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Treesirichod A, Eiamkulbutr S, Laohathai P, Vongbhavit K, Panburana J. The efficacy of infrared filter window film to prevent hyperthermia in neonatal hyperbilirubinemia with conventional phototherapy: a randomized control trial. Pediatr Neonatol 2022; 63:489-495. [PMID: 35697592 DOI: 10.1016/j.pedneo.2021.12.014] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 09/02/2021] [Revised: 11/06/2021] [Accepted: 12/06/2021] [Indexed: 10/18/2022] Open
Abstract
BACKGROUND Phototherapy is the first-line treatment of neonatal hyperbilirubinemia. Possible side effects caused by phototherapy include hyperthermia and dehydration. Currently, there are many types of infrared blocking film for potential use in reducing infrared radiation exposure and preventing hyperthermia. This study aims to evaluate the efficacy of infrared blocking film in preventing hyperthermia during the first 24 h of phototherapy. METHODS The randomized controlled trial study was carried out in 44 newborns with hyperbilirubinemia. Infrared filter film with 75% visible light transmission and 90% infrared rejection was used in the study. Body temperature was measured for the assessment of the efficacy of filter film from axillary and rectal routes. RESULTS There was a significantly lower incidence of hyperthermia from the axillary temperature in the group with infrared blocking film compared to the control group (p = 0.031). The axillary temperature between before and after initiation of phototherapy in filter film group was significantly better (p = 0.008). According to efficacy of treatment, the study demonstrated that infrared filter film did not interfere with the efficacy of phototherapy in reducing bilirubin level. CONCLUSIONS The infrared filter film was significantly more effective in preventing hyperthermia from phototherapy in the first 24 h without causing any significant difference in reduction of bilirubin level. THAI CLINICAL TRIALS REGISTRY TCTR20190619001.
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Affiliation(s)
- Arucha Treesirichod
- Department of Pediatrics, Faculty of Medicine, Srinakharinwirot University, Thailand.
| | - Sutha Eiamkulbutr
- Department of Pediatrics, Faculty of Medicine, Srinakharinwirot University, Thailand
| | - Phakwan Laohathai
- Department of Pediatrics, Faculty of Medicine, Srinakharinwirot University, Thailand
| | - Kannikar Vongbhavit
- Department of Pediatrics, Faculty of Medicine, Srinakharinwirot University, Thailand
| | - Jantana Panburana
- Department of Pediatrics, Faculty of Medicine, Srinakharinwirot University, Thailand
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Javaudin F, Zayat N, Bagou G, Mitha A, Chapoutot AG. Prise en charge périnatale du nouveau-né lors d’une naissance en milieu extrahospitalier. ANNALES FRANCAISES DE MEDECINE D URGENCE 2022. [DOI: 10.3166/afmu-2022-0396] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/20/2022]
Abstract
Les accouchements inopinés extrahospitaliers représentent environ 0,3 % des accouchements en France. La prise en charge du nouveau-né en préhospitalier par une équipe Smur fait partie de l’activité courante. L’évaluation initiale du nouveau-né comprend systématiquement la mesure de sa fréquence cardiaque (FC) et respiratoire (FR), l’appréciation de son tonus ainsi que la mesure de sa température axillaire. En cas de doute ou de transition incomplète un monitoring cardiorespiratoire sera immédiatement mis en place (FC, FR, SpO2). Nous faisons ici une mise au point sur les données connues et avons adapté les pratiques, si besoin, au contexte extrahospitalier, car la majeure partie des données rapportées dans la littérature concernent les prises en charge en maternité ou en milieu hospitalier. Nous abordons les points essentiels de la prise en charge des nouveau-nés, à savoir la réanimation cardiopulmonaire, le clampage tardif du cordon ombilical, la lutte contre l’hypothermie et l’hypoglycémie; ainsi que des situations particulières comme la prématurité, la conduite à tenir en cas de liquide méconial ou de certaines malformations congénitales. Nous proposons aussi quels peuvent être : le matériel nécessaire à la prise en charge des nouveau-nés en extrahospitalier, les critères d’engagement d’un renfort pédiatrique à la régulation ainsi que les méthodes de ventilation et d’abord vasculaire que l’urgentiste doit maîtriser. L’objectif de cette mise au point est de proposer des prises en charge les plus adaptées au contexte préhospitalier.
