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Published on: December 31, 2015
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Hypothermia in Preterm Neonates in Oman: A Retrospective Study
Mohamed Abdellatif1, Fatma Musallam Al Ghafri1, Murtadha Al Kahbori2
1Neonatal Intensive Care Unit, Department of Child Health, Sultan Qaboos University Hospital, Muscat, Oman.
Oman Medical Journal
|December 24, 2024
Summary
Most preterm infants (86.7%) experienced hypothermia upon NICU admission, linked to intraventricular hemorrhage. Aggressive interventions are crucial to reduce hypothermia incidence in premature newborns.
Area of Science:
- Neonatal Medicine
- Perinatal Research
- Pediatric Critical Care
Background:
- Hypothermia is a significant concern in preterm infants.
- Maintaining normothermia is vital for neonatal outcomes.
Purpose of the Study:
- To determine hypothermia prevalence in preterm infants (<32 weeks gestation).
- To assess associations between admission temperature, neonatal/maternal risk factors, and gestational age.
- To evaluate the link between admission temperature and neonatal morbidity/mortality.
Main Methods:
- Retrospective analysis of 8-year data (2010-2017).
- Inclusion of preterm neonates (<32 weeks gestation) admitted to a tertiary NICU.
- Analysis of 587 infants with data on gestational age, birth weight, and admission temperature.
Main Results:
- 86.7% of infants presented with hypothermia (axillary temperature <36.5 °C).
- Mean gestational age was 28.4 weeks, mean birth weight 1154.2 g, mean admission temperature 35.5 °C.
- Multivariate analysis showed intraventricular hemorrhage significantly associated with hypothermia incidence.
Conclusions:
- High incidence of hypothermia observed in preterm infants upon NICU admission.
- Hypothermia is linked to significant neonatal morbidities.
- More aggressive interventions are needed to prevent hypothermia in this vulnerable population.
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