{"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":1791234300276,"version":"4.1.0"},"reference-count":33,"publisher":"SAGE Publications","issue":"7","license":[{"start":{"date-parts":[[2020,10,1]],"date-time":"2020-10-01T00:00:00Z","timestamp":1601510400000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Journal of Investigative Medicine"],"published-print":{"date-parts":[[2020,10]]},"abstract":"<jats:p>Normothermia (36.5\u00b0C-37. 5\u00b0C) at the time of admission to the neonatal intensive care unit (NICU) in extremely low birthweight (ELBW) infants (birth weight &lt;1000 g) is associated with decreased morbidity and mortality, decreased length of stay and hospital costs. We designed a thermoregulation bundle to decrease hypothermia (&lt;36.5\u00b0C) in ELBW infants with a multidisciplinary perinatal quality improvement initiative that included the following key interventions: dedicated delivery room (DR)\/operating room (OR) for all preterm deliveries of \u226432 weeks with DR\/OR temperature set 24\/7 at 74\u00b0F by the hospital engineering staff, use of exothermic mattress, preheated radiant warmer set at 100% for heat prior to delivery, servo-controlled mode after the neonate is placed on the warmer, and use of plastic wrap, head cap and warm towels. A total of 200 ELBW infants were admitted to our NICU between January 1, 2014 and December 31, 2019. Hypothermia (&lt;36.5\u00b0C) occurred in 2.5% of infants, normothermia (36.5\u00b0C-37.5\u00b0C) in 91% of infants and transitional hyperthermia (&gt;37.5\u00b0C) in 6.5% of ELBW infants. No case of moderate hypothermia (32\u00b0C-36\u00b0C) was seen in our infants. Our target rate of less than 10% hypothermia was reached in ELBW infants over the last 2 years with no cases of moderate hypothermia in 6 years. Eliminating hypothermia among ELBW remains a challenge and requires team effort and continuous quality improvement efforts.<\/jats:p>","DOI":"10.1136\/jim-2020-001334","type":"journal-article","created":{"date-parts":[[2020,7,20]],"date-time":"2020-07-20T06:02:56Z","timestamp":1595224976000},"page":"1256-1260","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":19,"title":["Perinatal Quality Improvement Bundle to Decrease Hypothermia in Extremely Low Birthweight Infants with Birth Weight Less than 1000 G: Single-Center Experience over 6 Years"],"prefix":"10.1177","volume":"68","author":[{"given":"Dilip R","family":"Bhatt","sequence":"first","affiliation":[{"name":"Pediatrics\/Neonatology, Kaiser Fontana Medical Center, Fontana, California, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nirupa","family":"Reddy","sequence":"additional","affiliation":[{"name":"Pediatrics\/Neonatology, Kaiser Fontana Medical Center, Fontana, California, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Reynaldo","family":"Ruiz","sequence":"additional","affiliation":[{"name":"Obstetrics, Kaiser Fontana Medical Center, Fontana, California, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Darla V","family":"Bustos","sequence":"additional","affiliation":[{"name":"Neonatology, Kaiser Fontana Medical Center, Fontana, California, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Torria","family":"Peacock","sequence":"additional","affiliation":[{"name":"Pediatrics\/Neonatology, Kaiser Fontana Medical Center, Fontana, California, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Roman-Angelo","family":"Dizon","sequence":"additional","affiliation":[{"name":"Pediatrics\/Neonatology, Kaiser Fontana Medical Center, Fontana, California, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sunjeeve","family":"Weerasinghe","sequence":"additional","affiliation":[{"name":"Pediatrics\/Neonatology, Kaiser Fontana Medical Center, Fontana, California, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"David X","family":"Braun","sequence":"additional","affiliation":[{"name":"Pediatrics\/Neonatology, Kaiser Fontana Medical Center, Fontana, California, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7358-601X","authenticated-orcid":false,"given":"Rangasamy","family":"Ramanathan","sequence":"additional","affiliation":[{"name":"Pediatrics\/Division of Neonatology, LAC USC Medical Center, Los Angeles, California, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2020,10,1]]},"reference":[{"key":"bibr1-jim-2020-001334","doi-asserted-by":"publisher","DOI":"10.1542\/peds.22.5.876"},{"key":"bibr2-jim-2020-001334","doi-asserted-by":"publisher","DOI":"10.1542\/peds.2006-0943"},{"key":"bibr3-jim-2020-001334","doi-asserted-by":"publisher","DOI":"10.1038\/jp.2010.177"},{"key":"bibr4-jim-2020-001334","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.e7976"},{"key":"bibr5-jim-2020-001334","doi-asserted-by":"publisher","DOI":"10.1001\/archpediatrics.2010.103"},{"key":"bibr6-jim-2020-001334","doi-asserted-by":"publisher","DOI":"10.1016\/j.ajog.2016.01.190"},{"key":"bibr7-jim-2020-001334","volume-title":"Thermal protection of the newborn: a practical guide (WHO\/RHT\/MSM\/97.2","author":"World Health Organization, Maternal and Newborn Health\/Safe Motherhood","year":"1997"},{"key":"bibr8-jim-2020-001334","unstructured":"ASHRAE: American Society of Heating, Refrigerating and Air-conditioning engineers, Inc. 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