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Asano H, Hirakawa E, Hayashi H, Hamada K, Asayama Y, Oohashi M, Uchiyama A, Higashino T. A method for improving semantic segmentation using thermographic images in infants. BMC Med Imaging 2022; 22:1. [PMID: 34979965 PMCID: PMC8721998 DOI: 10.1186/s12880-021-00730-0] [Citation(s) in RCA: 4] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/01/2021] [Accepted: 12/23/2021] [Indexed: 12/20/2022] Open
Abstract
Background Regulation of temperature is clinically important in the care of neonates because it has a significant impact on prognosis. Although probes that make contact with the skin are widely used to monitor temperature and provide spot central and peripheral temperature information, they do not provide details of the temperature distribution around the body. Although it is possible to obtain detailed temperature distributions using multiple probes, this is not clinically practical. Thermographic techniques have been reported for measurement of temperature distribution in infants. However, as these methods require manual selection of the regions of interest (ROIs), they are not suitable for introduction into clinical settings in hospitals. Here, we describe a method for segmentation of thermal images that enables continuous quantitative contactless monitoring of the temperature distribution over the whole body of neonates. Methods The semantic segmentation method, U-Net, was applied to thermal images of infants. The optimal combination of Weight Normalization, Group Normalization, and Flexible Rectified Linear Unit (FReLU) was evaluated. U-Net Generative Adversarial Network (U-Net GAN) was applied to thermal images, and a Self-Attention (SA) module was finally applied to U-Net GAN (U-Net GAN + SA) to improve precision. The semantic segmentation performance of these methods was evaluated. Results The optimal semantic segmentation performance was obtained with application of FReLU and Group Normalization to U-Net, showing accuracy of 92.9% and Mean Intersection over Union (mIoU) of 64.5%. U-Net GAN improved the performance, yielding accuracy of 93.3% and mIoU of 66.9%, and U-Net GAN + SA showed further improvement with accuracy of 93.5% and mIoU of 70.4%. Conclusions FReLU and Group Normalization are appropriate semantic segmentation methods for application to neonatal thermal images. U-Net GAN and U-Net GAN + SA significantly improved the mIoU of segmentation.
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Affiliation(s)
- Hidetsugu Asano
- Technical Department, Atom Medical Corporation, 2-2-1, Dojo, Sakura-ku, Saitama city, Saitama, 338-0835, Japan.
| | - Eiji Hirakawa
- Department of Neonatology, Nagasaki Harbor Medical Center, 6-39, Shinchi-machi, Nagasaki City, Nagasaki, 850-8555, Japan.,Department of Neonatology, Kagoshima City Hospital, 37-1 Uearata-cho, Kagoshima City, Kagoshima, 890-8760, Japan
| | - Hayato Hayashi
- Technical Department, Atom Medical Corporation, 2-2-1, Dojo, Sakura-ku, Saitama city, Saitama, 338-0835, Japan
| | - Keisuke Hamada
- Department of Clinical Engineering, Nagasaki Harbor Medical Center, 6-39, Shinchi-machi, Nagasaki City, Nagasaki, 850-8555, Japan.,Department of Comprehensive Community Care Education, Nagasaki University Graduate School of Biomedical Sciences, 1-14, Bunkyo-machi, Nagasaki City, Nagasaki, 852-8521, Japan
| | - Yuto Asayama
- Technical Department, Atom Medical Corporation, 2-2-1, Dojo, Sakura-ku, Saitama city, Saitama, 338-0835, Japan
| | - Masaaki Oohashi
- Technical Department, Atom Medical Corporation, 2-2-1, Dojo, Sakura-ku, Saitama city, Saitama, 338-0835, Japan
| | - Akira Uchiyama
- Mobile Computing Laboratory, Graduate School of Information Science and Technology, Osaka University, 1-5, Yamadaoka, Suita, Osaka, 565-0871, Japan
