Document Detail

Kinesthetic stimulation for preventing apnea in preterm infants.
MedLine Citation:
PMID:  12076395     Owner:  NLM     Status:  MEDLINE    
BACKGROUND: Recurrent apnea is common in preterm infants, particularly at very early gestational ages. These episodes of loss of effective breathing can lead to hypoxemia and bradycardia, which may be severe enough to require resuscitation including use of positive pressure ventilation or other treatments. Physical stimulation is often used to restart breathing and it is possible that repeated stimulation, such as with an oscillating mattress (kinesthetic stimulation), might prevent apnea and its consequences.
OBJECTIVES: In preterm infants at risk for apnea, does prophylactic use of kinesthetic stimulation lead to a clinically important reduction in apnea and bradycardia, and use of intermittent positive pressure ventilation (IPPV).
SEARCH STRATEGY: The standard search strategy of the Neonatal Review Group was used. This included searches of the Oxford Database of Perinatal trials, Cochrane Controlled Trials Register (Cochrane Library, Issue 4, 2001), MEDLINE (1966-January 2002), EMBASE, CINAHL (1982-January 2002), previous reviews including cross references, abstracts, conferences and symposia proceedings, expert informants, journal hand searching mainly in the English language.
SELECTION CRITERIA: All trials in preterm infants at risk of developing clinical apnea which utilized random or quasi-random allocation to treatment with an oscillating mattress (or other forms of repetitive kinesthetic stimulation) or control, were eligible.
DATA COLLECTION AND ANALYSIS: Standard methods of the Cochrane Collaboration and its Neonatal Review Group were used with separate evaluation of trial quality and data extraction by each author and synthesis of the data using relative risk.
MAIN RESULTS: Three trials enrolling a total of 154 babies were included in this review. There was no evidence of effect on short term outcomes (apnea /bradycardia, IVH, use of IPPV, sleep/wake cycles and neurological status at discharge) or long term outcomes (in one trial - growth and development to one year).
REVIEWER'S CONCLUSIONS: Implications for practice. Prophylactic use of kinesthetic stimulation cannot be recommended to reduce apnea/bradycardia in preterm infants. Implications for research. There are currently no clear research questions regarding prophylactic use of kinesthetic stimulation to prevent apnea in preterm infants.
D J Henderson-Smart; D A Osborn
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Publication Detail:
Type:  Journal Article; Review    
Journal Detail:
Title:  The Cochrane database of systematic reviews     Volume:  -     ISSN:  1469-493X     ISO Abbreviation:  Cochrane Database Syst Rev     Publication Date:  2002  
Date Detail:
Created Date:  2002-06-21     Completed Date:  2002-08-09     Revised Date:  2013-06-28    
Medline Journal Info:
Nlm Unique ID:  100909747     Medline TA:  Cochrane Database Syst Rev     Country:  England    
Other Details:
Languages:  eng     Pagination:  CD000373     Citation Subset:  IM    
NSW Centre for Perinatal Health Services Research, Queen Elizabeth II Institute for Mothers and Infants, Building DO2, University of Sydney, Sydney, NSW, Australia, 2006.
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MeSH Terms
Apnea / prevention & control*
Infant Equipment
Infant, Newborn
Infant, Premature
Infant, Premature, Diseases / prevention & control*
Kinesiology, Applied
Physical Stimulation / instrumentation*
Update Of:
Cochrane Database Syst Rev. 2000;(2):CD000373   [PMID:  10796201 ]

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

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