Transition of the Preterm Infant to an Open Crib

Medoff‐Cooper, Barbara

doi:10.1111/j.1552-6909.1994.tb01884.x

Cited by 33 publications

(22 citation statements)

References 21 publications

(12 reference statements)

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“…An appropriate starting point would be to develop standardized incubator weaning protocols based on physiological principles and evidence based medicine. Medoff-Cooper et al, 9 West et al, 10 Berger et al, 11 Meier,15 as well as the Association for Women's Health, Obstetric, and Neonatal Nursing (AWHONN) Research Utilization Project 16 support our data that successful incubator weaning can begin at infant weights approximating 1500 g. In addition, though this study evaluated infants less than 31-weeks GA, consideration to begin incubator weaning at 1500 g in a more mature GA patient population seems reasonable given their physiological stability in comparison with the study group.…”

Section: Discussionmentioning

confidence: 99%

“…Incubator use for preterm infants has a long history. [5][6][7][8] Several studies have shown the effectiveness of incubator weaning at weights as low as 1500 g. [9][10][11] Glass et al's 12 article in 1968 may have set an earlier precedent for incubator weaning. A heterogeneous patient population in this small study showed increased growth at warmer incubator temperatures compared with a cooler environment.…”

Section: Discussionmentioning

confidence: 99%

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Incubator weaning in preterm infants and associated practice variation

Schneiderman¹,

Kirkby²,

Turenne³

et al. 2009

J Perinatol

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Objective: To evaluate the relationship of weight of preterm infants when first placed into an open crib with days to full oral feedings, growth velocity and length of stay (LOS), and to identify unwarranted variation in incubator weaning after adjusting for severity indices. Result: In all 2908 infants met the inclusion criteria for the study. Their mean weight at open crib was 1850 g. On average every additional 100 g an infant weighed at the open crib was associated with increased time to full PO feeding by 0.8 days, decreased weight gained per day by 1 gram and increased LOS by 0.9 days. For the top 10 volume hospitals, severity variables alone accounted for 9% of the variation in weight at open crib, whereas the hospital in which the baby was treated accounted for an additional 19% of the variation. Conclusion:Even after controlling for severity, significant practice variation exists in weaning to an open crib, leading to potential delays in achieving full-volume oral feeds, decreased growth velocity and prolonged LOS.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Incubator weaning in preterm infants and associated practice variation

Schneiderman¹,

Kirkby²,

Turenne³

et al. 2009

J Perinatol

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“…We identified one randomised9 and two quasi-randomised6 7 controlled trials and five observational studies3 8 12–14 assessing transferring preterm infants to standard open cots. Sutter and colleagues7 showed that preterm infants could be safely transferred to open cots at 1700 g but only for infants with birth weights >1000 g. However, they expressed caution in interpreting the results, due to the small number of infants with birth weights <1000 g (n=12).…”

Section: Discussionmentioning

confidence: 99%

“…Practice variation exists between continents, regions and nurseries in the same countries 1 2. A target weight, largely based on tradition or the professional experience of clinicians,3 of 1700–1800 g has been used as a measure for transferring infants from incubators to open cots 4. Delaying transfer until an arbitrary weight has been reached may result in longer hospitalisation than necessary, thus increasing the cost of care 5.…”

Section: Introductionmentioning

confidence: 99%

Transferring preterm infants from incubators to open cots at 1600 g: a multicentre randomised controlled trial

New

Flint

Bogossian

et al. 2011

Arch Dis Child Fetal Neonatal Ed

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“…51 Infants were transferred at an approximate weight of 1,500 g after 5 consistent days of weight gain and when medically stable. This project showed that a standardized weaning protocol could be implemented, and infants could be transferred successfully to an open crib using the protocol.…”

Section: Weaning From Thermally Controlled Care To Open Cribsmentioning

confidence: 99%

Role of effective thermoregulation in premature neonates

Knobel-Dail¹

2014

RRN

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Even though researchers have studied ways to reduce heat loss in premature infants for more than 100 years, hypothermia remains a widespread problem in this population, especially after birth and through the first weeks of life. This review focuses on current research findings that are being translated into practice to reduce heat loss after birth and during neonatal intensive care unit hospitalization. Recommendations for practice are given to minimize heat loss during care and promote thermal stability for very low birth weight infants. More research is needed to combine evidence-based interventions into thermoregulation bundles and to assess morbidity and mortality when such bundles are implemented. It is essential to continue to focus on thermal stability and eliminate hypothermia in the very low birth weight population.

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Transition of the Preterm Infant to an Open Crib

Cited by 33 publications

References 21 publications

Incubator weaning in preterm infants and associated practice variation

Incubator weaning in preterm infants and associated practice variation

Transferring preterm infants from incubators to open cots at 1600 g: a multicentre randomised controlled trial

Role of effective thermoregulation in premature neonates

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