Skip Navigation

Journal of Tropical Pediatrics 2003 49(2):115-120; doi:10.1093/tropej/49.2.115
© 2003 by Oxford University Press
This Article
Right arrow Full Text (PDF)
Right arrow E-letters: Submit a response
Right arrow Alert me when this article is cited
Right arrow Alert me when E-letters are posted
Right arrow Alert me if a correction is posted
Services
Right arrow Email this article to a friend
Right arrow Similar articles in this journal
Right arrow Similar articles in PubMed
Right arrow Alert me to new issues of the journal
Right arrow Add to My Personal Archive
Right arrow Download to citation manager
Right arrowRequest Permissions
Google Scholar
Right arrow Articles by da Mota Silveira, S. M.
Right arrow Articles by Cattaneo, A.
Right arrow Search for Related Content
PubMed
Right arrow PubMed Citation
Right arrow Articles by da Mota Silveira, S. M.
Right arrow Articles by Cattaneo, A.
Social Bookmarking
Add to CiteULike   Add to Connotea   Add to Del.icio.us  
What's this?

Hypothermia on Admission: a Risk Factor for Death in Newborns Referred to the Pernambuco Institute of Mother and Child Health

Suzana Maria da Mota Silveira1, Maria Júlia Gonçalves de Mello1, Suely de Arruda Vidal1, Paulo Germano de Frias1 and Adriano Cattaneo2

1 Instituto Materno Infantil de Pernambuco, Recife, Brazil 2 Unit for Health Services Research and International Cooperation, Istituto per l'Infanzia, Trieste, Italy

The objective of this study was to determine the mortality risk related to hypothermia at the moment of admission and other factors such as clinical and geographical related to the transportation of the newborns admitted to the Instituto Materno Infantil de Pernambuco IMIP from 8 March to 11 June 2000. A prospective study involving 320 newborns arriving from home or health centres was carried out. Babies that were dead on arrival or subsequently transferred to other units were excluded. The risk of death was determined according to exposure to hypothermia and other types of exposure, using logistical regression. The risk of death was higher (RR = 3.09; CI = 2.15–4.43) in the group exposed to moderate hypothermia (temperature between 32.5°C and 35.99°C) than in the non-exposed group (temperature equal to or greater than 36.00°C). The relative risk of death was also higher for newborns with a weight of less than 2500g, that were less than 1 day old, respiratory distress syndrome, premature babies or with congenital malformations, that had used oxygen and/or intravenous infusion during transit, that came from the interior and that had travelled more than 150 km. In the final result of the multivariate analysis, sepsis (‘adjusted’ RO = 6.23; 95% CI = 5.66–6.80), respiratory distress syndrome (‘adjusted’ RO = 5.28; 95% CI = 5.03–5.59), moderate hypothermia (‘adjusted’ RO = 3.49; 95% CI = 3.18–3.81), and distance undertaken greater than 50 km (‘adjusted’ RO = 2.39; 95% CI = 2.14–2.63) remained. Hypothermia on admission showed itself to be an important and independent risk factor for neonatal death.


Add to CiteULike CiteULike   Add to Connotea Connotea   Add to Del.icio.us Del.icio.us    What's this?


This article has been cited by other articles:


Home page
 Arch. Dis. Child.Home page
T Duke, O Oa, D Mokela, G Oswyn, I Hwaihwanje, and J Hawap
The management of sick young infants at primary health centres in a rural developing country
Arch. Dis. Child., February 1, 2005; 90(2): 200 - 205.
[Abstract] [Full Text] [PDF]


Disclaimer:
Please note that abstracts for content published before 1996 were created through digital scanning and may therefore not exactly replicate the text of the original print issues. All efforts have been made to ensure accuracy, but the Publisher will not be held responsible for any remaining inaccuracies. If you require any further clarification, please contact our Customer Services Department.