{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,5,14]],"date-time":"2025-05-14T00:40:47Z","timestamp":1747183247267,"version":"3.40.5"},"reference-count":19,"publisher":"Wiley","issue":"11","license":[{"start":{"date-parts":[[2023,8,10]],"date-time":"2023-08-10T00:00:00Z","timestamp":1691625600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Acta Paediatrica"],"published-print":{"date-parts":[[2023,11]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Aim<\/jats:title><jats:p>We aimed to explore whether hypothermia during the transfer of extremely low birth weight (ELBW) infants was associated with increased morbidity and mortality.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Retrospective cohort study of transfers of ELBW infants by the London Neonatal Transfer Service between April 2015 and January 2017. Hypothermia was defined as an axillary temperature below 36.5\u00b0C.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Hypothermia was recorded in 36\u201347% of the 146 transfers depending on the time point of measurement from admission at the referring unit to admission at the receiving unit. Infants with hypothermia had a lower gestational age [25.1 (24.1\u201326.6) versus 26.0 (25.3\u201327.0) weeks, <jats:italic>p<\/jats:italic>\u2009&lt;\u20090.001], birth weight [750 (600\u2013830) versus 800 (730\u2013885) gr, <jats:italic>p<\/jats:italic>\u2009=\u20090.004) and age at referral [1 (0.8\u20133) versus 1.5 (1\u20134) hours, <jats:italic>p<\/jats:italic>\u2009=\u20090.049] compared to infants without hypothermia. Infants with hypothermia had a longer median (IQR) duration of invasive ventilation [22(6\u201344) days] compared to infants without hypothermia [10 (4\u201321) days, <jats:italic>p<\/jats:italic>\u2009=\u20090.002]. Infants with hypothermia had a higher incidence of a patent ductus arteriosus and mortality before discharge from neonatal care compared to infants without hypothermia (79% vs. 27%, <jats:italic>p<\/jats:italic>\u2009=\u20090.043 and 29% vs. 13%, <jats:italic>p<\/jats:italic>\u2009=\u20090.025, respectively).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>Among ELBW infants, hypothermia during transfer was common, particularly in infants of lower gestational age. Hypothermia was associated with a longer duration of ventilation and increased mortality before discharge from neonatal care.<\/jats:p><\/jats:sec>","DOI":"10.1111\/apa.16936","type":"journal-article","created":{"date-parts":[[2023,8,7]],"date-time":"2023-08-07T08:55:48Z","timestamp":1691398548000},"page":"2317-2321","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":2,"title":["Hypothermia and adverse outcomes during the transfer of extremely low birth weight infants"],"prefix":"10.1111","volume":"112","author":[{"given":"Uche","family":"Ogunna","sequence":"first","affiliation":[{"name":"Department of Women and Children's Health, Faculty of Life Sciences and Medicine, School of Life Course Sciences King's College London  London UK"},{"name":"Neonatal Transfer Service  London UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Syed","family":"Mohinuddin","sequence":"additional","affiliation":[{"name":"Neonatal 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