دورية أكاديمية
Thermal management with and without servo-controlled system in preterm infants immediately after birth: a multicentre, randomised controlled study
| العنوان: | Thermal management with and without servo-controlled system in preterm infants immediately after birth: a multicentre, randomised controlled study |
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| المؤلفون: | Cavallin F., Doglioni N., Allodi A., Battajon N., Vedovato S., Capasso L., Gitto E., Laforgia N., Paviotti G., Capretti M. G., Gizzi C., Villani P. E., Biban P., Pratesi S., Lista G., Ciralli F., Soffiati M., Staffler A., Baraldi E., Trevisanuto D. |
| المساهمون: | Cavallin, F., Doglioni, N., Allodi, A., Battajon, N., Vedovato, S., Capasso, L., Gitto, E., Laforgia, N., Paviotti, G., Capretti, M. G., Gizzi, C., Villani, P. E., Biban, P., Pratesi, S., Lista, G., Ciralli, F., Soffiati, M., Staffler, A., Baraldi, E., Trevisanuto, D. |
| بيانات النشر: | BMJ Publishing Group |
| سنة النشر: | 2021 |
| المجموعة: | Padua Research Archive (IRIS - Università degli Studi di Padova) |
| مصطلحات موضوعية: | neonatology, resuscitation |
| الوصف: | Background: The thermal servo-controlled systems are routinely used in neonatal intensive care units (NICUs) to accurately manage patient temperature, but their role during the immediate postnatal phase has not been previously assessed. Objective: To compare two modalities of thermal management (with and without the use of a servo-controlled system) immediately after birth. Study design and setting: Multicentre, unblinded, randomised trial conducted 15 Italian tertiary hospitals. Participants: Infants with estimated birth weight <1500 g and/or gestational age <30+6 weeks. Intervention: Thermal management with or without a thermal servo-controlled system during stabilisation in the delivery room. Primary outcome: Proportion of normothermia at NICU admission (axillary temperature 36.5°C-37.5°C). Results: At NICU admission, normothermia was achieved in 89/225 neonates (39.6%) with the thermal servo-controlled system and 95/225 neonates (42.2%) without the thermal servo-controlled system (risk ratio 0.94, 95% CI 0.75 to 1.17). Thermal servo-controlled system was associated with increased mild hypothermia (36°C-36.4°C) (risk ratio 1.48, 95% CI 1.09 to 2.01). Conclusions: In very low birthweight infants, thermal management with the servo-controlled system conferred no advantage in maintaining normothermia at NICU admission, while it was associated with increased mild hypothermia. Thermal management of preterm infants immediately after birth remains a challenge. Trial registration number: NCT03844204 |
| نوع الوثيقة: | article in journal/newspaper |
| وصف الملف: | STAMPA |
| اللغة: | English |
| العلاقة: | info:eu-repo/semantics/altIdentifier/pmid/33597230; info:eu-repo/semantics/altIdentifier/wos/WOS:000711063200002; firstpage:fetalneonatal-2020-320567; journal:ARCHIVES OF DISEASE IN CHILDHOOD. FETAL AND NEONATAL EDITION; http://hdl.handle.net/11577/3394007Test; info:eu-repo/semantics/altIdentifier/scopus/2-s2.0-85100874406 |
| DOI: | 10.1136/archdischild-2020-320567 |
| الإتاحة: | https://doi.org/10.1136/archdischild-2020-320567Test http://hdl.handle.net/11577/3394007Test |
| حقوق: | info:eu-repo/semantics/openAccess |
| رقم الانضمام: | edsbas.9991AB94 |
| قاعدة البيانات: | BASE |
| DOI: | 10.1136/archdischild-2020-320567 |
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