Articles producció científica> Medicina i Cirurgia

Randomized Trial of Occlusive Wrap for Heat Loss Prevention in Preterm Infants

  • Dades identificatives

    Identificador: imarina:5132928
    Autors:
    Reilly, Maureen C.Vohra, SunitaRac, Valeria E.Dunn, MichaelFerrelli, KarlaKiss, AlexVincer, MichaelWimmer, JohnZayack, DeniseSoll, Roger F.Vermont Oxford Network Heat Loss P
    Resum:
    To determine whether the application of occlusive wrap applied immediately after birth will reduce mortality in very preterm infants.This was a prospective randomized controlled trial of infants born 24 0/7 to 27 6/7 weeks' gestation who were assigned randomly to occlusive wrap or no wrap. The primary outcome was all cause mortality at discharge or 6 months' corrected age. Secondary outcomes included temperature, Apgar scores, pH, base deficit, blood pressure and glucose, respiratory distress syndrome, bronchopulmonary dysplasia, seizures, patent ductus arteriosus, necrotizing enterocolitis, gastrointestinal perforation, intraventricular hemorrhage, cystic periventricular leukomalacia, pulmonary hemorrhage, retinopathy of prematurity, sepsis, hearing screen, and pneumothorax.Eight hundred one infants were enrolled. There was no difference in baseline population characteristics. There were no significant differences in mortality (OR 1.0, 95% CI 0.7-1.5). Wrap infants had statistically significant greater baseline temperatures (36.3°C wrap vs 35.7°C no wrap, P < .0001) and poststabilization temperatures (36.6°C vs 36.2°C, P < .001) than nonwrap infants. For the secondary outcomes, there was a significant decrease in pulmonary hemorrhage (OR 0.6, 95% CI 0.3-0.9) in the wrap group and a significant lower mean one minute Apgar score (P = .007) in the wrap group. The study was stopped early because continued enrollment would not result in the attainment of a significant difference in the primary outcome.Application of occlusive wrap to very preterm infants immediately after birth results in greater mean body temperature but does not reduce mortality.Copyright © 2015 The Authors. Published by Elsevier Inc. All rights reserved.
  • Altres:

    Autor segons l'article: Reilly, Maureen C.; Vohra, Sunita; Rac, Valeria E.; Dunn, Michael; Ferrelli, Karla; Kiss, Alex; Vincer, Michael; Wimmer, John; Zayack, Denise; Soll, Roger F.;Vermont Oxford Network Heat Loss P
    Departament: Medicina i Cirurgia
    Autor/s de la URV: Closa Monasterolo, Ricardo
    Paraules clau: Prematuro
    Resum: To determine whether the application of occlusive wrap applied immediately after birth will reduce mortality in very preterm infants.This was a prospective randomized controlled trial of infants born 24 0/7 to 27 6/7 weeks' gestation who were assigned randomly to occlusive wrap or no wrap. The primary outcome was all cause mortality at discharge or 6 months' corrected age. Secondary outcomes included temperature, Apgar scores, pH, base deficit, blood pressure and glucose, respiratory distress syndrome, bronchopulmonary dysplasia, seizures, patent ductus arteriosus, necrotizing enterocolitis, gastrointestinal perforation, intraventricular hemorrhage, cystic periventricular leukomalacia, pulmonary hemorrhage, retinopathy of prematurity, sepsis, hearing screen, and pneumothorax.Eight hundred one infants were enrolled. There was no difference in baseline population characteristics. There were no significant differences in mortality (OR 1.0, 95% CI 0.7-1.5). Wrap infants had statistically significant greater baseline temperatures (36.3°C wrap vs 35.7°C no wrap, P < .0001) and poststabilization temperatures (36.6°C vs 36.2°C, P < .001) than nonwrap infants. For the secondary outcomes, there was a significant decrease in pulmonary hemorrhage (OR 0.6, 95% CI 0.3-0.9) in the wrap group and a significant lower mean one minute Apgar score (P = .007) in the wrap group. The study was stopped early because continued enrollment would not result in the attainment of a significant difference in the primary outcome.Application of occlusive wrap to very preterm infants immediately after birth results in greater mean body temperature but does not reduce mortality.Copyright © 2015 The Authors. Published by Elsevier Inc. All rights reserved.
    Àrees temàtiques: Saúde coletiva Pediatrics, perinatology and child health Pediatrics Odontología Nutrição Medicina iii Medicina ii Medicina i Interdisciplinar General medicine Educação física Ciências biológicas iii Ciências biológicas ii Ciências biológicas i Biotecnología Artes
    Accès a la llicència d'ús: https://creativecommons.org/licenses/by/3.0/es/
    Adreça de correu electrònic de l'autor: ricardo.closa@urv.cat
    Identificador de l'autor: 0000-0002-9963-4163
    Data d'alta del registre: 2024-09-07
    Versió de l'article dipositat: info:eu-repo/semantics/publishedVersion
    Enllaç font original: https://www.sciencedirect.com/science/article/pii/S0022347614009330
    URL Document de llicència: https://repositori.urv.cat/ca/proteccio-de-dades/
    Referència a l'article segons font original: Journal Of Pediatrics. 166 (2): 262-+
    Referència de l'ítem segons les normes APA: Reilly, Maureen C.; Vohra, Sunita; Rac, Valeria E.; Dunn, Michael; Ferrelli, Karla; Kiss, Alex; Vincer, Michael; Wimmer, John; Zayack, Denise; Soll, R (2015). Randomized Trial of Occlusive Wrap for Heat Loss Prevention in Preterm Infants. Journal Of Pediatrics, 166(2), 262-+. DOI: 10.1016/j.jpeds.2014.09.068
    DOI de l'article: 10.1016/j.jpeds.2014.09.068
    Entitat: Universitat Rovira i Virgili
    Any de publicació de la revista: 2015
    Tipus de publicació: Journal Publications
  • Paraules clau:

    Pediatrics,Pediatrics, Perinatology and Child Health
    Prematuro
    Saúde coletiva
    Pediatrics, perinatology and child health
    Pediatrics
    Odontología
    Nutrição
    Medicina iii
    Medicina ii
    Medicina i
    Interdisciplinar
    General medicine
    Educação física
    Ciências biológicas iii
    Ciências biológicas ii
    Ciências biológicas i
    Biotecnología
    Artes
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