Cochrane · systematic review · CD009106

Standardised formal resuscitation training programmes for reducing mortality and morbidity in newborn infants

Dempsey, E, Pammi, M, Ryan, AC, et al. · Cochrane Database of Systematic Reviews · 2015 · 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
20
current version
GRADE rated
20
No studies
0
Included studies
NR
No studies 0 · 0%Ungraded 0 · 0%Very low 10 · 50%Low 6 · 30%Moderate 4 · 20%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

Standardised formal neonatal resuscitation programme (SFNRT) compared with no SFNRT

Population: birth attendants
4 questions
OutcomeEffectEvidenceStatus / GRADE
Knowledge acquisition (Immediately after SFNRT)
Standardised formal neonatal resuscitation programme (SFNRT) vs no SFNRT
RR 5.96 [3.6, 9.87]1 study · 166 participantsVery low
Skills Acquisition (Immediately after SFNRT)
Standardised formal neonatal resuscitation programme (SFNRT) vs no SFNRT
RR 170.93 [10.78, 2710.85]1 study · 166 participantsVery low
Knowledge retention (6 months after SFNRT)
Standardised formal neonatal resuscitation programme (SFNRT) vs no SFNRT
RR 3.6 [2.43, 5.35]1 study · 166 participantsVery low
Skills retention (6 months after SFNRT)
Standardised formal neonatal resuscitation programme (SFNRT) vs no SFNRT
no estimate extracted1 study · 166 participantsVery low

Standardised formal neonatal resuscitation training (SFNRT) programme compared with basic resuscitation training for reduction in neonatal mortality

Population: Neonates delivered stratified by healthcare professionals involved in attending deliveries
7 questions
OutcomeEffectEvidenceStatus / GRADE
Early neonatal mortality (mortality in the first 7 days of life)
Standardised formal neonatal resuscitation training (SFNRT) programme vs basic resuscitation training
RR 0.88 [0.78, 1]3 studies · 66162 participantsModerate
Early neonatal mortality ‐ traditional birth attendants
Standardised formal neonatal resuscitation training (SFNRT) programme vs basic resuscitation training
RR 0.79 [0.65, 0.95]3 studies · 27673 participantsModerate
Early neonatal mortality ‐ nurse/midwife
Standardised formal neonatal resuscitation training (SFNRT) programme vs basic resuscitation training
RR 1.03 [0.81, 1.31]2 studies · 20250 participantsModerate
Early neonatal mortality ‐ physician
Standardised formal neonatal resuscitation training (SFNRT) programme vs basic resuscitation training
RR 1.43 [0.98, 2.08]2 studies · 5986 participantsLow
Early neonatal mortality ‐ family/unattended
Standardised formal neonatal resuscitation training (SFNRT) programme vs basic resuscitation training
RR 0.71 [0.54, 0.94]2 studies · 12253 participantsModerate
Late neonatal mortality (mortality at > 7 days up to 28 days of life)
Standardised formal neonatal resuscitation training (SFNRT) programme vs basic resuscitation training
RR 0.47 [0.2, 1.11]1 study · 3274 participantsLow
Neonatal mortality at 28 days
Standardised formal neonatal resuscitation training (SFNRT) programme vs basic resuscitation training
RR 0.55 [0.33, 0.91]1 study · 3355 participantsLow

Standardised formal neonatal resuscitation training (SFNRT) programme with team training compared with SFNRT for improving teamwork behaviour

Population: healthcare professionals involved in attending deliveries
3 questions
OutcomeEffectEvidenceStatus / GRADE
Teamwork behaviour ‐ any teamwork behaviour
Standardised formal neonatal resuscitation training (SFNRT) programme with team training vs SFNRT
MD 2.41 [1.72, 3.11]2 studies · 130 participantsLow
NRP performance scores
Standardised formal neonatal resuscitation training (SFNRT) programme with team training vs SFNRT
MD 1.41 study · 98 participantsLow
Resuscitation duration
Standardised formal neonatal resuscitation training (SFNRT) programme with team training vs SFNRT
no estimate extracted2 studies · 130 participantsLow

Standardised formal neonatal resuscitation training (SFNRT) programme with boosters compared with SFNRT for knowledge and skills retention

Population: healthcare professionals involved in attending deliveries
6 questions
OutcomeEffectEvidenceStatus / GRADE
Knowledge retention ‐ hands on booster on NRP test scores
Standardised formal neonatal resuscitation training (SFNRT) programme with boosters vs SFNRT
MD 71 study · 31 participantsVery low
Knowledge retention ‐ video booster on NRP test scores
Standardised formal neonatal resuscitation training (SFNRT) programme with boosters vs SFNRT
MD 41 study · 30 participantsVery low
Knowledge retention ‐ any booster on NRP scores
Standardised formal neonatal resuscitation training (SFNRT) programme with boosters vs SFNRT
MD 5.51 study · 44 participantsVery low
Skills retention ‐ hands on booster on performance scores
Standardised formal neonatal resuscitation training (SFNRT) programme with boosters vs SFNRT
MD 51 study · 31 participantsVery low
Skills retention ‐ video booster on performance scores
Standardised formal neonatal resuscitation training (SFNRT) programme with boosters vs SFNRT
MD 61 study · 30 participantsVery low
Skills retention ‐ any booster on performance scores
Standardised formal neonatal resuscitation training (SFNRT) programme with boosters vs SFNRT
MD 5.481 study · 44 participantsVery low