Home
About Us
Issues
Authors
Reviewers
Users
Subscription
Our Other Journals
Neonatal Database
Neonatal Database Download
Neonatal Journal Abstracts
Feedback
Salient Features
Open Access
Editorial Board
Publisher
Publication Ethics & Malpractice
Journal Policy
Peer Review Process
Contact Us
Current Issue
Forthcoming
Article Archive
Access Statistics
Simple Search
Advanced Search
IJNMR Performance
Submit an Article
Instructions
Assistance
Publication Fee
Paid Services
Apply As Reviewer
Acknowledgment
Register Here
Register For Article Submission
Login Here
Login For Article Submission
Annual
Buy One Issue
Payment Options
How to Order
JCDR
IJARS
NJLM

 

Welcome : Guest

Users Online :

 

 

 

 

 

 

 

 

Original article / research

Year :2021 Month : April Volume : 9 Issue : 2 Page : PO15 - PO20

Effect of Admission Hypothermia on Shortterm and Long-term Outcomes in Neonates Admitted at a Tertiary Care Hospital

 
Correspondence Address :
Sunita Choudhary, Dileep Goyal, Dheeraj Diwaakar, Vivek Praser, Devendra Sareen, Hemlata Mittal,
Dileep Goyal,
Room No. 201, New PG Hostel, Geetanjali Medical College and Hospital,
Udaipur-313002, Rajasthan, India.
E-mail: sumannsunita123@gmail.com
Introduction: Neonatal hypothermia is an abnormal thermal state in which body temperature drops below 36.5°C leading to adverse clinical outcomes caused due to prematurity of the neonate or severe infection. Since, the outcome of hypothermia is not immediately detected, it relatively gets neglected by the health care provider.

Aim: To investigate the effect of admission hypothermia on short-term and long-term outcomes in neonates admitted at a tertiary care hospital.

Materials and Methods: The descriptive study was conducted on 189 neonates with admission hypothermia which were further grouped into various grades of hypothermia and were followed-up to determine the outcome. The study population was subjected to routine investigations as per protocol. All neonates were screened by Ultrasonography (USG) cranium, 2D Echocardiogram (2D ECHO) and Retinopathy of Prematurity (ROP) screening. At each follow-up they underwent various neurological examination at 3, 6, 9 and 12 months of age, neurodevelopment assessment using DAS II at one year of age, growth assessment (detailed anthropometry) and developmental milestones, nutritional assessment (breastfeeding or weaning), retinopathy of prematurity screening at three weeks. At 12 months of age, all the babies were assessed using Developmental Assessment scale for Indian infants. The data was analysed by using Statistical Package for the Social Sciences (SPSS) Version 21.0 for data computation, p=value <0.05 was considered as statistically significant.

Results: Two third (63.5%) of the neonates admitted in the NICU with admission hypothermia were males. Overall, 63% of admitted neonates with hypothermia were low-birth weight. Among the short-term outcome in neonates the most common was the Respiratory Distress Syndrome (RDS,81%). Most common combination of the short-term outcome were RDS+Patent Ductus Arteriosus (PDA)+Sepsis (n=6) and RDS+PDA+ROP Grade II (n=4), and RDS+Intraventricular Haemorrhage (IVH)+Sepsis (n=2). All the neonates 4(100%) who were extremely preterm developed RDS compared to other neonates. RDS was cause of death in 4 hypothermic neonates. The mean development age using DAS II was 11.8 months. The mean development quotient was 94.

Conclusion: The present observational study demonstrates a relationship between admission hypothermia and the type of neonatal morbidity and mortality. Gestational age carried a significant relationship with the short-term outcome like RDS in terms of developing co-morbidities and their survivability but had a limited role in development of long-term outcome. Routine screening of temperature and early intervention prevents the development of hypothermia thus preventing short-term complications. There is a need to create awareness among health professionals about the dangers of hypothermia so that early intervention could be undertaken to reduce its complications.
 
[ FULL TEXT ]   |   [ ]
 

Article Utilities

  • Readers Comments
  • Article in PDF
  • Citation Manager
  • Article Statistics
  • Link to PUBMED
  • Print this Article
  • Send to a Friend

Quick Links

REVIEWER
ACCESS STATISTICS
Home  |  About Us  |  Online First  |  Current Issue  |  Simple Search  |  Advance Search  |  Register  |  Login  |  Contact  | 
IJNMR Pre-Publishing  |  Reviewer  |  Articles Archive  |  Access Statistics
© 2023 INDIAN JOURNAL OF NEONATAL MEDICINE & RESEARCH (IJNMR), ISSN : 2277-8527.
EDITORIAL OFFICE : 3rd Floor, Hemraj Jain Building, 4352 Pahari Dhiraj, Delhi, India 110006,Phone : 01123848553

* This Journal is owned and run by medical professionals *