OBJECTIVE: To systematically identify and synthesize investigations of the effectiveness of occlusive skin wrap for reducing heat loss in premature infants born at less than 36 weeks gestations. STUDY DESIGN: Systematic review. RESULTS: Three randomized controlled trials (RCT) and five historical controlled trials (HCT) were included. Meta-analysis shows wrapped infants had significantly higher admission temperatures than unwrapped infants (RCTs WMD 0.63 degrees C, 95% confidence interval (CI) 0.38, 0.87; HCTs WMD 0.96 degrees C, 95% CI 0.66, 1.27). A statistically significant difference in mortality was not found between wrapped and unwrapped infants in the RCTs (RR 0.72, 95% CI 0.36, 1.45) or the HCTs (RR 0.76, 95% CI 0.51, 1.13). CONCLUSIONS: The findings suggest that occlusive skin wrap prevents heat loss in premature infants. The meta-analysis lacked the power to provide definitive results regarding the effect of wrap on mortality.
OBJECTIVE: To systematically identify and synthesize investigations of the effectiveness of occlusive skin wrap for reducing heat loss in premature infants born at less than 36 weeks gestations. STUDY DESIGN: Systematic review. RESULTS: Three randomized controlled trials (RCT) and five historical controlled trials (HCT) were included. Meta-analysis shows wrapped infants had significantly higher admission temperatures than unwrapped infants (RCTs WMD 0.63 degrees C, 95% confidence interval (CI) 0.38, 0.87; HCTs WMD 0.96 degrees C, 95% CI 0.66, 1.27). A statistically significant difference in mortality was not found between wrapped and unwrapped infants in the RCTs (RR 0.72, 95% CI 0.36, 1.45) or the HCTs (RR 0.76, 95% CI 0.51, 1.13). CONCLUSIONS: The findings suggest that occlusive skin wrap prevents heat loss in premature infants. The meta-analysis lacked the power to provide definitive results regarding the effect of wrap on mortality.
Authors: Theodore C Belsches; Alyssa E Tilly; Tonya R Miller; Rohan H Kambeyanda; Alicia Leadford; Albert Manasyan; Elwyn Chomba; Manimaran Ramani; Namasivayam Ambalavanan; Waldemar A Carlo Journal: Pediatrics Date: 2013-08-26 Impact factor: 7.124
Authors: Alicia E Leadford; Jamie B Warren; Albert Manasyan; Elwyn Chomba; Ariel A Salas; Robert Schelonka; Waldemar A Carlo Journal: Pediatrics Date: 2013-06-03 Impact factor: 7.124
Authors: Charles W Sauer; Mallory A Boutin; Aayah N Fatayerji; James A Proudfoot; Nabil I Fatayerji; David J Golembeski Journal: Sci Rep Date: 2016-11-21 Impact factor: 4.379