| | - Teruo Higashino
- Mobile Computing Laboratory, Graduate School of Information Science and Technology, Osaka University, 1-5, Yamadaoka, Suita, Osaka, 565-0871, Japan
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Alayed Y, Kilani MA, Hommadi A, Alkhalifah M, Alhaffar D, Bashir M. Accuracy of the Axillary Temperature Screening Compared to Core Rectal Temperature in Infants. Glob Pediatr Health 2022; 9:2333794X221107481. [PMID: 35755196 PMCID: PMC9218445 DOI: 10.1177/2333794x221107481] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/13/2022] [Accepted: 05/29/2022] [Indexed: 11/17/2022] Open
Abstract
Purpose. To compare the sensitivity of axillary and rectal temperature in infants who presents to the emergency department with a recent history of fever. Methods. A single-center cross-sectional comparative study of 201 patients who presents with a recent history of fever. Infants Up to 12 months of age were included. Demographic characteristics such as age and gender, weight, mean axillary and rectal temperatures were documented. Fever is defined as rectal temperature >38°C as opposed to >37.4 in the axillary method. Results. The mean age was 6.1 ± 3.5 months. The mean (SD) rectal-axillary temperature difference was 0.8°C ± 0.7°C which was statistically significant ( P < .001). The sensitivity, specificity, positive predictive and negative predictive values of the axillary method for fever >37.4 were 79.34% (95% CI [73-84.9]), 14.3% (95% CI [0.36-57.9]), 96.2% (95% CI [95-97.2]), and 2.4% (95% CI [0.4-13.5]), respectively. Conclusion. The rectal method remains highly important for accurate and prompt diagnosis in infants.
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Affiliation(s)
- Yazeed Alayed
- Paediatric Resident, King Saud Medical City, Paediatric Hospital, Riyadh, Saudi Arabia
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Cho M, Kim CY, Lee J, Lee Y, Park M, Bae S, Kim Y, Kim Y, Lee BS, Kim EAR, Kim KS, Jung E. Comparing Axillary and Rectal Temperature Measurements in Very Preterm Infants: A Prospective Observational Study. Neonatology 2021; 118:180-186. [PMID: 33756484 DOI: 10.1159/000513720] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 08/05/2020] [Accepted: 12/10/2020] [Indexed: 11/19/2022]
Abstract
PURPOSE The agreement between axillary temperature (AT) and rectal temperature (RT) measurements has not been well established in preterm infants. Therefore, our study aimed to evaluate the agreement between AT and RT measurements in very preterm infants. METHODS Preterm infants <32 weeks of gestational age were prospectively included. The infants' body temperature (BT) was measured twice a day from day 1 to day 6. A paired t-test and the Bland-Altman method were used to analyze the difference between the AT and RT. A linear regression model was used to explore the effects of environmental factors on the differences of BT between the axillary and rectal measurements and to calibrate the RT according to the AT. RESULTS Eighty infants each underwent 6 paired axillary and rectal measurements. The gestational age varied from 22 to 31 weeks (mean 28 weeks). The birth weight varied from 302 to 1,770 g (mean 1,025 g). The AT was significantly lower than the RT. The difference between the RT and AT significantly increased with increasing RT. The AT and RT demonstrated poor agreement overall; however, the RT can be estimated using the AT with the following equation: RT = -4.033 + 1.116 × AT. Environmental factors, including the incubator temperature, incubator humidity, phototherapy, and application of invasive mechanical ventilation did not affect the differences between the AT and RT measurements. CONCLUSION AT measurements cannot be interchangeably used with RT measurements in very preterm infants.
