Factors influencing hypothermia in very low/extremely low birth weight infants: a meta-analysis

Introduction Previous studies have explored factors that influence the occurrence of hypothermia in very low/extremely low birth weight (VLBW/ELBW) infants, but the factors associated with hypothermia in VLBW or ELBW infants remain inadequately evaluated due to limited prospective data and inconsist...

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Main Authors: Qinchuan Shi, Jingjing Zhang, Chong Fan, Aixia Zhang, Zhu Zhu, Yingying Tian
Format: Article
Language:English
Published: PeerJ Inc. 2023-02-01
Series:PeerJ
Subjects:
Online Access:https://peerj.com/articles/14907.pdf
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author Qinchuan Shi
Jingjing Zhang
Chong Fan
Aixia Zhang
Zhu Zhu
Yingying Tian
author_facet Qinchuan Shi
Jingjing Zhang
Chong Fan
Aixia Zhang
Zhu Zhu
Yingying Tian
author_sort Qinchuan Shi
collection DOAJ
description Introduction Previous studies have explored factors that influence the occurrence of hypothermia in very low/extremely low birth weight (VLBW/ELBW) infants, but the factors associated with hypothermia in VLBW or ELBW infants remain inadequately evaluated due to limited prospective data and inconsistency in study populations. Therefore, it is necessary to systematically evaluate the risk factors of hypothermia in VLBW/ELBW infants in order to provide a theoretical basis for clinical practice. Methods PubMed and other databases were used to search for case-control or cohort studies on factors influencing the occurrence of hypothermia in VLBW/ELBW infants. The search time was set from database creation to June 30th, 2022. Literature screening, quality evaluation, and data extraction were performed independently by two investigators according to predefined inclusion and exclusion criteria. Meta-analysis was performed using RevMan 5.3. Results A total of 10 papers were finally included in this study and 12 factors were established by meta-analysis: body weight (six papers), failure to keep warm in time (three papers), neonatal resuscitation (seven papers), gestational age (three papers), premature rupture of membranes (three papers), maternal combined complications (four papers), cesarean section (six papers), antenatal steroids (four papers), multiple birth (two papers), small for gestational age (two papers), 1 min Apgar score (three papers), and 5 min Apgar score (three papers). Since only one study included race, age (hour), socio-economic status, and spontaneous labor, these factors could not be fitted into RevMan 5.3 for the analysis. Conclusion Although there were differences in the study design of the included literature, the influencing factors described in each study were relatively similar. The influencing factors identified in this study may contribute to the construction of related intervention strategies for hypothermia in VLBW/ELBW infants.
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spelling doaj.art-51403d12eb5c4d5b849320fa47d9a2be2023-12-03T11:32:39ZengPeerJ Inc.PeerJ2167-83592023-02-0111e1490710.7717/peerj.14907Factors influencing hypothermia in very low/extremely low birth weight infants: a meta-analysisQinchuan Shi0Jingjing Zhang1Chong Fan2Aixia Zhang3Zhu Zhu4Yingying Tian5Pediatric Surgery, Women’s Hospital of Nanjing Medical University, Nanjing Maternity and Child Health Care Hospital, Nanjing, Jiangsu, PR ChinaObstetrics, Women’s Hospital of Nanjing Medical University, Nanjing Maternity and Child Health Care Hospital, Nanjing, Jiangsu, PR ChinaEmergency Medicine, Women’s Hospital of Nanjing Medical University, Nanjing Maternity and Child Health Care Hospital, Nanjing, Jiangsu, PR ChinaNursing, Women’s Hospital of Nanjing Medical University, Nanjing Maternity and Child Health Care Hospital, Nanjing, Jiangsu, PR ChinaNursing, Women’s Hospital of Nanjing Medical University, Nanjing Maternity and Child Health Care Hospital, Nanjing, Jiangsu, PR ChinaSpecial Section, Women’s Hospital of Nanjing Medical University, Nanjing Maternity and Child Health Care Hospital, Nanjing, Jiangsu, PR ChinaIntroduction Previous studies have explored factors that influence the occurrence of hypothermia in very low/extremely low birth weight (VLBW/ELBW) infants, but the factors associated with hypothermia in VLBW or ELBW infants remain inadequately evaluated due to limited prospective data and inconsistency in study populations. Therefore, it is necessary to systematically evaluate the risk factors of hypothermia in VLBW/ELBW infants in order to provide a theoretical basis for clinical practice. Methods PubMed and other databases were used to search for case-control or cohort studies on factors influencing the occurrence of hypothermia in VLBW/ELBW infants. The search time was set from database creation to June 30th, 2022. Literature screening, quality evaluation, and data extraction were performed independently by two investigators according to predefined inclusion and exclusion criteria. Meta-analysis was performed using RevMan 5.3. Results A total of 10 papers were finally included in this study and 12 factors were established by meta-analysis: body weight (six papers), failure to keep warm in time (three papers), neonatal resuscitation (seven papers), gestational age (three papers), premature rupture of membranes (three papers), maternal combined complications (four papers), cesarean section (six papers), antenatal steroids (four papers), multiple birth (two papers), small for gestational age (two papers), 1 min Apgar score (three papers), and 5 min Apgar score (three papers). Since only one study included race, age (hour), socio-economic status, and spontaneous labor, these factors could not be fitted into RevMan 5.3 for the analysis. Conclusion Although there were differences in the study design of the included literature, the influencing factors described in each study were relatively similar. The influencing factors identified in this study may contribute to the construction of related intervention strategies for hypothermia in VLBW/ELBW infants.https://peerj.com/articles/14907.pdfVery low birth weight infantsExtremely low birth weight infantsHypothermiaMeta-analysis
spellingShingle Qinchuan Shi
Jingjing Zhang
Chong Fan
Aixia Zhang
Zhu Zhu
Yingying Tian
Factors influencing hypothermia in very low/extremely low birth weight infants: a meta-analysis
PeerJ
Very low birth weight infants
Extremely low birth weight infants
Hypothermia
Meta-analysis
title Factors influencing hypothermia in very low/extremely low birth weight infants: a meta-analysis
title_full Factors influencing hypothermia in very low/extremely low birth weight infants: a meta-analysis
title_fullStr Factors influencing hypothermia in very low/extremely low birth weight infants: a meta-analysis
title_full_unstemmed Factors influencing hypothermia in very low/extremely low birth weight infants: a meta-analysis
title_short Factors influencing hypothermia in very low/extremely low birth weight infants: a meta-analysis
title_sort factors influencing hypothermia in very low extremely low birth weight infants a meta analysis
topic Very low birth weight infants
Extremely low birth weight infants
Hypothermia
Meta-analysis
url https://peerj.com/articles/14907.pdf
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