Hypothermia and Related Factors in High-Risk Infants.
10.4094/chnr.2017.23.4.505
- Author:
Youngmee AHN
1
;
Min SOHN
;
Namhee KIM
;
Narae KANG
;
Seungyeon KANG
;
Eunmi JUNG
Author Information
1. Department of Nursing, College of Medicine, Inha University, Incheon, Korea. knh@inha.ac.kr
- Publication Type:Original Article
- Keywords:
Hypothermia;
Newborns;
Neonatal intensive care units
- MeSH:
Apgar Score;
Body Temperature;
Gestational Age;
Humans;
Hypothermia*;
Infant*;
Infant, Newborn;
Intensive Care Units, Neonatal;
Logistic Models;
Longitudinal Studies;
Medical Records;
Nursing;
Parturition;
Phototherapy;
Retrospective Studies
- From:Child Health Nursing Research
2017;23(4):505-514
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
PURPOSE: Maintaining body temperature is a key vital function of human beings, but little is known about how body temperature of high-risk infants is sustained during early life after birth. The aim of this study was to describe hypothermia in high-risk infants during their first week of life and examine demographic, environmental, and clinical attributors of hypothermia. METHODS: A retrospective longitudinal study was done from January 1, 2013 to December 31, 2015. Medical records of 570 high-risk infants hospitalized at Neonatal Intensive Care Units (NICU) of a university affiliated hospital were examined. Body temperature and related factors were assessed for seven days after birth. RESULTS: A total of 336 events of hypothermia (212 mild and 124 moderate) occurred in 280 neonates (49.1%) and most events (84.5%) occurred within 24 hours after birth. Logistic regression analysis revealed that phototherapy (aOR=0.28, 95% CI=0.10-0.78), Apgar score at 5 minute (aOR=2.20, 95% CI=1.17-4.12), and intra-uterine growth retardation or small for gestational age (aOR=3.58, 95% CI=1.69-7.58) were statistically significant contributors to hypothermia. CONCLUSION: Findings indicate that high-risk infants are at risk for hypothermia even when in the NICU. More advanced nursing interventions are necessary to prevent hypothermia of high-risk infants.