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Affiliation(s)
- Mikyoung Cho
- Department of Pediatric Nursing, Asan Medical Center, Seoul, Republic of Korea
| | - Chae Young Kim
- Department of Pediatrics, Kyung Hee University School of Medicine, Seoul, Republic of Korea
| | - JungBok Lee
- Department of Clinical Epidemiology and Biostatistics, Asan Medical Center, Seoul, Republic of Korea
| | - Yumi Lee
- Department of Pediatric Nursing, Asan Medical Center, Seoul, Republic of Korea
| | - Minhwa Park
- Department of Pediatric Nursing, Asan Medical Center, Seoul, Republic of Korea
| | - Soohyun Bae
- Department of Pediatric Nursing, Asan Medical Center, Seoul, Republic of Korea
| | - Yuri Kim
- Department of Pediatric Nursing, Asan Medical Center, Seoul, Republic of Korea
| | - Yongjoo Kim
- Department of Pediatric Nursing, Asan Medical Center, Seoul, Republic of Korea
| | - Byong Sop Lee
- Department of Pediatrics, Asan Medical Center, Seoul, Republic of Korea
| | - Ellen Ai-Rhan Kim
- Department of Pediatrics, Asan Medical Center, Seoul, Republic of Korea
| | - Ki-Soo Kim
- Department of Pediatrics, Asan Medical Center, Seoul, Republic of Korea
| | - Euiseok Jung
- Department of Pediatrics, Asan Medical Center, Seoul, Republic of Korea,
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Levy I, Allender MC, Keller KA. Comparison of axillary and inguinal body temperature to rectal temperature in healthy guinea pigs (Cavia porcellus). J Exot Pet Med 2020. [DOI: 10.1053/j.jepm.2020.03.016] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/11/2022]
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Lee NH, Nam SK, Lee J, Jun YH. Clinical impact of admission hypothermia in very low birth weight infants: results from Korean Neonatal Network. KOREAN JOURNAL OF PEDIATRICS 2019; 62:386-394. [PMID: 31122009 PMCID: PMC6801200 DOI: 10.3345/kjp.2019.00206] [Citation(s) in RCA: 9] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 02/26/2019] [Accepted: 05/22/2019] [Indexed: 01/28/2023]
Abstract
BACKGROUND Preterm infants have difficulty maintaining body temperature after birth. However, clinical guidelines advocate that neonatal body temperature should be maintained at 36.5°C-37.5°C. PURPOSE We aimed to investigate the incidence of admission hypothermia in very low birth weight (VLBW) infants and to determine the association of admission temperature with in-hospital mortality and morbidities. METHODS A cohort study using prospectively collected data involving 70 neonatal intensive care units (NICUs) that participate in the Korean Neonatal Network. From registered infants born between January 2013 and December 2015, 5,343 VLBW infants born at less than 33 weeks of gestation were reviewed. RESULTS The mean admission temperature was 36.1°C±0.6°C, with a range of 31.9°C to 38.4°C. Approximately 74.1% of infants had an admission hypothermia of <36.5°C. Lower birth weight, intubation in the delivery room and Apgar score <7 at 5 minutes were significantly related to admission hypothermia. The mortality was the lowest at 36.5°C-37.5°C and adjusted odd ratios for all deaths increased to 1.38 (95% confidence interval [CI], 1.04-1.83), 1.44 (95% CI, 1.05-1.97) and 1.86 (95% CI, 1.22-2.82) for infants with admission temperatures of 36.0°C-36.4°C, 35.0°C-35.9°C, and <35.0°C, respectively. Admission hypothermia was also associated with high likelihoods of bronchopulmonary dysplasia, pulmonary hypertension, proven sepsis, pulmonary hemorrhage, air-leak, seizure, grade 3 or higher intraventricular hemorrhage and advanced retinopathy of prematurity requiring laser therapy. CONCLUSION A large portion of preterm infants in Korea had hypothermia at NICU admission, which was associated with high mortality and several important morbidities. More aggressive interventions aimed at reducing hypothermia are required in this high-risk population.
