Admission Temperature and Associated Mortality and Morbidity among Moderately and Extremely Preterm Infants

Abbot R. Laptook; Edward F. Bell; Seetha Shankaran; Nansi S. Boghossian; Myra H. Wyckoff; Sarah Kandefer; Michele Walsh; Shampa Saha; Rosemary Higgins; Richard A. Polin; Martin Keszler; Betty R. Vohr; Angelita M. Hensman; Elisa Vieira; Emilee Little; Avroy A. Fanaroff; Anna Marie Hibbs; Nancy S. Newman; Bonnie S. Siner; William E. Truog; Eugenia K. Pallotto; Howard W. Kilbride; Cheri Gauldin; Anne Holmes; Kathy Johnson; Kurt Schibler; Suhas G. Kallapur; Cathy Grisby; Barbara Alexander; Estelle E. Fischer; Lenora Jackson; Kristin Kirker; Jennifer Jennings; Sandra Wuertz; Greg Muthig; Edward F. Donovan; Jody Hessling; Marcia Worley Mersmann; Holly L. Mincey; C. Michael Cotten; Ronald N. Goldberg; Joanne Finkle; Kimberley A. Fisher; Kathy J. Auten; Matthew M. Laughon; Carl L. Bose; Janice Bernhardt; Cindy Clark; Barbara J. Stoll; David P. Carlton; Ellen C. Hale; Yvonne Loggins; Diane I. Bottcher; Stephanie Wilson Archer; Linda L. Wright; Elizabeth M. McClure; Brenda B. Poindexter; Gregory M. Sokol; Dianne E. Herron; James A. Lemons; Diana D. Appel; Lucy C. Miller; Pablo J. Sanchez; Leif D. Nelin; Sudarshan R. Jadcherla; Patricia Luzader; Nehal A. Parikh; Marliese Dion Nist; Jennifer Fuller; Julie Gutentag; Marissa E. Jones; Sarah McGregor; Elizabeth Rodgers; Jodi A. Ulloa; Tara Wolfe; Abhik Das; Dennis Wallace; W. Kenneth Poole; Kristin M. Zaterka-Baxter; Margaret Crawford; Jenna Gabrio; Jeanette O'Donnell Auman; Carolyn Petrie Huitema; Betty K. Hastings; Krisa P. Van Meurs; David K. Stevenson; M. Bethany Ball; Melinda S. Proud; Waldemar A. Carlo; Namasivayam Ambalavanan; Monica V. Collins; Shirley S. Cosby; Uday Devaskar; Meena Garg; Teresa Chanlaw; Rachel Geller; Tarah T. Colaizy; Dan L. Ellsbury; Jane E. Brumbaugh; Karen J. Johnson; Donia B. Campbell; Jacky R. Walker; Kristi L. Watterberg; Robin K. Ohls; Conra Backstrom Lacy; Sandra Sundquist Beauman; Carol Hartenberger; Barbara Schmidt; Haresh Kirpalani; Noah Cook; Sara B. DeMauro; Aasma S. Chaudhary; Soraya Abbasi; Toni Mancini; Dara Cucinotta; Carl T. D'Angio; Ronnie Guillet; Satyan Lakshminrusimha; Dale L. Phelps; Ann Marie Reynolds; Julianne Hunn; Rosemary Jensen; Holly I.M. Wadkins; Stephanie Guilford; Ashley Williams; Michael Sacilowski; Linda Reubens; Erica Burnell; Mary Rowan; Karen Wynn; Deanna Maffett; Luc P. Brion; Diana M. Vasil; Lijun Chen; Lizette E. Torres; Walid A. Salhab; Susie Madison; Gay Hensley; Nancy A. Miller; Alicia Guzman; Kathleen A. Kennedy; Jon E. Tyson; Julie Arldt-McAlister; Carmen Garcia; Karen Martin; Georgia E. McDavid; Sharon L. Wright; Esther G. Akpa; Patty A. Cluff; Anna E. Lis; Claudia I. Franco; Athina Pappas; John Barks; Rebecca Bara; Shelley Handel; Geraldine Muran; Diane F. White; Mary Christensen; Stephanie A. Wiggins; Generic and Moderate Preterm Subcommittees of the NICHD Neonatal Research Network

doi:10.1016/j.jpeds.2017.09.021

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Admission Temperature and Associated Mortality and Morbidity among Moderately and Extremely Preterm Infants

