{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,14]],"date-time":"2026-08-14T17:29:16Z","timestamp":1786728556949,"version":"build-2736575974"},"reference-count":23,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"4","license":[{"start":{"date-parts":[[2022,12,1]],"date-time":"2022-12-01T00:00:00Z","timestamp":1669852800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"},{"start":{"date-parts":[[2022,12,14]],"date-time":"2022-12-14T00:00:00Z","timestamp":1670976000000},"content-version":"vor","delay-in-days":13,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2022,12]]},"abstract":"<jats:sec>\n                    <jats:title>Objective:<\/jats:title>\n                    <jats:p>This study aimed to investigate the association between admission hypothermia (AH), neonatal mortality and major neonatal morbidities in preterm infants &lt;33 weeks' gestation. An additional aim of the study was to examine changes in the prevalence of admission hypothermia after the initiation of a thermoregulation quality improvement (QI) project.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Method:<\/jats:title>\n                    <jats:p>This is a retrospective cohort study of preterm infants &lt; 33 weeks' gestation born at King AbdulAziz Medical City Riyadh (KAMC-R) between January 2017 to December 2020.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>\n                      Eight-hundred infants were born during the study period. Four hundred and one infants (50.1%) had an admission temperature of &lt;36.5 \u00b0C and a further 399 (49.9%) had an admission temperature of &gt;36.5 \u00b0C. The mortality before discharge was 15.7% in infants with AH compared to 4.8% among those with an admission temperature above 36.5 \u00b0C. This remained statistically significant after adjustments for gestational age and maternal PET status on a multivariate analysis (\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      = .001, OR 2.7,95%CI 1.5\u20134.7). The need for mechanical ventilation (P = .005) and incidence of surgical NEC (P = .030) were significantly different between the two temperature groups. Mean (SD) admission temperature increased from 36.3 \u00b0C to 36.6 \u00b0C following the thermoregulation intervention program (P &lt;.001). Admission temperature &lt;36 \u00b0C is associated with higher mortality in the first week (P = .001, OR 3.3,95% CI (1.7\u20136.6)) and increased incidence of cystic PVL (P = .04, OR 2.1, CI (1.03\u20134.3)).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>Preterm infants with AH suffered higher mortality and greater neonatal morbidities.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1016\/j.ijpam.2022.12.001","type":"journal-article","created":{"date-parts":[[2022,12,23]],"date-time":"2022-12-23T12:04:23Z","timestamp":1671797063000},"page":"203-208","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":9,"title":["Admission temperature and neonatal outcomes - single-centre experience in Saudi Arabia"],"prefix":"10.4103","volume":"9","author":[{"given":"Ammar","family":"Fneish","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mohammad","family":"Alhasoon","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Amenah","family":"Al Essa","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Radha","family":"Mahlangu","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Noura","family":"Alshami","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Saif","family":"Alsaif","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kamal","family":"Ali","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","reference":[{"key":"R1-5-20240903","doi-asserted-by":"crossref","first-page":"271","DOI":"10.1016\/j.jpeds.2013.09.049","article-title":"Hypothermia and early neonatal mortality in preterm infants","volume":"164","author":"de","year":"2014","journal-title":"J Pediatr"},{"key":"R2-5-20240903","doi-asserted-by":"crossref","first-page":"61","DOI":"10.1016\/j.jpeds.2016.04.016","article-title":"Admission hypothermia in very preterm infants and neonatal mortality and morbidity","volume":"175","author":"Wilson","year":"2016","journal-title":"J Pediatr"},{"key":"R3-5-20240903","doi-asserted-by":"crossref","first-page":"e643","DOI":"10.1542\/peds.2006-0943","article-title":"Admission temperature of low birth weight infants: predictors and associated morbidities","volume":"119","author":"Laptook","year":"2007","journal-title":"Pediatrics"},{"key":"R4-5-20240903","doi-asserted-by":"crossref","first-page":"S49","DOI":"10.1038\/jp.2010.177","article-title":"Hypothermia in very low birth weight infants: distribution, risk factors and outcomes","volume":"31","author":"Miller","year":"2011","journal-title":"J Perinatol"},{"key":"R5-5-20240903","doi-asserted-by":"crossref","first-page":"e0131976","DOI":"10.1371\/journal.pone.0131976","article-title":"Short- and long-term outcomes in very low birth weight infants with admission hypothermia","volume":"10","author":"Chang","year":"2015","journal-title":"PLoS One"},{"key":"R6-5-20240903","doi-asserted-by":"crossref","first-page":"e150277","DOI":"10.1001\/jamapediatrics.2015.0277","article-title":"Association between admission temperature and mortality and major morbidity in preterm infants born at fewer than 33 weeks' gestation","volume":"169","author":"Lyu","year":"2015","journal-title":"JAMA Pediatr"},{"key":"R7-5-20240903","doi-asserted-by":"crossref","first-page":"1723","DOI":"10.1164\/ajrccm.163.7.2011060","article-title":"Bronchopulmonary dysplasia","volume":"163","author":"Jobe","year":"2001","journal-title":"Am J Respir Crit Care Med"},{"key":"R8-5-20240903","doi-asserted-by":"crossref","first-page":"529","DOI":"10.1016\/S0022-3476(78)80282-0","article-title":"Incidence and evolution of subependymal and intraventricular hemorrhage: a study of infants with birth weights less than 1,500 gm","volume":"92","author":"Papile","year":"1978","journal-title":"J Pediatr"},{"key":"R9-5-20240903","first-page":"218","article-title":"An international classification of retinopathy of prematurity: clinical experience","volume":"82","author":"Flynn","year":"1984","journal-title":"Trans Am Ophthalmol Soc"},{"key":"R10-5-20240903","doi-asserted-by":"crossref","first-page":"1","DOI":"10.1097\/00000658-197801000-00001","article-title":"Neonatal necrotizing enterocolitis. 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