Summary of findings for the main comparison: comprehensive care programmes vs usual care
- Comprehensive care programmes for children with medical complexity 2024 · Cochrane Headline outcomes onlyno estimate extracted3 studies · 701 participantsLow
The intervention showed no clear difference in ecchymosis ‐ Day 1 Scale 1 to 4 (low certainty).
DCC with immediate neonatal care after cord clamping probably leads to lower death of baby (up to discharge) compared with ECC (subgroup analysis by gestation) (moderate certainty).
DCC with immediate neonatal care with cord intact showed no clear difference in severe intraventricular haemorrhage (IVH grades 3, 4) compared with ECC (low certainty).
DCC with immediate neonatal care with cord intact showed no clear difference in intraventricular haemorrhage (IVH, all grades) compared with ECC (low certainty).
DCC with immediate neonatal care with cord intact showed no clear difference in periventricular leukomalacia (PVL) compared with ECC (low certainty).
DCC with immediate neonatal care with cord intact showed no clear difference in chronic lung disease (CLD) ‐ oxygen supplement at 36 weeks… compared with ECC (low certainty).
DCC with immediate neonatal care with cord intact showed no clear difference in maternal blood loss of 500 mL or greater compared with ECC (low certainty).
UCM showed no clear difference in death of baby (up to discharge) compared with ECC (low certainty).
UCM showed no clear difference in severe intraventricular haemorrhage (IVH grades 3, 4) compared with ECC (low certainty).
UCM showed no clear difference in intraventricular haemorrhage (IVH, all grades) compared with ECC (moderate certainty).
UCM showed no clear difference in periventricular leukomalacia (PVL) compared with ECC (low certainty).
UCM showed no clear difference in chronic lung disease (CLD) ‐ oxygen supplement at 36 weeks… compared with ECC (low certainty).
DCC with immediate neonatal care after cord clamping showed no clear difference in severe intraventricular haemorrhage (IVH grades 3, 4) compared with ECC (subgroup analysis by gestation) (low certainty).
DCC with immediate neonatal care after cord clamping leads to lower intraventricular haemorrhage (IVH, all grades) compared with ECC (subgroup analysis by gestation) (high certainty).
DCC with immediate neonatal care after cord clamping showed no clear difference in periventricular leukomalacia (PVL) compared with ECC (subgroup analysis by gestation) (low certainty).
DCC with immediate neonatal care after cord clamping showed no clear difference in chronic lung disease (CLD) ‐ oxygen supplement at 36 weeks… compared with ECC (subgroup analysis by gestation) (high certainty).