Cochrane · systematic review · CD008313

Co‐bedding in neonatal nursery for promoting growth and neurodevelopment in stable preterm twins

Lai, NM, Foong, SC, Foong, WC, et al. · Cochrane Database of Systematic Reviews · 2016 · Cochrane Library

Neonatal2 versionsAMSTAR 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 3 · 42.9%Low 3 · 42.9%Moderate 1 · 14.3%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

Show all 2 versions

Co‐bedding versus separate care for promoting growth and neurodevelopment in stable preterm twins

Population: stable preterm twins with growth and neurodevelopment promoted
7 questions
OutcomeEffectEvidenceStatus / GRADE
Rate of weight gain (in grams/kg of baseline weight/d) ‐ average from study entry to week 3 Grams per kilogram per day
Co‐bedding vs separate care
no estimate extracted1 study · 18 participantsLow
Downgraded: risk of bias, imprecision
Apnea, bradycardia, or desaturation Number of twins with episodes
Co‐bedding vs separate care
RR 0.85 [0.18, 4.05]1 study · 124 participantsLow
Downgraded: imprecision, indirectness
Episodes in co‐regulated state (out of 20 observations) Episodes observed (out of a total of 20 observations) Scale from 0 to 20
Co‐bedding vs separate care
no estimate extracted1 study · 6 participantsVery low
Downgraded: risk of bias, imprecision
Infections ‐ suspected or proven infections (any) Clinical and microbiological methods
Co‐bedding vs separate care
RR 0.84 [0.3, 2.31]3 studies · 65 participantsVery low
Downgraded: risk of bias, imprecision
Length of hospital stay (days)
Co‐bedding vs separate care
no estimate extracted1 study · 6 participantsVery low
Downgraded: risk of bias, imprecision
Parental satisfaction Parental satisfaction survey Scale from 0 to 55
Co‐bedding vs separate care
no estimate extracted1 study · 18 participantsModerate
Downgraded: risk of bias
Neurobehavior: infant pain score following painful procedure ‐ at 30 seconds post heel lance Premature Infant Pain Profile (PIPP) Scale from 0 to 21
Co‐bedding vs separate care
no estimate extracted2 studies · 224 participantsLow
Downgraded: risk of bias, imprecision, inconsistency, indirectness