Journal article

Peer reviewed

Admission Temperature and Associated Mortality and Morbidity among Moderately and Extremely Preterm Infants

Abbot R. Laptook, Edward F. Bell, Seetha Shankaran, Nansi S. Boghossian, Myra H. Wyckoff, Sarah Kandefer, Michele Walsh, Shampa Saha, Rosemary Higgins, Richard A. Polin, …

The Journal of pediatrics, Vol.192, pp.53-59.e2

01-2018

DOI: https://doi.org/10.1016/j.jpeds.2017.09.021

PMID: 29246358

Abstract

hypothermia

prematurity

survival

Hyperthermia

To evaluate the temperature distribution among moderately preterm (MPT, 29-33 weeks) and extremely preterm (EPT, <29 weeks) infants upon neonatal intensive care unit (NICU) admission in 2012-2013, the change in admission temperature distribution for EPT infants between 2002-2003 and 2012-2013, and associations between admission temperature and mortality and morbidity for both MPT and EPT infants. Prospectively collected data from 18 centers in the Eunice Kennedy Shriver National Institute of Child Health and Human Development Neonatal Research Network were used to examine NICU admission temperature of inborn MPT and EPT infants. Associations between admission temperature and mortality and morbidity were determined by multivariable logistic regression. EPT infants from 2002-2003 and 2012-2013 were compared. MPT and EPT cohorts consisted of 5818 and 3213 infants, respectively. The distribution of admission temperatures differed between the MPT vs EPT (P < .01), including the percentage <36.5°C (38.6% vs 40.9%), 36.5°C-37.5°C (57.3% vs 52.9%), and >37.5°C (4.2% vs 6.2%). For EPT infants in 2012-2013 compared with 2002-2003, the percentage of temperatures between 36.5°C and 37.5°C more than doubled and the percentage of temperatures >37.5°C more than tripled. Admission temperature was inversely associated with in-hospital mortality. Low and high admission temperatures are more frequent among EPT than MPT infants. Compared with a decade earlier, fewer EPT infants experience low admission temperatures but more have elevated temperatures. In spite of a change in distribution of NICU admission temperature, an inverse association between temperature and mortality risk persists.

