:000330122900010 | - |
dc.rights.accessRights | Acesso restrito | - |
dc.relation.ispartof | Journal of Pediatrics | - |
Appears in Collections: | Artigos, TCCs, Teses e Dissertações da Unesp |
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