Cochrane · systematic review · CD004210

Interventions to prevent hypothermia at birth in preterm and/or low birth weight infants

McCall, EM, Alderdice, F, Halliday, HL, et al. · Cochrane Database of Systematic Reviews · 2018 · Cochrane Library

NeonatalAMSTAR 2: not assessed
SoF tableOnly the outcomes this review put in its Summary of Findings table are listed (the Cochrane Handbook caps them at about seven per comparison). Its other analyses are not shown here.
Questions
7
current version
GRADE rated
7
No studies
0
Included studies
NR
No studies 0 · 0%Ungraded 0 · 0%Very low 0 · 0%Low 0 · 0%Moderate 7 · 100%High 0 · 0%

Ungraded means an effect was reported without a GRADE rating; it is not a gap. No studies means the review found nothing to answer the question. The six categories are a display order, not a score.

Questions and results

Plastic wrap or bag compared with routine care in preterm and/or low birth weight infants

Population: preterm and/or low birth weight infants
7 questions
OutcomeEffectEvidenceStatus / GRADE
Core body temperature (°C) on admission to NICU or up to 2 hours after birth
Plastic wrap or bag vs routine care
no estimate extracted13 studies · 1633 participantsModerate
Downgraded: risk of bias, imprecision
Hypothermia on admission to NICU: core body temperature < 36.5°C or skin temperature < 36°C
Plastic wrap or bag vs routine care
RR 0.67 [0.62, 0.72]10 studies · 1417 participantsModerate
Downgraded: risk of bias, imprecision, inconsistency, publication bias
Core body temperature (°C)
Plastic wrap or bag vs routine care
no estimate extracted6 studies · 373 participantsModerate
Downgraded: risk of bias, imprecision, inconsistency, publication bias
Hyperthermia on admission to NICU: core body temperature > 37.5°C
Plastic wrap or bag vs routine care
RR 3.91 [2.05, 7.44]12 studies · 1523 participantsModerate
Downgraded: risk of bias, imprecision, inconsistency, publication bias
Major brain injury (within hospital stay)
Plastic wrap or bag vs routine care
RR 0.78 [0.47, 1.27]5 studies · 1100 participantsModerate
Downgraded: risk of bias, imprecision, inconsistency, publication bias
Pulmonary haemorrhage (within hospital stay)
Plastic wrap or bag vs routine care
RR 0.6 [0.38, 0.95]1 study · 796 participantsModerate
Downgraded: risk of bias, imprecision, inconsistency, publication bias
Mortality (death within hospital stay or at 6 months' corrected gestation)
Plastic wrap or bag vs routine care
RR 0.91 [0.73, 1.15]10 studies · 1447 participantsModerate
Downgraded: risk of bias, imprecision, inconsistency, publication bias