Quality Improvement Intervention Lowers Hypothermia Rates in Preterm Infants in a Resource-Limited Setting.

IF 0.9 4区医学 Q3 PEDIATRICS

Pediatrics International Pub Date : 2026-01-01 DOI:10.1111/ped.70397

Patrycia Maria Gomes da Fonte Rosa, Juliana Dantas de Araújo Santos Camargo, Sávio Ferreira Camargo, Amaxsell Thiago Barros de Souza, Camiliane Azevedo Ferreira, Amanda Karoline da Costa Bezerra, Raionara Cristina de Araújo Santos, Cijara Leonice de Freitas, Ricardo Ney Cobucci, Fabiana Ariston Filgueira, Anna Christina do Nascimento Granjeiro Barreto

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引用次数: 0

Abstract

Background: Admission hypothermia significantly threatens preterm neonates, especially in resource-limited settings.

Methods: A quality improvement (QI) initiative focusing on thermoregulation was implemented in a Brazilian NICU. We conducted a quasi-experimental pre-post study comparing preterm infants (< 1500 g or < 33 weeks gestation) admitted before (n = 63) and after (n = 88) the intervention. Primary outcome was hypothermia prevalence (< 36.5°C) within the first hour of life.

Results: The QI intervention reduced hypothermia prevalence from 82.5% to 68.2% (crude PR = 0.83; 95% CI: 0.69-0.99; p = 0.047) and increased median admission temperature from 35.3°C to 35.8°C (p = 0.013). Post-intervention hypothermia was associated with increased mortality (PR = 3.27; 95% CI: 1.06-10.05; p = 0.017).

Discussion: Implementing targeted QI measures improved thermal outcomes among preterm neonates in a resource-constrained NICU. Despite reductions, persistent hypothermia highlights the need for ongoing efforts to enhance neonatal care and survival.

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在资源有限的环境中，质量改善干预降低了早产儿的低体温率。

背景：入院时体温过低严重威胁早产儿，特别是在资源有限的情况下。方法：在巴西一家新生儿重症监护病房实施以体温调节为重点的质量改进（QI）计划。我们对早产儿进行了一项准实验前后研究(结果：QI干预将低温患病率从82.5%降低到68.2%（粗PR = 0.83; 95% CI: 0.69-0.99; p = 0.047），并将入院中位温度从35.3°C提高到35.8°C （p = 0.013）。干预后低温与死亡率增加相关（PR = 3.27; 95% CI: 1.06-10.05; p = 0.017）。讨论：实施有针对性的QI措施改善了资源受限的新生儿重症监护室早产儿的热结局。尽管减少了，但持续的低体温强调了持续努力提高新生儿护理和存活率的必要性。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Pediatrics International 医学-小儿科

CiteScore

2.00

自引率

7.10%

发文量

519

审稿时长

12 months

期刊介绍： Publishing articles of scientific excellence in pediatrics and child health delivery, Pediatrics International aims to encourage those involved in the research, practice and delivery of child health to share their experiences, ideas and achievements. Formerly Acta Paediatrica Japonica, the change in name in 1999 to Pediatrics International, reflects the Journal''s international status both in readership and contributions (approximately 45% of articles published are from non-Japanese authors). The Editors continue their strong commitment to the sharing of scientific information for the benefit of children everywhere. Pediatrics International opens the door to all authors throughout the world. Manuscripts are judged by two experts solely upon the basis of their contribution of original data, original ideas and their presentation.