Profile of risky newborns related to thermoregulation in a Neonatal Intensive Care Unit
Abstract
Objective: To analyze the temperature pattern of low birth weight newborns admitted to a Neonatal Intensive Care Unit
Methodology: This is a cross-sectional and quantitative study conducted in a Neonatal Intensive Care Unit of a maternity hospital in Northeastern Brazil. The sample consisted of 45 low birth weight, very low birth weight or extremely low birth weight newborns admitted to the unit.
Results: At admission, we obtained an axillary temperature average of 34.98ºC with a standard deviation of 1.12. The hypothermia rate at the time of admission was considerably severe, so that in the first hour, with 06 hours and with 12 hours of hospitalization, the percentages of hypothermic newborns (<36.5ºC) were respectively: 93.33%, 73.33 % and 57.78%.
Conclusion: We found flaws in the processes when it comes to thermoregulation, given that almost the entire sample arrives with potential cold stress.
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References
Brasil. Ministério da Saúde. Secretaria de Atenção à Saúde. Departamento de Ações Programáticas e Estratégicas. Atenção à saúde do recém-nascido: guia para os profissionais de saúde. [Internet]. Brasília; 2014 v4 [acesso em: 7 dez. 2018]. 159 p. Disponível em: http://bvsms.saude.gov.br/bvs/publicacoes/atencao_saude_recem_nascido_v4.pdf
Silva A, Hoffmann E, Zacaron S. Acolhimento na Unidade de Terapia Intensiva Neonatal: percepções das profissionais e mães. Argum [Internet]. 2018 [acesso em: 27 out. 2019];10(1):198-12. Disponível em: https://dialnet.unirioja.es/servlet/articulo?codigo=6545997
Ferraz TR, Neves ET. Fatores de risco para baixo peso ao nascer em maternidades públicas: um estudo transversal. Rev Gaúcha Enferm., Porto Alegre [Internet]. 2011 [acesso em: 27 out. 2019];32(1):86-92. Disponível em: http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1983-14472011000100011
Bellini C, Biasi M, Gente M, Ramenghi L, Aufieri R, Minghetti D. et al. Rethinking the neonatal transport ground ambulance. Italian Journal of Pediatrics. [Internet]. 2019 [acesso em: 27 out. 2019];45(97):1-7. Disponível em: https://ijponline.biomedcentral.com/articles/10.1186/s13052-019-0686-y
Sharma D. Golden hour of neonatal life: Need of the hour. Mathernal Health, Neonatology, and Perinatology. [Internet]. 2017 [acesso em: 26 out. 2019];3(16):1-21. Disponível em: https://mhnpjournal.biomedcentral.com/articles/10.1186/s40748-017-0057-x
Pimenta PCO, Alves VH. O transporte inter-hospitalar do recém-nascido de alto risco: um desafio para a enfermagem. Cogitare Enferm. [Internet]. 2016 [acesso em: 9 jul. 2019];21(n.esp):01-9. Disponível em: https://revistas.ufpr.br/cogitare/article/view/45047/pdf
Engorn B, Kahntroff S, Frank K, Singh S, Harvey H, Barkulis C. et al. Perioperative hypothermia in neonatal intensive care unitpatients: effectiveness of a thermoregulation interventionand associated risk factors. Pediatric Anesthesia. [Internet]. 2016 [acesso em: 26 out. 2019];27:196-4. Disponível em: https://onlinelibrary.wiley.com/doi/epdf/10.1111/pan.13047
McCall E, Alderdice F, Halliday H, Vohra S, Johnston L. Interventions to prevent hypothermia at birth in preterm and/or low birth weight infants. Cochrane Library. [Internet]. 2018 [acesso em: 27 out. 2019]. Disponível em: https://onlinelibrary.wiley.com/doi/epdf/10.1111/pan.13047
Park J, Chang Y, Ahn S, Sung S, Park W. Predicting mortality in extremely low birth weight infants: Comparison between gestational age, birth weight, Apgar score, CRIB II score, initial and lowest serum albumin levels. PLOS ONE. [Internet]. 2018 [acesso em: 27 out. 2019]. Disponível em: https://journals.plos.org/plosone/article?id=10.1371/journal.pone.0192232
Harsha SS, Archana BR. SNAPPE-II (Score for Neonatal Acute Physiology with Perinatal Extension-II) in Predicting Mortality and Morbidity in NICU. J Clin Diagn Res. [Internet]. 2015 [acesso em: 7 dez. 2018];9(10):SC10-2. Disponível em: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4625304/
Golvea JA. Construção e Validação de um Instrumento de Coleta de Dados para Recém-Nascidos Internados na Unidade de Terapia Intensiva Neonatal do Hospital Universitário Lauro Wanderley. [Dissertação]. João Pessoa: Universidade Federal da Paraíba; 2007.
Guyton A, Hall J. Tratado de Fisiologia Médica. 12. ed. Rio de Janeiro: Elsevier; 2011.
Arruê MA, Neves ET, Silveira A, Pieszak GM. Caracterização da morbimortalidade de recém nascidos internados em unidade de terapia intensiva neonatal. Rev Enferm UFSM. [Internet]. 2013 [acesso em: 7 dez. 2018];3(1):86-92. Disponível em: https://periodicos.ufsm.br/reufsm/article/view/5947/pdf
Silva CF, Leite AJM, Almeida NMGS, Leon ACMP, Olofin I, Castro ECM, et al. Fatores associados ao óbito neonatal de recém-nascidos de alto risco: estudo multicêntrico em unidades neonatais de alto risco no nordeste brasileiro. Cad Saúde Pública. [Internet]. 2014 [acesso em: 7 dez. 2018];30(2):355-68. Disponível em: http://www.scielo.br/pdf/csp/v30n2/0102-311X-csp-30-2-0355.pdf
Braga CF, Santos ARC, Castro NB, Nunes MM, Lopes MVO, Silva VM. Acurácia dos indicadores clínicos dos diagnósticos de enfermagem hipertermia e hipotermia em recém-nascidos. Rev Rene. [Internet]. 2014 [acesso em: 7 dez. 2018];15(5):789-95. Disponível em: http://periodicos.ufc.br/rene/article/view/3243/2498
Carneiro JA, Vieira MM, Reis TC, Caldeira AP. Fatores de risco para a mortalidade de recém-nascidos de muito baixo peso em unidade de terapia intensiva neonatal. Rev Paul Pediatr. [Internet]. 2012 [acesso em: 7 dez. 2018];30(3):369-76. Disponível em: http://www.scielo.br/pdf/rpp/v30n3/10.pdf
Carvalho VO, Markus JR, Abagge KT, Giraldi S, Campos TC. Consenso de cuidados com a pele do recém-nascido. São Paulo: Sociedade Brasileira de Pediatria; 2015.
Duryea EL, Nelson DB, Wyckoff MH, Grant EN, Tao W, Sadana N, et al. The impact of ambient operating room temperature on neonatal and maternal hypothermia and associated morbidities: a randomized controlled trial. Am J Obstet Gynecol. [Internet]. 2016 [acesso em: 7 dez. 2018];(4):505.e1-505.e7. Disponível em: https://www.ajog.org/article/S0002-9378(16)00286-6/fulltext
Naka SH, Freire MH, Silva RP. Repercussões do uso de incubadoras umidificadas na regulação térmica do prematuro: uma revisão integrativa. Rev Baiana Enferm. [Internet]. 2016 [acesso em: 7 dez. 2018];30(1):382-93. Disponível em: https://portalseer.ufba.br/index.php/enfermagem/article/view/15234/pdf_37
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