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J Perinatol. 2005 Dec;25(12):763-9.

Heat loss prevention: a systematic review of occlusive skin wrap for premature neonates.

Author information

1
Complementary and Alternative Research and Education Program, Department of Pediatrics, University of Alberta, Alberta, Canada.

Abstract

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.

PMID:
16292338
DOI:
10.1038/sj.jp.7211392
[Indexed for MEDLINE]

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