Point-of-admission hypothermia among high-risk Nigerian newborns
2008

Hypothermia in High-Risk Newborns in Nigeria

Sample size: 150 publication Evidence: high

Author Information

Author(s): Ogunlesi Tinuade A, Ogunfowora Olusoga B, Adekanmbi Folashade A, Fetuga Bolanle M, Olanrewaju Durotoye M

Primary Institution: Department of Paediatrics, College of Health Sciences, Olabisi Onabanjo University, Sagamu, Nigeria

Hypothesis

What is the incidence and outcome of point-of-admission hypothermia among hospitalized babies?

Conclusion

The high incidence and poor outcome of hypothermia among high-risk babies is important.

Supporting Evidence

  • 62% of the studied babies had hypothermia.
  • The incidence of hypothermia was highest among babies aged less than 24 hours.
  • Preterm babies had a significantly higher incidence of hypothermia at 82.5%.
  • The Case-Fatality-Rate was significantly higher among hypothermic babies at 37.6%.

Takeaway

Many newborns in Nigeria get too cold when they are born, which can make them very sick or even lead to death. Keeping them warm is really important.

Methodology

Axillary temperatures of consecutive admissions were recorded, and hypothermia was defined as temperature <36.5°C.

Potential Biases

Potential bias due to the lack of efficient warming devices and reliance on verbal consent.

Limitations

Post-mortem examinations were not routinely done due to socio-cultural disapproval.

Participant Demographics

150 babies aged 0 to 648 hours, with 60 in-born and 90 out-born, including 93 males and 57 females.

Statistical Information

P-Value

0.003

Confidence Interval

1.21 – 1.89

Statistical Significance

p<0.05

Digital Object Identifier (DOI)

10.1186/1471-2431-8-40

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