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Heat loss prevention: a systematic review of occlusive skin wrap for premature neonates.

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  • المؤلفون: Cramer K;Cramer K; Wiebe N; Hartling L; Crumley E; Vohra S
  • المصدر:
    Journal of perinatology : official journal of the California Perinatal Association [J Perinatol] 2005 Dec; Vol. 25 (12), pp. 763-9.
  • نوع النشر :
    Comparative Study; Journal Article; Meta-Analysis; Systematic Review
  • اللغة:
    English
  • معلومة اضافية
    • المصدر:
      Publisher: Nature Publishing Group Country of Publication: United States NLM ID: 8501884 Publication Model: Print Cited Medium: Print ISSN: 0743-8346 (Print) Linking ISSN: 07438346 NLM ISO Abbreviation: J Perinatol Subsets: MEDLINE
    • بيانات النشر:
      Publication: 2001- : New York, NY : Nature Publishing Group
      Original Publication: [Philadelphia, Pa. : W.B. Saunders, c1984-
    • الموضوع:
      Intensive Care, Neonatal* ; Occlusive Dressings*; Body Temperature Regulation/*physiology ; Hypothermia/*prevention & control ; Infant, Premature, Diseases/*prevention & control; Female ; Humans ; Hypothermia/mortality ; Incubators, Infant ; Infant, Newborn ; Infant, Premature, Diseases/mortality ; Male ; Pregnancy ; Randomized Controlled Trials as Topic ; Survival Analysis
    • نبذة مختصرة :
      Objective: To systematically identify and synthesize investigations of the effectiveness of occlusive skin wrap for reducing heat loss in premature infants born at less than 36 weeks gestations.
      Study Design: Systematic review.
      Results: Three randomized controlled trials (RCT) and five historical controlled trials (HCT) were included. Meta-analysis shows wrapped infants had significantly higher admission temperatures than unwrapped infants (RCTs WMD 0.63 degrees C, 95% confidence interval (CI) 0.38, 0.87; HCTs WMD 0.96 degrees C, 95% CI 0.66, 1.27). A statistically significant difference in mortality was not found between wrapped and unwrapped infants in the RCTs (RR 0.72, 95% CI 0.36, 1.45) or the HCTs (RR 0.76, 95% CI 0.51, 1.13).
      Conclusions: The findings suggest that occlusive skin wrap prevents heat loss in premature infants. The meta-analysis lacked the power to provide definitive results regarding the effect of wrap on mortality.
    • الموضوع:
      Date Created: 20051118 Date Completed: 20060308 Latest Revision: 20181203
    • الموضوع:
      20250114
    • الرقم المعرف:
      10.1038/sj.jp.7211392
    • الرقم المعرف:
      16292338