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Routine Assessment of Temperature in Healthy Newborns: Lack of Evidence for Its Clinical Utility
Arthur C. Jaffe, MD
Arch Pediatr Adolesc Med. 2009;163(3):283.
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| Since this article does not have an abstract, we have provided the first 150 words of the full text and any section headings. |
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Temperature is routinely measured in healthy newborns, with little evidence of its utility. One textbook1 discusses hypothermia and hyperthermia; 2 others do not.2-3 Prominent guidelines4 recommend recording temperature every 30 minutes until the newborn's condition has remained stable for 2 hours and then observing the infant for signs of illness, including temperature instability; however, instability is not defined in these guidelines. This quality improvement study was designed to provide preliminary data about this issue.
Methods
A retrospective review was performed on a sample of records from a cohort of 2106 infants discharged in fiscal year 2006 from the healthy newborn nursery at Oregon Health & Science University Hospital. Most were full-term, but some late preterm newborns were directly admitted to the healthy newborn nursery. According to hospital policy, registered nurses or certified nursing assistants measured temperatures in the newborn's axilla. Analysis concluded when infants were transferred to . . . [Full Text of this Article] Results
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