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Affiliation(s)
- Na Hyun Lee
- Department of Pediatrics, Inha University Hospital, Incheon, Korea
| | - Soo Kyung Nam
- Department of Pediatrics, Inha University Hospital, Incheon, Korea
| | - Juyoung Lee
- Department of Pediatrics, Inha University Hospital, Incheon, Korea.,Department of Pediatrics, Inha University College of Medicine, Incheon, Korea
| | - Yong Hoon Jun
- Department of Pediatrics, Inha University Hospital, Incheon, Korea.,Department of Pediatrics, Inha University College of Medicine, Incheon, Korea
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Effect of Timing of the First Bath on a Healthy Newborn's Temperature. J Obstet Gynecol Neonatal Nurs 2018; 47:608-619. [PMID: 30096281 DOI: 10.1016/j.jogn.2018.07.004] [Citation(s) in RCA: 9] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 07/01/2018] [Indexed: 11/22/2022] Open
Abstract
OBJECTIVE To determine if a healthy newborn's age in hours (3, 6, or 9 hours after birth) affects thermoregulatory status after the first bath as indicated by axillary and skin temperatures. DESIGN Quasi-experimental, mixed-model (between subjects and within subjects) design with hours of age as the nonrepeated variable and prebath and postbath temperatures as the repeated variables. SETTING Family-centered care unit at an urban hospital in the southwestern United States. PARTICIPANTS Healthy newborns (N = 75) 37 weeks or more completed gestation. METHODS Mothers chose time of first bath based on available time slots (n = 25 newborns in each age group). Research nurses sponge bathed the newborns in the mothers' rooms. Axillary temperature, an index of core temperature, was measured with a digital thermometer, and skin temperature, an index of body surface temperature, was measured with a thermography camera. Temperatures were taken before the bath; immediately after the bath; and 5, 30, 60, and 120 minutes after the bath. Immediately after the bath, newborns were placed in skin-to-skin care (SSC) for 60 or more minutes. RESULTS We found a difference (p = .0372) in axillary temperatures between the 3- and 9-hour age groups, although this difference was not clinically significant (0.18 °F [0.10 °C]). We found no statistically significant differences in skin temperatures among the three age groups. Regardless of age group, axillary and skin temperatures initially decreased and then recovered after the bath. CONCLUSION For up to 2 hours postbath, axillary and skin temperatures were not different between healthy newborns bathed at 3, 6, or 9 hours of age. Thermography holds promise for learning about thermoregulation, bathing, and SSC.
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Abstract
BACKGROUND Conventional practice involves obtaining a blood culture during or immediately after a fever to increase diagnostic yield. There are no data to support this practice in children. METHODS Retrospective single-center case-control study of children (0-18 years) who had blood cultures performed as part of routine care. Cases had an a priori defined pathogen isolated from blood culture (n = 410) and were age-matched with contemporaneous controls with a sterile blood culture (n = 410). The predictive value of fever (before and after blood culture), C-reactive protein and hematologic indices were analyzed by multivariate regression and area under the receiver operating characteristic curves (AUCs) in neonatal, general pediatric and pediatric oncology patients. RESULTS One thousand one hundred seventy-two (6.7%) of 17,607 blood cultures were positive, of which 410 (35%) cultured pathogen(s). Three hundred and twenty four (79%) cases and 275 (67.1%) controls had a fever (≥37.5°C) during the 12 hours pre- or post-collection. Fever 2-6 hours before a blood culture was neither sensitive nor specific for predicting bacteremia in neonatal or pediatric patients and marginally predictive in oncology patients (AUC 0.59-0.63). Cultures obtained 2-6 hours before fever were nonpredictive in neonates (AUC 0.56-0.59), marginally predictive in pediatric patients (AUC 0.64-0.67) and moderately predictive in oncology patients (AUC 0.70). C-reactive protein was marginally predictive in neonates (AUC 0.60). Hematologic indices were nonpredictive in all groups. CONCLUSIONS Fever before obtaining blood culture was neither sensitive nor specific for culture positivity; timing of pediatric blood cultures relative to fever is unimportant. Bacteremia precedes a fever, but this is of limited clinical applicability.
