Improved Care and Growth Outcomes by Using Hybrid Humidified Incubators in Very Preterm Infants
To identify changes in temperature, fluid and electrolyte management, growth, and short-term outcome in extremely low birth weight (ELBW) infants nursed in humidified hybrid incubators (HI group) compared with a cohort of patients cared for in nonhumidified conventional incubators (CI group). Body t...
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| Veröffentlicht in: | Pediatrics (Evanston) 2010-01, Vol.125 (1), p.e137-e145 |
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| creator | Kim, Sung Mi Lee, Edward Y Chen, Jie Ringer, Steven Alan |
| description | To identify changes in temperature, fluid and electrolyte management, growth, and short-term outcome in extremely low birth weight (ELBW) infants nursed in humidified hybrid incubators (HI group) compared with a cohort of patients cared for in nonhumidified conventional incubators (CI group).
Body temperature (BT), fluid and electrolyte balance, and growth velocity (GV) were collected retrospectively on 182 ELBW infants. The CI group included ELBW infants cared for with radiant warmers followed by an incubator without humidity. The HI group included ELBW infants cared for in the radiant warmer mode in a Giraffe OmniBed, followed by the incubator mode using high humidity.
The CI group included more multiple births (50.6%) than the HI group (35.8%; P < .05), but there was no difference in demographic characteristics. BT was similar during the first week. The HI group had less fluid intake, urine output, and insensible water loss, less maximum weight loss, and a lower incidence of hypernatremia during the first week than did the CI group (P < .05). The HI group also had a lower frequency of electrolyte sampling and packed red cell transfusion (P < .05), a higher incidence of hyponatremia on postnatal day 1 than the CI group (P < .05), and a higher GV than the CI group (15.2 +/- 5.0 vs 13.5 +/- 4.8 g/kg per day), especially among those with a birth weight of |
| doi_str_mv | 10.1542/peds.2008-2997 |
| format | Article |
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Body temperature (BT), fluid and electrolyte balance, and growth velocity (GV) were collected retrospectively on 182 ELBW infants. The CI group included ELBW infants cared for with radiant warmers followed by an incubator without humidity. The HI group included ELBW infants cared for in the radiant warmer mode in a Giraffe OmniBed, followed by the incubator mode using high humidity.
The CI group included more multiple births (50.6%) than the HI group (35.8%; P < .05), but there was no difference in demographic characteristics. BT was similar during the first week. The HI group had less fluid intake, urine output, and insensible water loss, less maximum weight loss, and a lower incidence of hypernatremia during the first week than did the CI group (P < .05). The HI group also had a lower frequency of electrolyte sampling and packed red cell transfusion (P < .05), a higher incidence of hyponatremia on postnatal day 1 than the CI group (P < .05), and a higher GV than the CI group (15.2 +/- 5.0 vs 13.5 +/- 4.8 g/kg per day), especially among those with a birth weight of <or=749 g (P < .01). There was no difference in sepsis, necrotizing enterocolitis, intraventricular hemorrhage, and all bronchopulmonary dysplasia (BPD), but there was a decreased incidence of severe BPD (5.1% [HI] vs 16.4% [CI]; P < .05) and duration of assisted ventilation in the HI group compared with the CI group (15.5 +/- 2.1 vs 19.6 +/- 2.4 days, respectively; P = .068).
