{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,12]],"date-time":"2026-10-12T22:58:42Z","timestamp":1791845922272,"version":"4.3.4"},"reference-count":10,"publisher":"Oxford University Press (OUP)","issue":"5","license":[{"start":{"date-parts":[[2020,3,16]],"date-time":"2020-03-16T00:00:00Z","timestamp":1584316800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2020,10,1]]},"abstract":"<jats:title>Abstract<\/jats:title>\n               <jats:sec>\n                  <jats:title>Objectives<\/jats:title>\n                  <jats:p>To evaluate associations with neonatal hypothermia in a tertiary-level neonatal unit (NU) in Malawi.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Methods<\/jats:title>\n                  <jats:p>Neonates with a birth weight &amp;gt;1000 g were recruited and temperatures were recorded 5 min after birth, on admission and 4 h thereafter. Clinical course and outcome were reviewed. Data were analysed using Stata v.15 and p &amp;lt; 0.05 was considered statistically significant.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Results<\/jats:title>\n                  <jats:p>Between August 2018 to March 2019, 120 neonates were enrolled, and 112 were included in the data analysis. Hypothermia at 5 min after birth was noted in 74%, 77% on admission to the NU and 38% at 24 h. Neonates who had hypothermia 5 min after birth were more likely to have hypothermia on admission to the NU compared with normothermic subjects (p &amp;lt; 0.01). All neonates with hypothermia on admission to the NU died (100 vs.72%, p = 0.02), but hypothermia at 5 min nor at 24 h were not associated with mortality. After adjusting for potential confounders, the odds ratio of hypothermia at 5 min for hypothermia on admission to NU was 13.31 (95% CI 4.17\u201342.54).<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Discussion<\/jats:title>\n                  <jats:p>A large proportion of hospitalized neonates is hypothermic on admission and has associated morbidity and mortality. Our findings suggest that a strong predictor of mortality is neonatal hypothermia on admission to the NU, and that early intervention in the immediate period after delivery could decrease the incidence of hypothermia and reduce associated morbidity and mortality.<\/jats:p>\n               <\/jats:sec>","DOI":"10.1093\/tropej\/fmz086","type":"journal-article","created":{"date-parts":[[2019,12,11]],"date-time":"2019-12-11T20:10:16Z","timestamp":1576095016000},"page":"470-478","source":"Crossref","is-referenced-by-count":37,"title":["Association of Neonatal Hypothermia with Morbidity and Mortality in a Tertiary Hospital in Malawi"],"prefix":"10.1093","volume":"66","author":[{"given":"Frank","family":"Phoya","sequence":"first","affiliation":[{"name":"Department of Paediatrics, Queen Elizabeth Central Hospital, Blantyre, Malawi"},{"name":"Department of Paediatrics, University of Malawi College of Medicine, Blantyre, Malawi"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Josephine","family":"Langton","sequence":"additional","affiliation":[{"name":"Department of Paediatrics, Queen Elizabeth Central Hospital, Blantyre, Malawi"},{"name":"Department of Paediatrics, University of Malawi College of Medicine, Blantyre, Malawi"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Queen","family":"Dube","sequence":"additional","affiliation":[{"name":"Department of Paediatrics, Queen Elizabeth Central Hospital, Blantyre, Malawi"},{"name":"Department of Paediatrics, University of Malawi College of Medicine, Blantyre, Malawi"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3682-8892","authenticated-orcid":false,"given":"Pui-Ying","family":"Iroh Tam","sequence":"additional","affiliation":[{"name":"Department of Paediatrics, Queen Elizabeth Central Hospital, Blantyre, Malawi"},{"name":"Department of Paediatrics, University of Malawi College of Medicine, Blantyre, Malawi"},{"name":"Paediatrics and Child Health Research Group, Malawi-Liverpool Wellcome Trust Clinical Research Programme, Blantyre, Malawi"},{"name":"Department of Clinical Sciences, Liverpool School of Tropical Medicine, Liverpool, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"286","published-online":{"date-parts":[[2020,3,16]]},"reference":[{"key":"2020100403541722200_fmz086-B1","volume-title":"Thermal control of the newborn: a practical guide","year":"1997"},{"key":"2020100403541722200_fmz086-B2","doi-asserted-by":"crossref","first-page":"210","DOI":"10.1093\/tropej\/41.4.210","article-title":"The effect of routine hospital care on the health of hypothermic newborn infants in Zambia","volume":"41","author":"Christensson","year":"1995","journal-title":"J Trop Pediatr"},{"key":"2020100403541722200_fmz086-B3","doi-asserted-by":"crossref","first-page":"131","DOI":"10.1177\/004947550203200303","article-title":"Caregivers\u2019 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