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Wilson E, Maier RF, Norman M, Misselwitz B, Howell EA, Zeitlin J, Bonamy AK. Admission Hypothermia in Very Preterm Infants and Neonatal Mortality and Morbidity. J Pediatr 2016; 175:61-67.e4. [PMID: 27189680 DOI: 10.1016/j.jpeds.2016.04.016] [Citation(s) in RCA: 71] [Impact Index Per Article: 8.9] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 12/22/2015] [Revised: 03/22/2016] [Accepted: 04/07/2016] [Indexed: 11/24/2022]
Abstract
OBJECTIVE To investigate the association between body temperature at admission to neonatal intensive care and in-hospital mortality in very preterm infants, stratified by postnatal age of death. Moreover, we assessed the association between admission temperature and neonatal morbidity. STUDY DESIGN In this cohort study from 19 regions in 11 European countries, we measured body temperature at admission for infants admitted for neonatal care after very preterm birth (<32 weeks of gestation; n = 5697) who were followed to discharge or death. Associations between body temperature at admission and in-hospital mortality and neonatal morbidity were analyzed by the use of mixed effects generalized linear models. The final model adjusted for pregnancy complications, singleton or multiple pregnancy, antenatal corticosteroids, mode of delivery, gestational age, infant size and sex, and Apgar score <7 at 5 minutes. RESULTS A total of 53.4% of the cohort had a body temperature at admission less than 36.5°C, and 12.9% below 35.5°C. In the adjusted model, an admission temperature <35.5°C was associated with increased mortality at postnatal ages 1-6 days, (risk ratio 2.41; 95% CI 1.45-4.00), and 7-28 days (risk ratio 1.79; 1.15-2.78) but not after 28 days of age. We found no associations between admission temperature and neonatal morbidity. CONCLUSION Admission hypothermia after very preterm birth is a significant problem in Europe, associated with an increased risk of early and late neonatal death.
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Affiliation(s)
- Emilija Wilson
- Department of Clinical Science, Intervention and Technology, Karolinska Institutet, Stockholm, Sweden; Department of Neonatal Medicine, Karolinska University Hospital, Stockholm, Sweden; Department of Gynecology and Obstetrics, Danderyd University Hospital, Stockholm, Sweden.
| | - Rolf F Maier
- Children's Hospital, Philipps University, Marburg, Germany
| | - Mikael Norman
- Department of Clinical Science, Intervention and Technology, Karolinska Institutet, Stockholm, Sweden; Department of Neonatal Medicine, Karolinska University Hospital, Stockholm, Sweden
| | | | - Elizabeth A Howell
- Department of Population Health Science & Policy, Icahn School of Medicine at Mount Sinai, New York, NY; Department of Obstetrics, Gynecology, and Reproductive Science, Icahn School of Medicine at Mount Sinai, New York, NY; Department of Psychiatry, Icahn School of Medicine at Mount Sinai, New York, NY
| | - Jennifer Zeitlin
- Inserm UMR 1153, Obstetrical, Perinatal and Pediatric Epidemiology Research Team (Epopé), Center for Epidemiology and Statistics Sorbonne Paris Cité, Paris, France; DHU Risks in Pregnancy, Paris Descartes University, Paris, France
| | - Anna-Karin Bonamy
- Department of Women's and Children's Health and Clinical Epidemiology Unit, Department of Medicine Solna, Karolinska Institutet, Stockholm, Sweden; Sachs' Children and Youth Hospital, Stockholm, Sweden
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Kristoffersen L, Stoen R, Hansen LF, Wilhelmsen J, Bergseng H. Skin-to-Skin Care After Birth for Moderately Preterm Infants. J Obstet Gynecol Neonatal Nurs 2016; 45:339-45. [PMID: 27063400 DOI: 10.1016/j.jogn.2016.02.007] [Citation(s) in RCA: 10] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 02/01/2016] [Indexed: 10/22/2022] Open
Abstract
OBJECTIVE To investigate the feasibility and safety of skin-to-skin care after birth for moderately preterm infants. DESIGN Prospective cohort study. SETTING The study was conducted at the maternity wards and NICUs of three study sites in Norway. PARTICIPANTS Ninety preterm infants born vaginally with gestational ages of 32 weeks/0 days to 34 weeks/6 days. METHODS Comparison of groups of preterm infants who received skin-to-skin care or conventional treatment in incubators after birth. RESULTS Median gestational age and birth weight were similar in the two groups: 33 weeks/5 days versus 34 weeks/3 days (p = .464) and 2,100 versus 2,010 g (p = .519). There were no differences in the first body temperature (p = .841) and blood glucose level (p = .539) between the groups. CONCLUSION Early skin-to-skin contact in the delivery room for moderately preterm infants may be feasible and safe.