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Title: Admission Temperature and Associated Mortality and Morbidity among Moderately and Extremely Preterm Infants
Creators: Abbot R. Laptook - Brown University
Edward F. Bell - University of Iowa
Seetha Shankaran - Wayne State University
Nansi S. Boghossian - University of South Carolina
Myra H. Wyckoff - The University of Texas Southwestern Medical Center
Sarah Kandefer - RTI International
Michele Walsh - Case Western Reserve University
Shampa Saha - RTI International
Rosemary Higgins - Florida Gulf Coast University
Richard A. Polin - Columbia University
Martin Keszler - Women & Infants Hospital of Rhode Island
Betty R. Vohr - Brown University
Angelita M. Hensman - Women & Infants Hospital of Rhode Island
Elisa Vieira - Women & Infants Hospital of Rhode Island
Emilee Little - Women & Infants Hospital of Rhode Island
Avroy A. Fanaroff - Rainbow Babies & Children's Hospital
Anna Marie Hibbs - Case Western Reserve University
Nancy S. Newman - Rainbow Babies & Children's Hospital
Bonnie S. Siner - Case Western Reserve University
William E. Truog - Children's Mercy Hospital
Eugenia K. Pallotto - Children's Mercy Hospital
Howard W. Kilbride - Children's Mercy Hospital
Cheri Gauldin - Children's Mercy Hospital
Anne Holmes - Children's Mercy Hospital
Kathy Johnson - Children's Mercy Hospital
Kurt Schibler - Good Samaritan Hospital Medical Center
Suhas G. Kallapur - University of Cincinnati Medical Center
Cathy Grisby - Cincinnati Children's Hospital Medical Center
Barbara Alexander - Cincinnati Children's Hospital Medical Center
Estelle E. Fischer - Cincinnati Children's Hospital Medical Center
Lenora Jackson - Good Samaritan Hospital
Kristin Kirker - Cincinnati Children's Hospital Medical Center
Jennifer Jennings - Good Samaritan Regional Medical Center
Sandra Wuertz - Good Samaritan Regional Medical Center
Greg Muthig - Cincinnati Children's Hospital Medical Center
Edward F. Donovan - Good Samaritan Regional Medical Center
Jody Hessling - Cincinnati Children's Hospital Medical Center
Marcia Worley Mersmann - Cincinnati Children's Hospital Medical Center
Holly L. Mincey - Cincinnati Children's Hospital Medical Center
C. Michael Cotten - Duke University Hospital
Ronald N. Goldberg - Duke University Hospital
Joanne Finkle - Duke University Hospital
Kimberley A. Fisher - Duke University Hospital
Kathy J. Auten - Duke Regional Hospital
Matthew M. Laughon - Duke Regional Hospital
Carl L. Bose - Duke Regional Hospital
Janice Bernhardt - Duke Regional Hospital
Cindy Clark - Duke Regional Hospital
Barbara J. Stoll - Grady Memorial Hospital
David P. Carlton - Grady Memorial Hospital
Ellen C. Hale - Grady Memorial Hospital
Yvonne Loggins - Grady Memorial Hospital
Diane I. Bottcher - Emory University Hospital Midtown
Stephanie Wilson Archer - Eunice Kennedy Shriver National Institute of Child Health and Human Development
Linda L. Wright - Eunice Kennedy Shriver National Institute of Child Health and Human Development
Elizabeth M. McClure - Eunice Kennedy Shriver National Institute of Child Health and Human Development
Brenda B. Poindexter - Methodist Hospital
Gregory M. Sokol - Indiana University – Purdue University Indianapolis
Dianne E. Herron - Indiana University Health
James A. Lemons - Methodist Hospital
Diana D. Appel - Methodist Hospital
Lucy C. Miller - Indiana University – Purdue University Indianapolis
Pablo J. Sanchez - The Ohio State University Wexner Medical Center
Leif D. Nelin - The Ohio State University Wexner Medical Center
Sudarshan R. Jadcherla - Nationwide Children's Hospital
Patricia Luzader - Nationwide Children's Hospital
Nehal A. Parikh - Nationwide Children's Hospital
Marliese Dion Nist - Nationwide Children's Hospital
Jennifer Fuller - Nationwide Children's Hospital
Julie Gutentag - Nationwide Children's Hospital
Marissa E. Jones - Nationwide Children's Hospital
Sarah McGregor - The Ohio State University Wexner Medical Center
Elizabeth Rodgers - Nationwide Children's Hospital
Jodi A. Ulloa - Nationwide Children's Hospital
Tara Wolfe - Nationwide Children's Hospital
Abhik Das - RTI International
Dennis Wallace - RTI International
W. Kenneth Poole - RTI International
Kristin M. Zaterka-Baxter - RTI International
Margaret Crawford - RTI International
Jenna Gabrio - RTI International
Jeanette O'Donnell Auman - RTI International
Carolyn Petrie Huitema - RTI International
Betty K. Hastings - RTI International
Krisa P. Van Meurs - Lucile Packard Children's Hospital
David K. Stevenson - Lucile Packard Children's Hospital
M. Bethany Ball - Lucile Packard Children's Hospital
Melinda S. Proud - Lucile Packard Children's Hospital
Waldemar A. Carlo - University of Alabama at Birmingham
