Document Type
Abstract
Publication Date
2-11-2026
Academic Year
2025-2026
Abstract
Introduction/Purpose: Hypothermia of the newborn may be environmental or due to immature physiology but also may be an early sign of sepsis or other complications. Our study aimed to assess outcomes of newborns who were transferred to the NICU for hypothermia, and to evaluate if clinical risk factors are associated with receiving interventions in the NICU.
Methods: A retrospective cohort study of neonates born from July 2021 to January 2025 at TJU Hospital transferred from the nursery to the NICU was conducted. Data was manually abstracted from electronic medical records to REDCap by single reviewers. Descriptive statistics were performed, and chi-square analysis was used to evaluate the association of clinical predictors with need for interventions in the NICU.
Results: Of 500 newborns, 15.6% (n=78) were transferred for hypothermia. Among the hypothermia sample, over half (n=43, 55.1%) obtained a blood culture, 29.5% (n=23) received IV antibiotics, 19.2% (n=15) underwent diagnostic imaging, and 33% had no interventions in the NICU. The majority (93.6%, n=73) did not require an incubator/isolette. Low birthweight (< 2500g) vs. higher birthweight (>2500g) was associated with lower receipt of any intervention (43% vs.75%, p = 0.006778). Preterm gestation (< 37 weeks) vs. term gestation was associated with lower receipt of any intervention (41% vs. 73%, p=0.0117). Low Apgar (1 minute) score < 7 vs. >7 was associated with higher receipt of intervention (94% vs. 59%, p=0.00627).
Conclusions: Preliminary analyses suggest a need for further evaluation of NICU transfer protocols for newborns with hypothermia to limit separation of the parent-child dyad.
Recommended Citation
Marynovych, Solomeya; Walton Masters, Lillian; Cooper, Julie; and Goyal, Neera, "Evaluating Overuse of NICU for Hypothermia" (2026). Phase 1. Paper 14.
https://jdc.jefferson.edu/si_ctr_2028_phase1/14
Language
English

Comments
Presented at the 2026 Scholarly Inquiry (SI) Research Project Symposium.