Temperature Percentiles by Hour of Life in the Newborn Nursery.
Saved in:
| Title: | Temperature Percentiles by Hour of Life in the Newborn Nursery. |
|---|---|
| Authors: | Dang, Rebecca, Frymoyer, Adam, Patel, Anisha I., Weng, Yingjie, Schroeder, Alan R. |
| Source: | Pediatrics. Sep2025, Vol. 156 Issue 3, p1-10. 10p. |
| Subjects: | Newborn screening, Cross-sectional method, Cesarean section, Statistical models, Hypothermia, Academic medical centers, Research funding, Delivery (Obstetrics), Vagina, Axilla, Prenatal exposure delayed effects, Retrospective studies, Descriptive statistics, Fever, Children's hospitals, Hospital care of newborn infants, Hospital nurseries, Body temperature, Medical records, Acquisition of data, Gestational age, Medical thermometry, Confidence intervals, Birth weight, Data analysis software, Regression analysis, Disease incidence |
| Abstract: | OBJECTIVES: To characterize temperature percentiles for infants at least 35 weeks' gestation through the first 48 hours of their birth hospitalization in the newborn nursery. METHODS: This retrospective cross-sectional study used electronic health record data from mothers and newborns admitted to a university-affiliated newborn nursery between May 2015 and August 2021. Axillary temperature values measured during the nursery stay were analyzed in prespecified time intervals to generate first, fifth, 50th, 95th, and 99th temperature percentiles from birth through 48 hours after birth. Descriptive, stratified subanalyses by infant sex, gestational age, birth weight, mode of delivery, and exposure to maternal peripartum fever were also conducted. RESULTS: We analyzed 227 813 axillary temperature values from 23 352 infants. The median temperature ranged from 36.9 °C at birth to 37.0 °C at 48 hours following birth. The temperature range between the first and 99th percentile was widest at birth (36.1-38.4 °C, δ 2.3 °C) and narrowed thereafter to a range of 36.5 °C to 37.8 °C (δ 1.3 °C) at 48 hours following birth. Temperature percentiles did not differ by sex but did increase minimally with increases in gestational age and birth weight; however, 95% CIs often overlapped. Infants delivered via cesarean had lower temperatures at birth than infants born vaginally, and infants exposed to peripartum maternal fever had higher temperatures following birth than nonexposed infants. CONCLUSIONS: These hour-specific temperature percentiles in late preterm and term infants in the newborn nursery strengthen the foundation for interpreting newborn temperatures in clinical context and highlight the need for more nuanced, evidence-based approaches to hypothermia evaluation and management. [ABSTRACT FROM AUTHOR] |
| Copyright of Pediatrics is the property of American Academy of Pediatrics and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.) | |
| Database: | Psychology and Behavioral Sciences Collection |
Be the first to leave a comment!
