![]() 5 As a result, premature newborns require extra measures to maintain body temperature. 6 Evaporative, conductive, radiant, and convective heat loss occur simultaneously. Premature newborns are unable to shiver, hindering effective thermogenesis. 1 Evaporative heat loss, a lesser amount of subcutaneous fat, and immature neurological function result in increased susceptibility. Gestational age and birth weight are inversely related to its development. Premature newborns are susceptible to hypothermia for various reasons. 1–4 One study demonstrated an increase in mortality of 28% with every decrease of 1☌ in core body temperature. It may lead to unwanted outcomes, such as hypoglycemia, acidosis, neurological deficits, intraventricular hemorrhage, and longer hospital stays. Hypothermia is a complication of prematurity that results in increased morbidity and mortality. Conclusions:Ī checklist is a simple tool that may yield beneficial changes in practice and helped to decrease the proportion of neonatal hypothermia. Further interventions through 2018 decreased hypothermia further to 14% to achieve statistical significance. In 2015, we reinforced the use of the checklist and proportion of hypothermia improved to 36% (n = 99). The year 2014 brought larger drift, and proportion of hypothermia increased to 44% (n = 117). In 2013, the proportion of hypothermia slightly increased to 36% (n = 81). The checklist reduced hypothermia from a baseline of 50% in 2011 (n = 104) to 33% in 2012 (n = 106). Chi-square test and Fisher’s exact test analyzed hypothermia and hyperthermia as a balancing measure. The team analyzed the checklist’s effect on hypothermia from 2012 to 2018 and utilized numerous interventions to maintain compliance. ![]() Chart review established a baseline rate of hypothermia (<97☏). We created a delivery room checklist in 2012. 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. Delivery room environment may contribute and lead to complications. Premature babies are at increased risk of hypothermia, core body temperature <97☏. The work cannot be changed in any way or used commercially without permission from the journal. ![]() This is an open-access article distributed under the terms of the Creative Commons Attribution-Non Commercial-No Derivatives License 4.0 (CCBY-NC-ND), where it is permissible to download and share the work provided it is properly cited. Address: Alexandra Vinci, Department of Pediatrics, NYU Winthrop Hospital, 259 First Street, Mineola, NY 11501, PH: 51, Fax: (516) 663-8955. A Quality Improvement Intervention to Decrease Hypothermia in the Delivery Room Using a Checklist. To cite: Vinci A, Islam S, Quintos-Alegheband L, Hanna N, Nayak A. Presented at the Eastern Society of Pediatric Research, March 2014 Winthrop University Hospital Annual Research Day, April 2014 Winthrop University Hospital Quality Symposium, November 2014 Eastern Society of Pediatric Research, March 2015 and Pediatric Academic Society, April 2015. Received for publication MaAccepted October 30, 2018. †State University Of New York (SUNY) Stony Brook Medical College. From the *NYU Winthrop Hospital Children’s Medical Center, Mineola, N.Y.
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