{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,5]],"date-time":"2026-10-05T21:05:00Z","timestamp":1791234300711,"version":"4.1.0"},"reference-count":29,"publisher":"Wiley","issue":"7","license":[{"start":{"date-parts":[[2022,3,30]],"date-time":"2022-03-30T00:00:00Z","timestamp":1648598400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["J Paediatrics Child Health"],"published-print":{"date-parts":[[2022,7]]},"abstract":"<jats:sec><jats:title>Aim<\/jats:title><jats:p>Hypothermia is associated with increased morbidity and mortality in preterm infants. A local audit revealed 60% preterm infants \u226432\u2009weeks gestation and\/or very low birth weight (VLBW) infants (&lt;1500\u2009g) had an abnormal body temperature at admission. This study compares thermoregulatory outcomes before and after the implementation of a thermoregulation bundle in the birthing environment.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>This retrospective cohort study reviewed thermoregulatory data for all inborn preterm (\u226432\u2009weeks) and\/or VLBW infants for a period of 30\u2009months before (Group 1: 1st January 2013 to 30 June 2015) and after changes to thermoregulation practice (Group 2: 1st July 2015 to 31 December 2017). The key practice changes included: improved anticipation and staff preparedness, wrapping infant in a polyethylene sheet, using a polyethylene lined bonnet, using servo\u2010control mode at birth and during transport.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>There were 282 and 286 infants in group 1 and group 2 respectively, with similar baseline characteristics. A clinically and statistically significant improvement was observed in the proportion of infants with normothermia (33% in group 1 to 60% in group 2, <jats:italic>P<\/jats:italic>\u2009&lt;\u20090.0001) including the sub\u2010group of extremely preterm (&lt;28\u2009weeks gestation) infants (38 to 60%, <jats:italic>P<\/jats:italic>\u00a0=\u00a00.0083). A higher mean admission temperature was observed for group 2 (36.10\u00b0C\u2009\u00b1\u20090.78 in group 1 vs 36.52\u00b0C\u2009\u00b1\u20090.61 in group 2, <jats:italic>P<\/jats:italic>\u2009&lt;\u20090.0001). Moderate hypothermia was reduced by two\u2010thirds in group 2 (41\u201312%, <jats:italic>P<\/jats:italic>\u00a0=\u00a0&lt;0.0001).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>The introduction of a thermoregulation bundle improved admission temperature, improved the proportion of normothermia and reduced moderate hypothermia in preterm infants.<\/jats:p><\/jats:sec>","DOI":"10.1111\/jpc.15949","type":"journal-article","created":{"date-parts":[[2022,3,30]],"date-time":"2022-03-30T12:47:23Z","timestamp":1648644443000},"page":"1201-1208","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":9,"title":["Improvement in thermoregulation outcomes following the implementation of a thermoregulation bundle for preterm infants"],"prefix":"10.1111","volume":"58","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-2055-3262","authenticated-orcid":false,"given":"Tarun S","family":"Singh","sequence":"first","affiliation":[{"name":"Neonatal Intensive Care Unit Westmead Hospital  Sydney New South Wales Australia"},{"name":"Faculty of Medicine and Health University of Sydney  Sydney New South Wales Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hannah","family":"Skelton","sequence":"additional","affiliation":[{"name":"Neonatal Intensive Care Unit Westmead Hospital  Sydney New South Wales Australia"},{"name":"School of Nursing and Midwifery Western Sydney University  Sydney New South Wales Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jane","family":"Baird","sequence":"additional","affiliation":[{"name":"Neonatal Intensive Care Unit Westmead Hospital  Sydney New South Wales Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ann\u2010Maree","family":"Padernia","sequence":"additional","affiliation":[{"name":"Neonatal Intensive Care Unit Westmead Hospital  Sydney New South Wales Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rajesh","family":"Maheshwari","sequence":"additional","affiliation":[{"name":"Neonatal Intensive Care Unit Westmead Hospital  Sydney New South Wales Australia"},{"name":"Faculty of Medicine and Health University of Sydney  Sydney New South Wales Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Dharmesh M","family":"Shah","sequence":"additional","affiliation":[{"name":"Neonatal Intensive Care Unit Westmead Hospital  Sydney New South Wales Australia"},{"name":"Faculty of Medicine and Health University of Sydney  Sydney New South Wales Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Daphne","family":"D'Cruz","sequence":"additional","affiliation":[{"name":"Neonatal Intensive Care Unit Westmead Hospital  Sydney New South Wales Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Melissa","family":"Luig","sequence":"additional","affiliation":[{"name":"Neonatal Intensive Care Unit Westmead Hospital  Sydney New South Wales Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9802-5983","authenticated-orcid":false,"given":"Pranav","family":"Jani","sequence":"additional","affiliation":[{"name":"Neonatal Intensive Care Unit Westmead Hospital  Sydney New South Wales Australia"},{"name":"Faculty of Medicine and Health University of Sydney  Sydney New South Wales Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2022,3,30]]},"reference":[{"key":"e_1_2_7_2_1","doi-asserted-by":"publisher","DOI":"10.1186\/1741-7015-11-24"},{"key":"e_1_2_7_3_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1440-1754.1997.tb00985.x"},{"key":"e_1_2_7_4_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jpeds.2013.09.049"},{"key":"e_1_2_7_5_1","doi-asserted-by":"publisher","DOI":"10.1038\/jp.2010.177"},{"key":"e_1_2_7_6_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jpeds.2016.04.016"},{"key":"e_1_2_7_7_1","doi-asserted-by":"publisher","DOI":"10.1001\/jamapediatrics.2015.0277"},{"key":"e_1_2_7_8_1","doi-asserted-by":"publisher","DOI":"10.1111\/jpc.14187"},{"key":"e_1_2_7_9_1","doi-asserted-by":"publisher","DOI":"10.1515\/JPM.2000.013"},{"key":"e_1_2_7_10_1","doi-asserted-by":"publisher","DOI":"10.1007\/BF01958075"},{"key":"e_1_2_7_11_1","volume-title":"Thermal Protection of the Newborn: A Practical Guide","author":"World Health Organization, Maternal and Newborn Health\/Safe Motherhood","year":"1997"},{"key":"e_1_2_7_12_1","doi-asserted-by":"publisher","DOI":"10.1542\/peds.2006-0943"},{"key":"e_1_2_7_13_1","first-page":"9","article-title":"Use of polyethylene bags in extremely low birth weight infant resuscitation for the prevention of hypothermia","volume":"55","author":"Carroll PD","year":"2010","journal-title":"J. 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