Namasivayam Ambalavanan - University of Alabama at Birmingham
Monica V. Collins - University of Alabama at Birmingham
Shirley S. Cosby - University of Alabama at Birmingham
Uday Devaskar - Mattel Children's Hospital
Meena Garg - Mattel Children's Hospital
Teresa Chanlaw - Mattel Children's Hospital
Rachel Geller - Los Robles Hospital & Medical Center
Tarah T. Colaizy - University of Iowa
Dan L. Ellsbury - University of Iowa
Jane E. Brumbaugh - Mercy Medical Center
Karen J. Johnson - University of Iowa
Donia B. Campbell - Mercy Medical Center
Jacky R. Walker - Mercy Medical Center
Kristi L. Watterberg - University of New Mexico
Robin K. Ohls - University of New Mexico
Conra Backstrom Lacy - University of New Mexico
Sandra Sundquist Beauman - University of New Mexico
Carol Hartenberger - University of New Mexico
Barbara Schmidt - Hospital of the University of Pennsylvania
Haresh Kirpalani - Children's Hospital of Philadelphia
Noah Cook - Children's Hospital of Philadelphia
Sara B. DeMauro - Hospital of the University of Pennsylvania
Aasma S. Chaudhary - Hospital of the University of Pennsylvania
Soraya Abbasi - Hospital of the University of Pennsylvania
Toni Mancini - Hospital of the University of Pennsylvania
Dara Cucinotta - Children's Hospital of Philadelphia
Carl T. D'Angio - University of Rochester Medical Center
Ronnie Guillet - Women & Children's Hospital of Buffalo
Satyan Lakshminrusimha - Women & Children's Hospital of Buffalo
Dale L. Phelps - Women & Children's Hospital of Buffalo
Ann Marie Reynolds - Women & Children's Hospital of Buffalo
Julianne Hunn - University at Buffalo, State University of New York
Rosemary Jensen - University of Rochester Medical Center
Holly I.M. Wadkins - University of Rochester Medical Center
Stephanie Guilford - Women & Children's Hospital of Buffalo
Ashley Williams - Women & Children's Hospital of Buffalo
Michael Sacilowski - Golisano Children's Hospital
Linda Reubens - Women & Children's Hospital of Buffalo
Erica Burnell - Women & Children's Hospital of Buffalo
Mary Rowan - University at Buffalo, State University of New York
Karen Wynn - Women & Children's Hospital of Buffalo
Deanna Maffett - University at Buffalo, State University of New York
Luc P. Brion - The University of Texas Southwestern Medical Center
Diana M. Vasil - The University of Texas Southwestern Medical Center
Lijun Chen - The University of Texas Southwestern Medical Center
Lizette E. Torres - The University of Texas Southwestern Medical Center
Walid A. Salhab - The University of Texas Southwestern Medical Center
Susie Madison - The University of Texas Southwestern Medical Center
Gay Hensley - Parkland Health & Hospital System
Nancy A. Miller - Parkland Health & Hospital System
Alicia Guzman - Parkland Health & Hospital System
Kathleen A. Kennedy - Memorial Hermann
Jon E. Tyson - Memorial Hermann
Julie Arldt-McAlister - Memorial Hermann
Carmen Garcia - Memorial Hermann
Karen Martin - Memorial Hermann
Georgia E. McDavid - Memorial Hermann
Sharon L. Wright - Memorial Hermann
Esther G. Akpa - Memorial Hermann
Patty A. Cluff - Memorial Hermann
Anna E. Lis - Memorial Hermann
Claudia I. Franco - Memorial Hermann
Athina Pappas - Hutzel Women's Hospital
John Barks - Hutzel Women's Hospital
Rebecca Bara - Hutzel Women's Hospital
Shelley Handel - Children's Hospital of Michigan
Geraldine Muran - Hutzel Women's Hospital
Diane F. White - Hutzel Women's Hospital
Mary Christensen - Hutzel Women's Hospital
Stephanie A. Wiggins - Hutzel Women's Hospital
Generic and Moderate Preterm Subcommittees of the NICHD Neonatal Research Network
Publication Details: The Journal of pediatrics, Vol.192, pp.53-59.e2
Publisher: Elsevier Inc
Number of pages: 9
Grant note: National Institutes of Health (http://dx.doi.org/10.13039/100000002) National Center for Advancing Translational Sciences (http://dx.doi.org/10.13039/100006108) M01 RR80 / National Institutes of Health U10 HD21364; U10 HD21373; U10 HD21385; U10 HD27851; U10 HD27853; U10 HD27856; U10 HD27880; U10 HD27904; U10 HD34216; U10 HD36790; U10 HD40492; U10 HD40689; U10 HD53089; U10 HD53109; U10 HD68244; U10 HD68263; U10 HD68270; U10 HD68278; U10 HD68284 / National Institute of Child Health and Human Development (http://dx.doi.org/10.13039/100000071) UL1 TR6; UL1 TR41; UL1 TR42; UL1 TR77; UL1 TR93; UL1 TR442; UL1 TR454; UL1 TR1117; UL1 TR1111 / National Center for Advancing Translational Sciences
Identifiers: 99385550822606570
Academic Unit: Office of the Provost and Division of Academic Affairs; Office of Research & Sponsored Programs
Language: English
Resource Type: Journal article

Admission Temperature and Associated Mortality and Morbidity among Moderately and Extremely Preterm Infants

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