Prevention of excessive hypothermia in infants with hypoxic ischemic encephalopathy prior to admission to a quaternary care center: a neonatal outreach educational project

Susana Arriagada, Hong Huang, Kate Fletcher, Peter Giannone

Research output: Contribution to journalArticlepeer-review

3 Scopus citations

Abstract

Objective: Excessive hypothermia is common in infants that receive passive cooling for hypoxic ischemic encephalopathy (HIE). Our goal was to reduce the number of infants with admission temperature <33 °C from 33% to less than 10% by December 2017. Methods: Outcome measures included the number of infants with admission temperature <33 °C and number of infants with temperature within therapeutic range. Interventions included implementation of passive cooling guidelines and outreach education to birth hospitals and transport team. We used statistical process control chart to compare outcomes over a 3 year period. Results: The number of infants with admission temperature <33 °C decreased from 33.3% to 5.5% (p = 0.013). The number of infants with admission temperature within target range for hypothermia therapy increased from 61.1% to 77.7% (p = 0.014). Balancing measures and complications remained unchanged. Conclusion: Implementation of passive cooling guidelines and outreach education led to significant decrease in excessive hypothermia in infants with HIE.

Original languageEnglish
Pages (from-to)1417-1427
Number of pages11
JournalJournal of Perinatology
Volume39
Issue number10
DOIs
StatePublished - Oct 1 2019

Bibliographical note

Publisher Copyright:
© 2019, Springer Nature America, Inc.

ASJC Scopus subject areas

  • Pediatrics, Perinatology, and Child Health
  • Obstetrics and Gynecology

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