Cochrane · systematic review · CD004951
Body positioning for spontaneously breathing preterm infants with apnoea
Ballout, RA, Foster, JP, Kahale, LA, et al. · Cochrane Database of Systematic Reviews · 2017 · 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
33
current version
GRADE rated
33
No studies
0
Included studies
NR
No studies 0 · 0%Ungraded 0 · 0%Very low 28 · 84.8%Low 5 · 15.2%Moderate 0 · 0%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
Supine versus prone positioning
Population: spontaneously breathing preterm infants with apnoea
| Outcome | Effect | Evidence | Status / GRADE |
|---|---|---|---|
Episodes of apnoea Supine vs prone positioning | no estimate extracted | 2 studies · 72 participants | Very low Downgraded: risk of bias |
Episodes of oxygen desaturation Supine vs prone positioning | no estimate extracted | 1 study · 44 participants | Very low Downgraded: risk of bias |
Episodes of bradycardia Supine vs prone positioning | no estimate extracted | 2 studies · 72 participants | Very low Downgraded: risk of bias |
Prone horizontal versus right lateral horizontal positioning
Population: spontaneously breathing preterm infants with apnoea
| Outcome | Effect | Evidence | Status / GRADE |
|---|---|---|---|
Episodes of apnoea Prone horizontal vs right lateral horizontal positioning | no estimate extracted | 2 studies · 130 participants | Very low Downgraded: risk of bias |
Episodes of oxygen desaturation Prone horizontal vs right lateral horizontal positioning | no estimate extracted | 1 study · 88 participants | Very low Downgraded: risk of bias |
Episodes of severe apnoea Prone horizontal vs right lateral horizontal positioning | no estimate extracted | 1 study · 88 participants | Very low Downgraded: risk of bias |
Episodes of bradycardia Prone horizontal vs right lateral horizontal positioning | no estimate extracted | 1 study · 88 participants | Very low Downgraded: risk of bias |
Episodes of severe bradycardia Prone horizontal vs right lateral horizontal positioning | no estimate extracted | 1 study · 88 participants | Very low Downgraded: risk of bias |
Prone horizontal versus left lateral horizontal positioning
Population: spontaneously breathing preterm infants with apnoea
| Outcome | Effect | Evidence | Status / GRADE |
|---|---|---|---|
Episodes of apnoea Prone horizontal vs left lateral horizontal positioning | no estimate extracted | 2 studies · 131 participants | Low Downgraded: risk of bias |
Episodes of oxygen desaturation Prone horizontal vs left lateral horizontal positioning | no estimate extracted | 1 study · 89 participants | Very low Downgraded: risk of bias |
Episodes of severe apnoea Prone horizontal vs left lateral horizontal positioning | no estimate extracted | 1 study · 89 participants | Very low Downgraded: risk of bias |
Episodes of bradycardia Prone horizontal vs left lateral horizontal positioning | no estimate extracted | 1 study · 89 participants | Very low Downgraded: risk of bias |
Episodes of severe bradycardia Prone horizontal vs left lateral horizontal positioning | no estimate extracted | 1 study · 89 participants | Very low Downgraded: risk of bias |
Right lateral versus left lateral positioning
Population: spontaneously breathing preterm infants with apnoea
| Outcome | Effect | Evidence | Status / GRADE |
|---|---|---|---|
Episodes of apnoea Right lateral vs left lateral positioning | no estimate extracted | 2 studies · 131 participants | Low Downgraded: risk of bias |
Episodes of oxygen desaturation Right lateral vs left lateral positioning | no estimate extracted | 1 study · 89 participants | Very low Downgraded: risk of bias |
Episodes of severe apnoea Right lateral vs left lateral positioning | no estimate extracted | 1 study · 89 participants | Very low Downgraded: risk of bias |
Episodes of bradycardia Right lateral vs left lateral positioning | no estimate extracted | 1 study · 89 participants | Very low Downgraded: risk of bias |
Episodes of severe bradycardia Right lateral vs left lateral positioning | no estimate extracted | 1 study · 89 participants | Very low Downgraded: risk of bias |
Prone horizontal versus prone head elevated positioning
Population: spontaneously breathing preterm infants with apnoea
| Outcome | Effect | Evidence | Status / GRADE |
|---|---|---|---|
Episodes of apnoea Prone horizontal vs prone head elevated positioning | no estimate extracted | 2 studies · 129 participants | Low Downgraded: risk of bias |
Episodes of oxygen desaturation Prone horizontal vs prone head elevated positioning | no estimate extracted | 2 studies · 111 participants | Very low Downgraded: risk of bias |
Episodes of severe apnoea Prone horizontal vs prone head elevated positioning | no estimate extracted | 1 study · 87 participants | Very low Downgraded: risk of bias |
Episodes of bradycardia Prone horizontal vs prone head elevated positioning | no estimate extracted | 2 studies · 111 participants | Low Downgraded: risk of bias |
Episodes of severe bradycardia Prone horizontal vs prone head elevated positioning | no estimate extracted | 2 studies · 111 participants | Low Downgraded: risk of bias |
Right lateral horizontal versus right lateral elevated positioning
Population: spontaneously breathing preterm infants with apnoea
| Outcome | Effect | Evidence | Status / GRADE |
|---|---|---|---|
Episides of apnoea Right lateral horizontal vs right lateral elevated positioning | no estimate extracted | 1 study · 86 participants | Very low Downgraded: risk of bias |
Episodes of oxygen desaturation Right lateral horizontal vs right lateral elevated positioning | no estimate extracted | 1 study · 86 participants | Very low Downgraded: risk of bias |
Episodes of severe apnoea Right lateral horizontal vs right lateral elevated positioning | no estimate extracted | 1 study · 86 participants | Very low Downgraded: risk of bias |
Episodes of bradycardia Right lateral horizontal vs right lateral elevated positioning | no estimate extracted | 1 study · 86 participants | Very low Downgraded: risk of bias |
Episodes of severe bradycardia Right lateral horizontal vs right lateral elevated positioning | no estimate extracted | 1 study · 86 participants | Very low Downgraded: risk of bias |
Left lateral horizontal versus left lateral elevated positioning
Population: spontaneously breathing preterm infants with apnoea
| Outcome | Effect | Evidence | Status / GRADE |
|---|---|---|---|
Episodes of apnoea Left lateral horizontal vs left lateral elevated positioning | no estimate extracted | 1 study · 87 participants | Very low Downgraded: risk of bias |
Episodes of oxygen desaturation Left lateral horizontal vs left lateral elevated positioning | no estimate extracted | 1 study · 87 participants | Very low Downgraded: risk of bias |
Episodes of severe apnoea Left lateral horizontal vs left lateral elevated positioning | no estimate extracted | 1 study · 87 participants | Very low Downgraded: risk of bias |
Episodes of bradycardia Left lateral horizontal vs left lateral elevated positioning | no estimate extracted | 1 study · 87 participants | Very low Downgraded: risk of bias |
Episodes of severe bradycardia Left lateral horizontal vs left lateral elevated positioning | no estimate extracted | 1 study · 87 participants | Very low Downgraded: risk of bias |