中高收入国家的新生儿入院温度
Alejandro Frade Garcia1,2, Erika M Edwards3,4,5, José Maria de Andrade Lopes6
1Boston Children's Hospital, Boston, Massachusetts.
Pediatrics
|August 17, 2023
概括
新生儿低温症在全球范围内很常见,特别是在中等收入国家,并显著增加新生儿的死亡风险. 改善入院温度可以减少新生儿死亡率,并支持可持续发展目标.
科学领域:
- 新生儿科学 新生儿科学
- 全球健康 全球健康
- 围产儿医学 围产儿医学
背景情况:
- 新生儿低温症是一种可预防但普遍存在的疾病,影响着全世界的新生儿.
- 在中等收入国家 (MIC) 和高收入国家 (HIC) 之间存在低温患病率和结果的差异.
研究的目的:
- 调查新生儿低温症在入院时的患病率.
- 为了比较MIC和HIC之间的低温率和相关死亡率.
- 确定低温症的危险因素及其对新生儿生存的影响.
主要方法:
- 来自佛蒙特牛津网络数据库 (2018-2021) 的数据分析.
- 包括出生体重为401-1500克或妊娠年龄为22-29周的新生儿.
- 根据12个MIC和22个HIC在NICU入院1小时内温度的结果进行比较.
主要成果:
- 低温影响了MIC医院64.0%的新生儿,而HIC医院的这一比例为28.6%.
- 围产期风险因素包括出生体重较低,妊娠年龄相比较小,以及持续的复苏.
- 在MIC和HIC中,低温新生儿的死亡率翻了一番;每增加1°C的入院温度都会降低死亡风险.
结论:
- 新生儿低温症是一个严重的,常见的问题,与中等收入和高收入国家的死亡率增加有关.
- 解决低温症对于改善新生儿的结果和实现2030年新生儿可持续发展目标至关重要.
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