Cochrane · systematic review · CD012362
Head midline position for preventing the occurrence or extension of germinal matrix‐intraventricular haemorrhage in preterm infants
Romantsik, O, Calevo, MG, Bruschettini, M · Cochrane Database of Systematic Reviews · 2020 · Cochrane Library
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
4
No studies
3
Included studies
NR
No studies 3 · 42.9%Ungraded 0 · 0%Very low 4 · 57.1%Low 0 · 0%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
Current version onlySupine midline head position versus any other supine head position for preventing the occurrence or extension of germinal matrix‐intraventricular haemorrhage in preterm infants
Population: very preterm infants with or at risk of germinal matrix‐intraventricular haemorrhage in preterm infants
| Outcome | Effect | Evidence | Status / GRADE |
|---|---|---|---|
Intraventricular haemorrhage, any grade Supine midline head position vs any other supine head position | RR 1.11 [0.78, 1.56] | 3 studies · 290 participants | Very low Downgraded: risk of bias, imprecision |
Intraventricular haemorrhage, grade 3 to 4 Supine midline head position vs any other supine head position | RR 0.71 [0.37, 1.33] | 3 studies · 290 participants | Very low Downgraded: risk of bias, imprecision |
Mortality during initial hospitalisation Supine midline head position vs any other supine head position | RR 0.5 [0.28, 0.9] | 3 studies · 290 participants | Very low Downgraded: risk of bias, imprecision |
Retinopathy of prematurity, > stage 3 Supine midline head position vs any other supine head position | RR 0.9 [0.41, 1.97] | 2 studies · 222 participants | Very low Downgraded: risk of bias, imprecision |
Long‐term neurodevelopmental outcome ‒not reported Supine midline head position vs any other supine head position | no estimate extracted | NR | No studies |
Major neurodevelopmental disability ‒not reported Supine midline head position vs any other supine head position | no estimate extracted | NR | No studies |
Cerebellar haemorrhage on brain ultrasound ‐ not reported Supine midline head position vs any other supine head position | no estimate extracted | NR | No studies |
Supine midline head position with the bed at 0° versus supine head rotated 90° with the bed at 0° for preventing occurrence or extension of germinal matrix‐intraventricular hemorrhage in preterm infants
Population: very preterm infants (i.e., ≤ 32 weeks' gestational age) of any birth weight
| Outcome | Effect | Evidence | Status / GRADE |
|---|---|---|---|
Intraventricular hemorrhage, any grade Supine midline head position with the bed at 0° vs supine head rotated 90° with the bed at 0° | RR 1.14 [0.55, 2.35] | 2 studies · 110 participants | Low |
Intraventricular hemorrhage, grade 3 to 4 Supine midline head position with the bed at 0° vs supine head rotated 90° with the bed at 0° | RR 1.57 [0.28, 8.98] | 2 studies · 110 participants | Very low |
Neonatal mortality Supine midline head position with the bed at 0° vs supine head rotated 90° with the bed at 0° | RR 0.52 [0.16, 1.65] | 2 studies · 110 participants | Low |