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Tse J, Rand C, Carroll M, Charnay A, Gordon S, Morales B, Vitez S, Le M, Weese‐Mayer D. Determining peripheral skin temperature: subjective versus objective measurements. Acta Paediatr 2016; 105:e126-31. [PMID: 26607668 DOI: 10.1111/apa.13283] [Citation(s) in RCA: 16] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 07/14/2015] [Revised: 11/02/2015] [Accepted: 11/19/2015] [Indexed: 11/29/2022]
Abstract
AIM Diseases that affect peripheral vasculature or neurological function can manifest with peripheral skin temperature abnormalities. This pilot study investigates the accuracy of current physical examination techniques and determines whether a hand-held infrared device can be used to estimate peripheral skin temperature and detect temperature disparities. METHODS Comparison between traditional physical examination of hands/feet by 30 healthcare professionals and a hand-held infrared device was made in 12 individuals (ages 4-25 years; 5 with disorders affecting peripheral skin temperature). Thermal camera measurements served as the reference temperature for comparison. RESULTS A total of 231 extremity examinations by healthcare professionals were analysed. Healthcare professionals correctly identified subjects with colder or warmer than normal peripheral temperature. Hand-held device measurements were significantly different than reference measurements, with the size of the temperature difference diverging significantly between hands (1.20°C) and feet (0.78°C). When analysing temperature disparities, healthcare professionals identified fewer clinically significant disparities (≥3.0°C) than the hand-held device (76% vs. 99%). CONCLUSION Although different from reference temperatures, the hand-held infrared device provided a more accurate and objective method than traditional physical exam in identifying peripheral skin temperature asymmetries that may be related to chronic paediatric illness.
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Affiliation(s)
- Jennifer Tse
- Center for Autonomic Medicine in Pediatrics (CAMP) Department of Pediatrics Ann & Robert H. Lurie Children's Hospital of Chicago Stanley Manne Children's Research Institute Chicago IL USA
- Northwestern University Feinberg School of Medicine Chicago IL USA
| | - Casey Rand
- Center for Autonomic Medicine in Pediatrics (CAMP) Department of Pediatrics Ann & Robert H. Lurie Children's Hospital of Chicago Stanley Manne Children's Research Institute Chicago IL USA
| | - Michael Carroll
- Center for Autonomic Medicine in Pediatrics (CAMP) Department of Pediatrics Ann & Robert H. Lurie Children's Hospital of Chicago Stanley Manne Children's Research Institute Chicago IL USA
- Northwestern University Feinberg School of Medicine Chicago IL USA
| | - Aaron Charnay
- Center for Autonomic Medicine in Pediatrics (CAMP) Department of Pediatrics Ann & Robert H. Lurie Children's Hospital of Chicago Stanley Manne Children's Research Institute Chicago IL USA
| | - Samantha Gordon
- Center for Autonomic Medicine in Pediatrics (CAMP) Department of Pediatrics Ann & Robert H. Lurie Children's Hospital of Chicago Stanley Manne Children's Research Institute Chicago IL USA
| | - Briseyda Morales
- Center for Autonomic Medicine in Pediatrics (CAMP) Department of Pediatrics Ann & Robert H. Lurie Children's Hospital of Chicago Stanley Manne Children's Research Institute Chicago IL USA
| | - Sally Vitez
- Center for Autonomic Medicine in Pediatrics (CAMP) Department of Pediatrics Ann & Robert H. Lurie Children's Hospital of Chicago Stanley Manne Children's Research Institute Chicago IL USA
| | - Michele Le
- Center for Autonomic Medicine in Pediatrics (CAMP) Department of Pediatrics Ann & Robert H. Lurie Children's Hospital of Chicago Stanley Manne Children's Research Institute Chicago IL USA
| | - Debra Weese‐Mayer
- Center for Autonomic Medicine in Pediatrics (CAMP) Department of Pediatrics Ann & Robert H. Lurie Children's Hospital of Chicago Stanley Manne Children's Research Institute Chicago IL USA
- Northwestern University Feinberg School of Medicine Chicago IL USA
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