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Feasibility of transferring intensive cared preterm infants from incubator to open crib at 1600 grams
BACKGROUND: Ability to maintain a normal body temperature in an open crib is an important physiologic competency generally requested to discharge preterm infants from the hospital. The aim of this study is to assess the feasibility of an early weaning protocol from incubator in preterm newborns in a...
Autores principales: | , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
BioMed Central
2014
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4026828/ https://www.ncbi.nlm.nih.gov/pubmed/24886971 http://dx.doi.org/10.1186/1824-7288-40-41 |
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author | Barone, Giovanni Corsello, Mirta Papacci, Patrizia Priolo, Francesca Romagnoli, Costantino Zecca, Enrico |
author_facet | Barone, Giovanni Corsello, Mirta Papacci, Patrizia Priolo, Francesca Romagnoli, Costantino Zecca, Enrico |
author_sort | Barone, Giovanni |
collection | PubMed |
description | BACKGROUND: Ability to maintain a normal body temperature in an open crib is an important physiologic competency generally requested to discharge preterm infants from the hospital. The aim of this study is to assess the feasibility of an early weaning protocol from incubator in preterm newborns in a Neonatal Intensive Care Unit. METHODS: 101 infants with birth weight < 1600 g were included in this feasibility study. We compared 80 newborns successfully transferred from an incubator to open crib at 1600 g with 21 infants transferred at weight ≥ 1700 g. The primary outcome was to evaluate feasibility of the protocol and the reasons for the eventual delay. Secondary outcomes were the identification of factors that would increase the likelihood of early weaning, the impact of an earlier weaning on discharge timing, and the incidence of adverse outcomes. Newborns in the study period were then compared with an historical control group with similar characteristics. RESULTS: Early weaning was achieved in 79.2% of infants without significant adverse effects on temperature stability or weight gain. Delayed weaning was mainly due to the need of respiratory support. Gestational age affected the likelihood of early weaning (OR 1.7282 95% CI: 1.3071 - 2.2850). In the multivariate linear regression, early weaning reduced length of stay (LOS) by 25.8 days (p < 0.0001). CONCLUSIONS: Preterm infants can be weaned successfully from an incubator to an open crib at weight as low as 1600 grams without significant adverse effect. Early weaning significantly reduces LOS in preterm newborns. |
format | Online Article Text |
id | pubmed-4026828 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2014 |
publisher | BioMed Central |
record_format | MEDLINE/PubMed |
spelling | pubmed-40268282014-05-21 Feasibility of transferring intensive cared preterm infants from incubator to open crib at 1600 grams Barone, Giovanni Corsello, Mirta Papacci, Patrizia Priolo, Francesca Romagnoli, Costantino Zecca, Enrico Ital J Pediatr Research BACKGROUND: Ability to maintain a normal body temperature in an open crib is an important physiologic competency generally requested to discharge preterm infants from the hospital. The aim of this study is to assess the feasibility of an early weaning protocol from incubator in preterm newborns in a Neonatal Intensive Care Unit. METHODS: 101 infants with birth weight < 1600 g were included in this feasibility study. We compared 80 newborns successfully transferred from an incubator to open crib at 1600 g with 21 infants transferred at weight ≥ 1700 g. The primary outcome was to evaluate feasibility of the protocol and the reasons for the eventual delay. Secondary outcomes were the identification of factors that would increase the likelihood of early weaning, the impact of an earlier weaning on discharge timing, and the incidence of adverse outcomes. Newborns in the study period were then compared with an historical control group with similar characteristics. RESULTS: Early weaning was achieved in 79.2% of infants without significant adverse effects on temperature stability or weight gain. Delayed weaning was mainly due to the need of respiratory support. Gestational age affected the likelihood of early weaning (OR 1.7282 95% CI: 1.3071 - 2.2850). In the multivariate linear regression, early weaning reduced length of stay (LOS) by 25.8 days (p < 0.0001). CONCLUSIONS: Preterm infants can be weaned successfully from an incubator to an open crib at weight as low as 1600 grams without significant adverse effect. Early weaning significantly reduces LOS in preterm newborns. BioMed Central 2014-05-03 /pmc/articles/PMC4026828/ /pubmed/24886971 http://dx.doi.org/10.1186/1824-7288-40-41 Text en Copyright © 2014 Barone et al.; licensee BioMed Central Ltd. http://creativecommons.org/licenses/by/2.0 This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/2.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly credited. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated. |
spellingShingle | Research Barone, Giovanni Corsello, Mirta Papacci, Patrizia Priolo, Francesca Romagnoli, Costantino Zecca, Enrico Feasibility of transferring intensive cared preterm infants from incubator to open crib at 1600 grams |
title | Feasibility of transferring intensive cared preterm infants from incubator to open crib at 1600 grams |
title_full | Feasibility of transferring intensive cared preterm infants from incubator to open crib at 1600 grams |
title_fullStr | Feasibility of transferring intensive cared preterm infants from incubator to open crib at 1600 grams |
title_full_unstemmed | Feasibility of transferring intensive cared preterm infants from incubator to open crib at 1600 grams |
title_short | Feasibility of transferring intensive cared preterm infants from incubator to open crib at 1600 grams |
title_sort | feasibility of transferring intensive cared preterm infants from incubator to open crib at 1600 grams |
topic | Research |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4026828/ https://www.ncbi.nlm.nih.gov/pubmed/24886971 http://dx.doi.org/10.1186/1824-7288-40-41 |
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