Vinci Alexandra, Islam Shahidul, Quintos-Alegheband Lyn, Hanna Nazeeh, Nayak Amrita
NYU Winthrop Hospital Children's Medical Center, Mineola, N.Y.
State University Of New York (SUNY) Stony Brook Medical College.
Pediatr Qual Saf. 2018 Dec 6;3(6):e125. doi: 10.1097/pq9.0000000000000125. eCollection 2018 Nov-Dec.
Premature babies are at increased risk of hypothermia, core body temperature <97°F. Delivery room environment may contribute and lead to complications. The objective was to reduce hypothermia in babies <32 weeks of gestation in the delivery room to <40% using a checklist and sustain it for 6 months.
We created a delivery room checklist in 2012. Chart review established a baseline rate of hypothermia (<97°F). The team analyzed the checklist's effect on hypothermia from 2012 to 2018 and utilized numerous interventions to maintain compliance. Chi-square test and Fisher's exact test analyzed hypothermia and hyperthermia as a balancing measure. All calculations performed in SAS 9.3.
The checklist reduced hypothermia from a baseline of 50% in 2011 (n = 104) to 33% in 2012 (n = 106). In 2013, the proportion of hypothermia slightly increased to 36% (n = 81). The year 2014 brought larger drift, and proportion of hypothermia increased to 44% (n = 117). In 2015, we reinforced the use of the checklist and proportion of hypothermia improved to 36% (n = 99). Further interventions through 2018 decreased hypothermia further to 14% to achieve statistical significance.
A checklist is a simple tool that may yield beneficial changes in practice and helped to decrease the proportion of neonatal hypothermia.
早产儿体温过低（核心体温<97°F）的风险增加。产房环境可能是一个影响因素并导致并发症。目标是使用检查表将产房内孕周<32周的婴儿体温过低发生率降至<40%，并持续6个月。
我们在2012年创建了一份产房检查表。通过病历审查确定了体温过低（<97°F）的基线发生率。该团队分析了2012年至2018年检查表对体温过低的影响，并采用了多种干预措施以维持依从性。卡方检验和费舍尔精确检验用于分析体温过低和体温过高情况，作为一种平衡措施。所有计算均在SAS 9.3中进行。
检查表使体温过低发生率从2011年的基线水平50%（n = 104）降至2012年的33%（n = 106）。2013年，体温过低的比例略有上升至36%（n = 81）。2014年出现了更大幅度的波动，体温过低比例升至44%（n = 117）。2015年，我们加强了检查表的使用，体温过低比例改善至36%（n = 99）。到2018年通过进一步干预，体温过低发生率进一步降至14%，达到统计学显著性水平。
检查表是一种简单的工具，可能在实践中产生有益的变化，并有助于降低新生儿体温过低的比例。
