Point-of-admission hypothermia among high-risk Nigerian newborns

Ogunlesi, TA; Ogunfowora, OB; Adekanmbi, Folashade; Fetuga, B. L.; Olanrewaju, Durotoye M

doi:10.1186/1471-2431-8-40

Cited by 67 publications

(65 citation statements)

References 12 publications

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“…According to our study result, fi fty seven percent neonates had low birth weight and of them 40% had hypothermia at admission. This study result is consistent with earlier reports 2,5,16,18 . The association of prematurity (<37 weeks) and hypothermia was not unexpected, because the physical characteristics of premature infants predispose to a mismatch between heat production and heat exchange with the ambient environment.…”

Section: Discussionsupporting

confidence: 96%

See 1 more Smart Citation

Admission Hypothermia Among Neonates Presented to Neonatal Intensive Care Unit

Akter¹,

Parvin

Yasmeen

2013

J. Nepal Paedtr. Soc.

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Introduction:In developing countries, thermal protection of the newborn is not properly addressed. Neonates presented to Neonatal intensive care unit (NICU) for admission with various problems are frequently found to be hypothermic. The objective of this study was to determine the incidence and associated risk factors for neonatal hypothermia on admission to NICU. Materials and Methods: This was a prospective observational study carried over a period of three years at Enam Medical College and Hospital (EMCH) among the newborns admitted to NICU. Hypothermia has been defined as axillary temperature <36.5 0 C (<97.7 0 F). Temperature was measured at admission. Data were collected regarding perinatal and socio economic factors. Bivariate and multivariate analysis has been done to see the association of risk factors. Result: A total of 2310 babies between 0 and 680 h of age (mean 43± 12 hours) were studied. Thirty four percent (785) of the neonates had hypothermia. Mean gestation was 34±3 weeks and 42.5% were inborn.

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Section: Discussionsupporting

confidence: 96%

“…Reports from different Asian and African developing countries show that neonatal hypothermia is common and has been regarded as a major contributor cause of signifi cant morbidity 1,2,3,4 .…”

Section: Introductionmentioning

confidence: 99%

Admission Hypothermia Among Neonates Presented to Neonatal Intensive Care Unit

Akter¹,

Parvin

Yasmeen

2013

J. Nepal Paedtr. Soc.

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“…This is consistent with the conditions in similar Nigerian tertiary hospitals [10,12]. However, no Nigerian research publication has been able to synthesize any solutions for the reduction of the mortalities [13]; hence prompting the introduction of the new techniques that led to the present investigation.…”

Section: Discussionsupporting

confidence: 72%

Validation of a Novel Technique that Minimises Early Neonatal Deaths - a Comparative Study

et al. 2017

JPNC

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Nigeria did not achieve the millennium development goal (MDG) for the reduction of under-5 mortality (U5M) in 2015. Neonatal death still accounts for nearly 50% of U5M, hence responsible for this failure. The World Health Organisation records showed that 79% of deceased neonates would die within the first-seven-days (F7D) of life in Nigeria. Prolonged postnatal delay before attainment of normal body temperature could be partly responsible. Reducing F7D deaths could improve Nigeria's overall record; hence the urgent need to device a technique that could be applied to achieve this. We developed a neonatal temperature control protocol "the initial-setpoint-algorithm (ISA)" as a response to temperature-related high F7D mortality rate. A total 134 cases (105 controls and 29 tests) were recruited. The cases drew from extremely-low birth weight and preterm neonates (BW = 600-1200 g, GA = 26-32 weeks) presenting at the University of Abuja Teaching Hospital Nigeria. Mortality outcomes were compared to investigate how the ISA group performed relative to the Control group. Applying ISA, Test-patients attained normotherm in 0.47 hr post-presenting (95%CI: 0.2); Control took 12.4 hrs (95%CI: 2.3). The F7D-deaths contribution to mortality in the control group was 71% (41 out of 58). There was no F7D death amongst the only two deceased neonates in the test group. The ISA helped quick attainment of normotherm in the Test-group; hence removed the immediate postnatal long exposure to damaging thermal shock that trailed other neonates to death within the F7D period.

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“…A number of hospital-based studies in such settings have demonstrated that thermal stress is common 9, 10 , and more than one-half of newborns experience hypothermic episodes 1, 2, 10–12 . Some hospital-based studies have observed higher mortality risk among admitted babies with hypothermia broadly defined as any measure <36.0°C 3 or 36.5° 3, 13, 14 . While these studies indicate that hypothermia may be an important contributor to neonatal mortality, they are limited by lack of adjustment for age of infants at measurement and are predominately focused on sick infants presenting to tertiary care units.…”

Section: Introductionmentioning

confidence: 99%