首页> 外文期刊>Archives of disease in childhood. Fetal and neonatal edition >Transferring preterm infants from incubators to open cots at 1600 g: a multicentre randomised controlled trial.
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Transferring preterm infants from incubators to open cots at 1600 g: a multicentre randomised controlled trial.

机译:将早产儿从保育箱转移至1600 g开放式婴儿床:一项多中心随机对照试验。

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To determine the effects on weight gain and temperature control of transferring preterm infants from incubators to open cots at a weight of 1600 g versus a weight of 1800 g.Randomised controlled trial.One tertiary and two regional neonatal units in public hospitals in Queensland, Australia.182 preterm infants born with a birth weight less than 1600 g, who were at least 48 h old; had not required ventilation or continuous positive airways pressure within the last 48 h; were medically stable with no oxygen requirement, or significant apnoea or bradycardia; did not require phototherapy; and were enterally fed with an intake (breast milk/formula) of at least 60 ml/kg/day.Transfer into an open cot at 1600 or 1800 g.The primary outcomes were temperature stability and average daily weight gain over the first 14 days following transfer to an open cot.90 infants in the 1600 g group and 92 infants in the 1800 g group were included in the analysis. Over the first 72 h, more infants in the 1800 g group had temperatures <36.4°C than the 1600 g group (p=0.03). From post-transfer to discharge, the 1600 g group had more temperatures >37.1°C (p=0.02). Average daily weight gain in the 1600 g group was 17.07 (SD±4.5) g/kg/day and in the 1800 g group, 13.97 (SD±4.7) g/kg/day (p=<0.001).Medically stable, preterm infants can be transferred to open cots at a birth weight of 1600 g without any significant adverse effects on temperature stability or weight gain. Trial registration: ACTRN12606000518561 (http://www.anzctr.org.au).
机译:为确定早产婴儿从保育箱转移到重量为1800 g的开放式婴儿床对体重增加和温度控制的影响随机对照试验在澳大利亚昆士兰州的公立医院中,一个三级和两个区域性新生儿病房.182出生体重小于1600 g且至少48 h的早产儿;在过去48小时内不需要通风或持续的气道正压;身体健康,无氧气需求,无明显呼吸暂停或心动过缓;不需要光疗;每天至少摄入60毫升/千克/天的摄入量(母乳/配方奶),以1600克或1800克转移到开放式婴儿床中,主要结果是温度稳定和头14天的平均每日体重增加转入开放式婴儿床后,分析包括1600 g组的90例婴儿和1800 g组的92例婴儿。在最初的72小时内,与1600克组相比,1800克组中的婴儿温度<36.4°C(p = 0.03)。从转移后到放电,1600 g组的温度更高,> 37.1°C(p = 0.02)。 1600克组的平均日增重为17.07(SD±4.5)g / kg /天,而1800克组为13.97(SD±4.7)g / kg /天(p = <0.001)。婴儿可以出生在体重为1600 g的开放式婴儿床中,而不会对温度稳定性或体重增加产生任何明显的不利影响。试用注册:ACTRN12606000518561(http://www.anzctr.org.au)。

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