Document Detail


Heat loss prevention: a systematic review of occlusive skin wrap for premature neonates.
MedLine Citation:
PMID:  16292338     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
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.
Authors:
Kristie Cramer; Natasha Wiebe; Lisa Hartling; Ellen Crumley; Sunita Vohra
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Publication Detail:
Type:  Comparative Study; Journal Article; Meta-Analysis    
Journal Detail:
Title:  Journal of perinatology : official journal of the California Perinatal Association     Volume:  25     ISSN:  0743-8346     ISO Abbreviation:  J Perinatol     Publication Date:  2005 Dec 
Date Detail:
Created Date:  2005-11-28     Completed Date:  2006-03-08     Revised Date:  2007-11-15    
Medline Journal Info:
Nlm Unique ID:  8501884     Medline TA:  J Perinatol     Country:  United States    
Other Details:
Languages:  eng     Pagination:  763-9     Citation Subset:  IM    
Affiliation:
Complementary and Alternative Research and Education Program, Department of Pediatrics, University of Alberta, Alberta, Canada.
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MeSH Terms
Descriptor/Qualifier:
Body Temperature Regulation / physiology*
Female
Humans
Hypothermia / mortality,  prevention & control*
Incubators, Infant
Infant, Newborn
Infant, Premature, Diseases / mortality,  prevention & control*
Intensive Care, Neonatal*
Male
Occlusive Dressings*
Pregnancy
Randomized Controlled Trials as Topic
Survival Analysis

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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