Predictors of unfavorable thermal outcome during newborn emergency retrievals

Air Medical Journal
Beatrice SkiöldChristiane Theda

Abstract

Maintenance of normal body temperature is a challenge during transports. We aimed to identify predisposing factors for unfavorable thermal outcome during emergency retrievals of neonates. Demographic data and clinical variables for transports performed over a 2-year period were extracted from the Newborn Emergency Transport Service (Victoria, Australia) database. Arrival temperatures outside normothermia (36.5°-37.5°C) were defined as an unfavorable outcome. Normothermia on arrival at the receiving hospital was achieved in 78% of 1,261 transports. The strongest predictor of unfavorable thermal outcome was an abnormal temperature at the start of the retrieval (odds ratio [OR] = 8.04; 95% confidence interval [CI], 5.91-10.95; P < .001) followed by very low weight on transport (< 1,500 g; OR = 2.49; 95% CI, 1.63-3.80; P < .001) and respiratory support (OR = 1.81; 95% CI, 1.29-2.54; P = .001). Medications (eg, inotropes and sedation/muscle relaxation) or central/peripheral venous/arterial lines were not significant predictors of outcome when temperature at retrieval start, weight at transport, and respiratory support were adjusted as cofactors. Mode of transport (road, fixed wing, or rotary wing aircraft) and outside temperature we...Continue Reading

References

May 1, 1989·Archives of Disease in Childhood·I SarmanR Tunell
May 6, 1999·The Journal of Pediatrics·V Narendran, S B Hoath
Jul 30, 2002·Neonatal Network : NN·P S Hackman
Dec 5, 2002·Seminars in Neonatology : SN·Andreas Schulze
Apr 29, 2005·Journal of Perinatology : Official Journal of the California Perinatal Association·Lina F ShalakAbbot R Laptook
Nov 18, 2005·Journal of Perinatology : Official Journal of the California Perinatal Association·Kristie CramerSunita Vohra
Feb 14, 2007·Pediatrics·Abbot R LaptookUNKNOWN Neonatal Research Network
Feb 28, 2008·Advances in Neonatal Care : Official Journal of the National Association of Neonatal Nurses·Martha J Mance
May 27, 2008·Seminars in Fetal & Neonatal Medicine·Abbot R Laptook, Michael Watkinson
Jan 23, 2009·Journal of Perinatology : Official Journal of the California Perinatal Association·V KumarG L Darmstadt
Jul 31, 2009·Journal of Perinatology : Official Journal of the California Perinatal Association·A SinghM Watkinson
Jun 3, 2010·Frontiers in Bioscience (Scholar Edition)·Rainer Lenhardt
Sep 10, 2010·Acta Paediatrica·P JonesS Dauger
Dec 3, 2010·Journal of Tropical Pediatrics·Anna L P VieiraRuth Guinsburg
Feb 3, 2011·Indian Journal of Pediatrics·Poddutoor Preetham KumarAlla Venkatlakshmi
Oct 1, 2011·European Journal of Pediatric Surgery : Official Journal of Austrian Association of Pediatric Surgery ... [et Al] = Zeitschrift Für Kinderchirurgie·R SimA Pierro
Feb 4, 2012·Pediatrics International : Official Journal of the Japan Pediatric Society·Nora HoferBernhard Resch
Apr 14, 2012·The Journal of Pediatrics·Victoria KarlssonJohan Agren

❮ Previous
Next ❯

Related Concepts

Related Feeds

Antifungals (ASM)

An antifungal, also known as an antimycotic medication, is a pharmaceutical fungicide or fungistatic used to treat and prevent mycosis such as athlete's foot, ringworm, candidiasis, cryptococcal meningitis, and others. Discover the latest research on antifungals here.

Antifungals

An antifungal, also known as an antimycotic medication, is a pharmaceutical fungicide or fungistatic used to treat and prevent mycosis such as athlete's foot, ringworm, candidiasis, cryptococcal meningitis, and others. Discover the latest research on antifungals here.