Use of a humidified hybrid incubator improved care for ELBW infants by making it possible to decrease fluid intake, improve electrolyte balance, and enhance GV without a disturbance of BT compared with conventional care. By adjusting fluid intake when using these devices, benefits may be enhanced and the risk of BPD and severe BPD may be reduced.]]></description><identifier>ISSN: 0031-4005</identifier><identifier>EISSN: 1098-4275</identifier><identifier>DOI: 10.1542/peds.2008-2997</identifier><identifier>PMID: 20026493</identifier><identifier>CODEN: PEDIAU</identifier><language>eng</language><publisher>United States: Am Acad Pediatrics</publisher><subject>Babies ; Birth weight ; Body Temperature - physiology ; Body Weight ; Child Development - physiology ; Cohort Studies ; Comparative analysis ; Consumer Product Safety ; Female ; Follow-Up Studies ; Gestational Age ; Humans ; Humidity ; Incubators, Infant ; Infant Care - methods ; Infant Mortality - trends ; Infant, Extremely Low Birth Weight - growth & development ; Infant, Newborn ; Intensive Care Units, Neonatal ; Linear Models ; Logistic Models ; Male ; Pediatrics ; Poisson Distribution ; Pregnancy ; Premature birth ; Probability ; Risk Assessment ; Survival Analysis ; Treatment Outcome ; Water-Electrolyte Balance - physiology</subject><ispartof>Pediatrics (Evanston), 2010-01, Vol.125 (1), p.e137-e145</ispartof><rights>Copyright American Academy of Pediatrics Jan 2010</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c361t-dc452984ee8e71ff558c5de6e1164d90939cc1d6511932581b218686ecb149163</citedby><cites>FETCH-LOGICAL-c361t-dc452984ee8e71ff558c5de6e1164d90939cc1d6511932581b218686ecb149163</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,776,780,27901,27902</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/20026493$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Kim, Sung Mi</creatorcontrib><creatorcontrib>Lee, Edward Y</creatorcontrib><creatorcontrib>Chen, Jie</creatorcontrib><creatorcontrib>Ringer, Steven Alan</creatorcontrib><title>Improved Care and Growth Outcomes by Using Hybrid Humidified Incubators in Very Preterm Infants</title><title>Pediatrics (Evanston)</title><addtitle>Pediatrics</addtitle><description><![CDATA[To identify changes in temperature, fluid and electrolyte management, growth, and short-term outcome in extremely low birth weight (ELBW) infants nursed in humidified hybrid incubators (HI group) compared with a cohort of patients cared for in nonhumidified conventional incubators (CI group).
Body temperature (BT), fluid and electrolyte balance, and growth velocity (GV) were collected retrospectively on 182 ELBW infants. The CI group included ELBW infants cared for with radiant warmers followed by an incubator without humidity. The HI group included ELBW infants cared for in the radiant warmer mode in a Giraffe OmniBed, followed by the incubator mode using high humidity.
The CI group included more multiple births (50.6%) than the HI group (35.8%; P < .05), but there was no difference in demographic characteristics. BT was similar during the first week. The HI group had less fluid intake, urine output, and insensible water loss, less maximum weight loss, and a lower incidence of hypernatremia during the first week than did the CI group (P < .05). The HI group also had a lower frequency of electrolyte sampling and packed red cell transfusion (P < .05), a higher incidence of hyponatremia on postnatal day 1 than the CI group (P < .05), and a higher GV than the CI group (15.2 +/- 5.0 vs 13.5 +/- 4.8 g/kg per day), especially among those with a birth weight of <or=749 g (P < .01). There was no difference in sepsis, necrotizing enterocolitis, intraventricular hemorrhage, and all bronchopulmonary dysplasia (BPD), but there was a decreased incidence of severe BPD (5.1% [HI] vs 16.4% [CI]; P < .05) and duration of assisted ventilation in the HI group compared with the CI group (15.5 +/- 2.1 vs 19.6 +/- 2.4 days, respectively; P = .068).
