Department of Pediatrics, Deenanath Mangeshkar Hospital, Pune, India.
Department of Pediatrics, Pramukhswami Medical College, Karamsad, India.
J Perinatol. 2021 Feb;41(2):330-338. doi: 10.1038/s41372-020-0734-x. Epub 2020 Jul 20.
We assessed the efficacy of Embrace Nest Infant Warmer versus Cloth Wrap in preventing hypothermia during short-term transport from the emergency department (ED) to the neonatal intensive care unit (NICU).
Neonates weighing ≥1500 g coming to the ED were randomized for transport to the NICU. Axillary temperature was measured.
A total of 120 newborns (60 per group) were enrolled. From ED exit to NICU entry, the mean (SD) temperature increased in the Embrace group by 0.37 °C (0.54), whereas it reduced by 0.38 °C (0.80) in the Cloth group (p < 0.001). Hypothermia cases reduced in the Embrace group from 39 (65%) to 21 (35%), while it increased from 21 (35%) to 39 (65%) in the Cloth group (p = 0.001) from ED exit to NICU entry. The thermoregulation for 24 h after admission to the NICU was superior in the Embrace group.
Embrace showed significantly better thermoregulation in neonates. Further studies should be done to measure its effectiveness in different environments and distances.
我们评估了 Embrace Nest 婴儿保暖器与布包裹在预防急诊（ED）到新生儿重症监护病房（NICU）的短途转运期间低体温方面的效果。
来 ED 的体重≥1500g 的新生儿被随机分配到 NICU 进行转运。测量腋温。
共纳入 120 名新生儿（每组 60 名）。从 ED 出口到 NICU 入口，Embrace 组的平均（SD）体温升高 0.37°C（0.54），而布包裹组体温降低 0.38°C（0.80）（p<0.001）。在 Embrace 组中，低体温病例从 39 例（65%）减少到 21 例（35%），而在布包裹组中，低体温病例从 21 例（35%）增加到 39 例（65%）（p=0.001），从 ED 出口到 NICU 入口。NICU 入院后 24 小时的体温调节在 Embrace 组中更好。
Embrace 在新生儿中表现出更好的体温调节效果。应进行进一步的研究以测量其在不同环境和距离下的有效性。
