Christensson K, Bhat G J, Eriksson B, Shilalukey-Ngoma M P, Sterky G
Karolinska Institutet, Department of International Health, Stockholm, Sweden.
J Trop Pediatr. 1995 Aug;41(4):210-4. doi: 10.1093/tropej/41.4.210.
A prospective cohort study was carried out at the University Teaching Hospital, Lusaka, Zambia, to investigate the prevalence of neonatal hypothermia, type of infant care and incidence of mortality. Two-hundred-and-sixty-one infants, aged 0-7 days, admitted to the pediatric unit during the 'warm' season were recruited to the study. Forty-four per cent of the infants were hypothermic (< 36 degrees C) on admission, and admission hypothermia correlated to admission weight and home delivery in the youngest age group (0-24 hours). Exclusively breastfed infants (age group 1-7 days) were less likely to be hypothermic at admission. 'Hypothermia' was not recorded as an admission diagnosis and no special attention was given to those infants in terms of clinical management. Mean time to reach a body temperature above 35.9 degrees C did not differ between infants kept in a cot and in an incubator. Total numbers of death was 82 (31 per cent) and the mortality was higher in infants who were hypothermic at admission compared to those who were not. This study demonstrates that a change of existing care routines is needed.
在赞比亚卢萨卡的大学教学医院开展了一项前瞻性队列研究，以调查新生儿低体温症的患病率、婴儿护理类型及死亡率。研究招募了“温暖”季节期间入住儿科病房的261名0至7日龄婴儿。44%的婴儿入院时体温过低（<36摄氏度），入院时体温过低与入院体重以及最年幼年龄组（0至24小时）的家庭分娩有关。纯母乳喂养的婴儿（1至7日龄组）入院时体温过低的可能性较小。“体温过低”未被记录为入院诊断，在临床管理方面也未对这些婴儿给予特别关注。放在婴儿床和保温箱中的婴儿达到35.9摄氏度以上体温的平均时间没有差异。死亡总数为82例（31%），入院时体温过低的婴儿死亡率高于体温正常的婴儿。这项研究表明，需要改变现有的护理常规。