Use of a humidified hybrid incubator improved care for ELBW infants by making it possible to decrease fluid intake, improve electrolyte balance, and enhance GV without a disturbance of BT compared with conventional care. By adjusting fluid intake when using these devices, benefits may be enhanced and the risk of BPD and severe BPD may be reduced.]]></description><subject>Babies</subject><subject>Birth weight</subject><subject>Body Temperature - physiology</subject><subject>Body Weight</subject><subject>Child Development - physiology</subject><subject>Cohort Studies</subject><subject>Comparative analysis</subject><subject>Consumer Product Safety</subject><subject>Female</subject><subject>Follow-Up Studies</subject><subject>Gestational Age</subject><subject>Humans</subject><subject>Humidity</subject><subject>Incubators, Infant</subject><subject>Infant Care - methods</subject><subject>Infant Mortality - trends</subject><subject>Infant, Extremely Low Birth Weight - growth & development</subject><subject>Infant, Newborn</subject><subject>Intensive Care Units, Neonatal</subject><subject>Linear Models</subject><subject>Logistic Models</subject><subject>Male</subject><subject>Pediatrics</subject><subject>Poisson Distribution</subject><subject>Pregnancy</subject><subject>Premature birth</subject><subject>Probability</subject><subject>Risk Assessment</subject><subject>Survival Analysis</subject><subject>Treatment Outcome</subject><subject>Water-Electrolyte Balance - physiology</subject><issn>0031-4005</issn><issn>1098-4275</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2010</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNpdkE1P3DAQhq2qVVlorxyR1QunLB5_JPYRrSi7EhI9lF6txJ6wRptksRPQ_vs6WopQTx7Jz_tq5iHkHNgSlORXe_RpyRnTBTem-kQWwIwuJK_UZ7JgTEAhGVMn5DSlJ8aYVBX_Sk5ygJfSiAWxm24fhxf0dFVHpHXv6W0cXsctvZ9GN3SYaHOgDyn0j3R9aGLwdD11wYc25Mymd1NTj0NMNPT0D8YD_RVxxNjlr7bux_SNfGnrXcLvb-8Zefh583u1Lu7ubzer67vCiRLGwjupuNESUWMFbauUdspjiQCl9IYZYZwDXyoAI7jS0HDQpS7RNSANlOKMXB578zXPE6bRdiE53O3qHocp2UpIzkExkckf_5FPwxT7vJzlXAvFtakytDxCLg4pRWztPoaujgcLzM7i7SzezuLtLD4HLt5ap6ZD_47_M52BqyOwDY_b1xBxbgj1GINLH0bgyoJFEJX4C8GhjmQ</recordid><startdate>20100101</startdate><enddate>20100101</enddate><creator>Kim, Sung Mi</creator><creator>Lee, Edward Y</creator><creator>Chen, Jie</creator><creator>Ringer, Steven Alan</creator><general>Am Acad Pediatrics</general><general>American Academy of Pediatrics</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7TS</scope><scope>7U9</scope><scope>H94</scope><scope>K9.</scope><scope>M7N</scope><scope>NAPCQ</scope><scope>U9A</scope><scope>7X8</scope></search><sort><creationdate>20100101</creationdate><title>Improved Care and Growth Outcomes by Using Hybrid Humidified Incubators in Very Preterm Infants</title><author>Kim, Sung Mi ; Lee, Edward Y ; Chen, Jie ; Ringer, Steven Alan</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c361t-dc452984ee8e71ff558c5de6e1164d90939cc1d6511932581b218686ecb149163</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2010</creationdate><topic>Babies</topic><topic>Birth weight</topic><topic>Body Temperature - physiology</topic><topic>Body Weight</topic><topic>Child Development - physiology</topic><topic>Cohort Studies</topic><topic>Comparative analysis</topic><topic>Consumer Product Safety</topic><topic>Female</topic><topic>Follow-Up Studies</topic><topic>Gestational Age</topic><topic>Humans</topic><topic>Humidity</topic><topic>Incubators, Infant</topic><topic>Infant Care - methods</topic><topic>Infant Mortality - trends</topic><topic>Infant, Extremely Low Birth Weight - growth & development</topic><topic>Infant, Newborn</topic><topic>Intensive Care Units, Neonatal</topic><topic>Linear Models</topic><topic>Logistic Models</topic><topic>Male</topic><topic>Pediatrics</topic><topic>Poisson Distribution</topic><topic>Pregnancy</topic><topic>Premature birth</topic><topic>Probability</topic><topic>Risk Assessment</topic><topic>Survival Analysis</topic><topic>Treatment Outcome</topic><topic>Water-Electrolyte Balance - physiology</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Kim, Sung Mi</creatorcontrib><creatorcontrib>Lee, Edward