title: Therapeutic hypothermia during neonatal transport: data from the California Perinatal Quality Care Collaborative (CPQCC) and California Perinatal Transport System (CPeTS) for 2010.
abstract: OBJECTIVE
  To evaluate cooling practices and neonatal outcomes in the state of California during 2010 using the California Perinatal Quality Care Collaborative and California Perinatal Transport System databases.
  
  
  METHODS
  Database analysis to determine the perinatal and neonatal demographics and outcomes of neonates cooled in transport or after admission to a cooling center.
  
  
  RESULTS
  Of the 223 infants receiving therapeutic hypothermia for hypoxic ischemic encephalopathy (HIE) in California during 2010, 69% were cooled during transport. Despite the frequent use of cooling in transport, cooling center admission temperature was in the target range (33-34 °C) in only 62 (44%). Among cooled infants, gestational age was <35 weeks in 10 (4.5%). For outborn and transported infants, chronologic age at the time of cooling initiation was >6 h in 20 (11%). When initiated at the birth hospital, cooling was initiated at <6 h of age in 131 (92.9%).
  
  
  CONCLUSIONS
  More than half of the infants cooled in transport do not achieve target temperature by the time of arrival at the cooling center. The use of cooling devices may improve temperature regulation on transport.
authors.affiliation: Division of Neonatal and Developmental Medicine, Department of Pediatrics, Stanford University School of Medicine and Lucile Salter Packard Children's Hospital, Palo Alto, CA 94304, USA. priya88@stanford.edu
authors.forename: V P
authors.initials: VP
authors.lastname: Akula
authors.forename: J B
authors.initials: JB
authors.lastname: Gould
authors.forename: A S
authors.initials: AS
authors.lastname: Davis
authors.forename: A
authors.initials: A
authors.lastname: Hackel
authors.forename: J
authors.initials: J
authors.lastname: Oehlert
authors.forename: K P
authors.initials: KP
authors.lastname: Van Meurs
mesh_terms: D002140:California; D005260:Female; D006801:Humans; D007036:Hypothermia, Induced / Q000379:methods; D020925:Hypoxia-Ischemia, Brain / Q000175:diagnosis / Q000628:therapy*; D007231:Infant, Newborn; D008297:Male; D010360:Patient Transfer