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| Main Authors: | , , , , , , , , , , |
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| Format: | Artículo Open Access |
| Published: |
Wiley
2026
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| Online Access: | https://onlinelibrary.wiley.com/doi/10.1111/ped.70397 |
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Table of Contents:
- Quality Improvement Intervention Lowers Hypothermia Rates in Preterm Infants in a Resource‐Limited Setting Patrycia Maria Gomes da Fonte Rosa Juliana Dantas de Araújo Santos Camargo Sávio Ferreira Camargo Amaxsell Thiago Barros de Souza Camiliane Azevedo Ferreira Amanda Karoline da Costa Bezerra Raionara Cristina de Araújo Santos Cijara Leonice de Freitas Ricardo Ney Cobucci Fabiana Ariston Filgueira Anna Christina do Nascimento Granjeiro Barreto Pediatrics International ABSTRACT Background Admission hypothermia significantly threatens preterm neonates, especially in resource‐limited settings. Methods A quality improvement (QI) initiative focusing on thermoregulation was implemented in a Brazilian NICU. We conducted a quasi‐experimental pre‐post study comparing preterm infants (< 1500 g or < 33 weeks gestation) admitted before ( n = 63) and after ( n = 88) the intervention. Primary outcome was hypothermia prevalence (< 36.5°C) within the first hour of life. Results The QI intervention reduced hypothermia prevalence from 82.5% to 68.2% (crude PR = 0.83; 95% CI: 0.69–0.99; p = 0.047) and increased median admission temperature from 35.3°C to 35.8°C ( p = 0.013). Post‐intervention hypothermia was associated with increased mortality (PR = 3.27; 95% CI: 1.06–10.05; p = 0.017). Discussion Implementing targeted QI measures improved thermal outcomes among preterm neonates in a resource‐constrained NICU. Despite reductions, persistent hypothermia highlights the need for ongoing efforts to enhance neonatal care and survival. 10.1111/ped.70397 http://creativecommons.org/licenses/by/4.0/