Department of Paediatrics I, Neonatology, Paediatric Intensive Care and Paediatric Neurology, Universitätsmedizin Essen, University of Duisburg-Essen, North-Rhine Westphalia, 45122, Essen, Germany.
Department of Health and Nursing, Occupational Therapy, Ernst-Abbe-University of Applied Sciences, Jena, Germany.
BMC Pediatr. 2024 May 9;24(1):319. doi: 10.1186/s12887-024-04795-y.
Very low birth weight infants are cared for postnatally in the incubator because of adverse consequences of hypothermia. Data on the optimal weight of transfer to a warming crib are rare. The aim of this study was to determine the course of temperature and body weight during a standardized transfer to a warming crib at a set weight.
Prospective intervention study in very low birthweight infants who were transferred from the incubator to a warming crib at a current weight between 1500 g and 1650 g.
No infant had to be transferred back to an incubator. Length of hospital stay was equal compared to a historical cohort from the two years directly before the intervention. The intervention group showed an increase in the volume fed orally on the day after transfer to the warming crib, although this did not translate into an earlier discontinuation of gavage feedings. Compared to the historical group, infants in the intervention group could be transferred to an unheated crib at an earlier postmenstrual age and weight.
Early transfer from the incubator to a warming crib between 1500 g and 1650 g is feasible and not associated with adverse short-term events or outcomes.
DRKS-IDDRKS00031832.
由于体温过低会带来不良后果，极低出生体重儿在出生后会被放在保温箱中进行护理。关于转移到保温婴儿床的最佳体重的数据很少。本研究的目的是确定在以设定体重转移到保温婴儿床的过程中体温和体重的变化。
这是一项在极低出生体重儿中进行的前瞻性干预研究，这些婴儿在 1500-1650 克之间的当前体重时从保温箱转移到保温婴儿床。
没有婴儿需要转回保温箱。与干预前两年的历史队列相比，住院时间相同。干预组在转移到保温婴儿床后的第二天，口服喂养量增加，尽管这并没有转化为更早地停止管饲喂养。与历史组相比，干预组的婴儿可以更早地在未加热的婴儿床中，以更接近胎龄和更重的体重进行转移。
在 1500-1650 克之间从保温箱早期转移到保温婴儿床是可行的，不会导致短期不良事件或结局。
DRKS-IDDRKS00031832。