Y</creatorcontrib><creatorcontrib>Chen, Jie</creatorcontrib><creatorcontrib>Ringer, Steven Alan</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Physical Education Index</collection><collection>Virology and AIDS Abstracts</collection><collection>AIDS and Cancer Research Abstracts</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Algology Mycology and Protozoology Abstracts (Microbiology C)</collection><collection>Nursing & Allied Health Premium</collection><collection>MEDLINE - Academic</collection><jtitle>Pediatrics (Evanston)</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Kim, Sung Mi</au><au>Lee, Edward Y</au><au>Chen, Jie</au><au>Ringer, Steven Alan</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Improved Care and Growth Outcomes by Using Hybrid Humidified Incubators in Very Preterm Infants</atitle><jtitle>Pediatrics (Evanston)</jtitle><addtitle>Pediatrics</addtitle><date>2010-01-01</date><risdate>2010</risdate><volume>125</volume><issue>1</issue><spage>e137</spage><epage>e145</epage><pages>e137-e145</pages><issn>0031-4005</issn><eissn>1098-4275</eissn><coden>PEDIAU</coden><abstract><![CDATA[To identify changes in temperature, fluid and electrolyte management, growth, and short-term outcome in extremely low birth weight (ELBW) infants nursed in humidified hybrid incubators (HI group) compared with a cohort of patients cared for in nonhumidified conventional incubators (CI group).
Body temperature (BT), fluid and electrolyte balance, and growth velocity (GV) were collected retrospectively on 182 ELBW infants. The CI group included ELBW infants cared for with radiant warmers followed by an incubator without humidity. The HI group included ELBW infants cared for in the radiant warmer mode in a Giraffe OmniBed, followed by the incubator mode using high humidity.
The CI group included more multiple births (50.6%) than the HI group (35.8%; P < .05), but there was no difference in demographic characteristics. BT was similar during the first week. The HI group had less fluid intake, urine output, and insensible water loss, less maximum weight loss, and a lower incidence of hypernatremia during the first week than did the CI group (P < .05). The HI group also had a lower frequency of electrolyte sampling and packed red cell transfusion (P < .05), a higher incidence of hyponatremia on postnatal day 1 than the CI group (P < .05), and a higher GV than the CI group (15.2 +/- 5.0 vs 13.5 +/- 4.8 g/kg per day), especially among those with a birth weight of <or=749 g (P < .01). There was no difference in sepsis, necrotizing enterocolitis, intraventricular hemorrhage, and all bronchopulmonary dysplasia (BPD), but there was a decreased incidence of severe BPD (5.1% [HI] vs 16.4% [CI]; P < .05) and duration of assisted ventilation in the HI group compared with the CI group (15.5 +/- 2.1 vs 19.6 +/- 2.4 days, respectively; P = .068).
Use of a humidified hybrid incubator improved care for ELBW infants by making it possible to decrease fluid intake, improve electrolyte balance, and enhance GV without a disturbance of BT compared with conventional care. By adjusting fluid intake when using these devices, benefits may be enhanced and the risk of BPD and severe BPD may be reduced.]]></abstract><cop>United States</cop><pub>Am Acad Pediatrics</pub><pmid>20026493</pmid><doi>10.1542/peds.2008-2997</doi></addata></record> |
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| subjects | Babies Birth weight Body Temperature - physiology Body Weight Child Development - physiology Cohort Studies Comparative analysis Consumer Product Safety Female Follow-Up Studies Gestational Age Humans Humidity Incubators, Infant Infant Care - methods Infant Mortality - trends Infant, Extremely Low Birth Weight - growth & development Infant, Newborn Intensive Care Units, Neonatal Linear Models Logistic Models Male Pediatrics Poisson Distribution Pregnancy Premature birth Probability Risk Assessment Survival Analysis Treatment Outcome Water-Electrolyte Balance - physiology |
| title | Improved Care and Growth Outcomes by Using Hybrid Humidified Incubators in Very Preterm Infants |
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