Heat Loss Prevention (Help) After Birth in Preterm Infants Using Vinyl Isolation Bag or Polyethylene Wrap

Çağlar, Seda; Gözen, Duygu; İnce, Zeynep

doi:10.1111/1552-6909.12291

Cited by 20 publications

(15 citation statements)

References 18 publications

(37 reference statements)

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“…Three articles [ 12 – 14 ] were excluded due to incomplete data. Two articles [ 15 , 16 ] were excluded due to ineligible study design ( S1 Table ).…”

Section: Resultsmentioning

confidence: 99%

Efficacy and Safety of Plastic Wrap for Prevention of Hypothermia after Birth and during NICU in Preterm Infants: A Systematic Review and Meta-Analysis

Guo

Zou

et al. 2016

PLoS ONE

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ObjectiveThis meta-analysis aimed to investigate the efficacy and safety of plastic wrap applied after birth and during NICU in preterm infants for prevention of heat loss in preterm infants.Study MethodsThe Medline (1950 to August 2015), the Cochrane Central Register of Controlled Trials (CENTRAL, Issue 7, 2015), CINAHL (1982 to August 2015) and the Embase (1974 to August 2015) databases were searched for randomized controlled trials (RCTs) or quasi-RCTs with main outcomes related to the core temperature (baseline temperature and/or post-stabilization temperature), hypothermia, mortality rate and hyperthermia.ResultThe included studies were of low to moderate quality. Compared with unwrapped infants, plastic wrap was associated with a significantly higher baseline temperature and post-stabilization temperature both in infants < 28 weeks of gestation (mean difference [MD] = 0.62, 95% CI 0.38 to 0.85; MD = 0.41, 95% CI 0.33 to 0.50, respectively), and in infants between 28 to 34 weeks of gestation (MD = 0.54, 95% CI 0.21 to 0.87; MD = 0.64, 95% CI 0.45 to 0.82, respectively). Use of plastic wrap was associated with lower incidence of hypothermia (relative risk [RR] = 0.70, 95% CI 0.63 to 0.78). However, use of plastic wrap in preterm infants was not associated with decrease in mortality (RR: 0.88, 95% CI 0.70 to 1.12, P = 0.31). Incidence of hyperthermia was significantly higher in the plastic wrap group as compared to that in the control group (RR = 2.55, 95% CI: 1.56 to 4.15, P = 0.0002). Hyperthermia in the plastic wrap group was resolved within one or two hours after unwrapping the babies.ConclusionPlastic wrap can be considered an effective and safe additional intervention to prevent hypothermia in preterm infants. However, its cost-effectiveness and long-term effect on mortality needs to be ascertained by conducting well-designed studies with longer follow-up period.

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“…Three articles [ 12 – 14 ] were excluded due to incomplete data. Two articles [ 15 , 16 ] were excluded due to ineligible study design ( S1 Table ).…”

Section: Resultsmentioning

confidence: 99%

Efficacy and Safety of Plastic Wrap for Prevention of Hypothermia after Birth and during NICU in Preterm Infants: A Systematic Review and Meta-Analysis

Guo

Zou

et al. 2016

PLoS ONE

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“…There have been a number of studies carried out on different interventions relating to preventing hypothermia for the preterm infant. Such studies include the impact of ambient room temperature on neonatal hypothermia (Duryea et al, ; Kent & Williams, ); the use of occlusive bags to prevent hypothermia (Bhavsar et al, , Caglar, Gozen, & Ince, ; Corado, Phelan & Zukowsky, ; Doglioni et al, ; Farhadi, Naderi, Rahmani, Gafari, & Khalilian, ; Godfrey et al, ; Knobel, Wimmer, & Holbert, ; Oatley, Blencowe, & Lawn, ); and the use of the trans‐warmer mattress to also prevent hypothermia (Chawla., Amaram, Gopal & Natarajan, ; Leslie, Wardle, Budge, Marlow, & Brocklehurst, ; McCarthy, Molloy, Twomey, Murphy, & O'Donnell, ; Singh, Duckett, Newton, & Watkinson, ). A multifactorial approach that combines interventions and evaluates outcomes is the best way forward (Knobel‐Dail, ; Wilson et al, ).…”

Section: Introductionmentioning

confidence: 99%

The effect of thermoregulation quality improvement initiatives on the admission temperature of premature/very low birth‐weight infants in neonatal intensive care units: A systematic review

Donnellan

Moore

Patton

et al. 2020

Specialist Pediatric Nursing

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Purpose The purpose of this review was to ascertain the impact of thermoregulation quality improvement initiatives (QIs) on the admission temperatures of premature/very‐low‐birth‐weight infants in neonatal intensive care units (NICUs). Methods A systematic search of databases Cumulative Index to Nursing and Allied Health Literature, Medline, Embase, and the Cochrane library was carried out. Specific inclusion and exclusion criteria were adhered to, with no publication date limitations added. The chosen studies were examined for quality, data were extracted and analysed, before a narrative synthesis was performed. The last search occurred on January 7, 2019, with PRISMA flow diagrams completed for identified studies. Results Ten studies of varying methodology design were included in this review. Variations of thermoregulation interventions were included in the 10 studies. Nevertheless, all of them demonstrated that admission temperature rates can be significantly improved by implementing a thermoregulation QI. The multidisciplinary team and ongoing education were seen as much needed components to the overall sustainability, and continuing success of the QI's. Practical Implications This systematic review determines that thermoregulation QIs can positively impact the admission temperatures of premature/very‐low‐birth‐weight infants in the NICU. Prevention of hypothermia is aimed at reducing the risks of developing major neonatal morbidities. The pooling of the results from the 10 studies helps in the sharing of outcome measures and thus, improving quantitative synthesis. More frequent monitoring of the axillary temperature would help in preventing hypothermia and hyperthermia occurring. Ongoing education and staff training are essential for managing thermoregulation successfully. Examining the compliance rates to such quality initiatives, and the variations in interventions would benefit from further research to ensure better standardisation of clinical practice.

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“…Such occlusive skin wrappings also reduce the rate of metabolic heat production 16 . Polyethylene skin wraps have proven to be simple and effective in reducing the risk of neonatal hypothermia in both term and preterm neonates without any associated adverse reactions save for possible hindrance in the process of resuscitation, should need arises 17,19 .…”

Section: Discussionmentioning

confidence: 99%

Effectiveness of Polyethylene Skin Wrap in Prevention of Hypothermia in Preterm and Low Birth Weight Neonates

Khan

Riaz

Aziz

et al. 2021

PAFMJ

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Objective: To establish the effectiveness of polyethylene skin wrap in prevention of neonatal hypothermia in preterm and low birth weight neonates. Study Design: Quasi-experimental study. Place and Duration of Study: Department of Pediatrics, Combined Military Hospital Quetta, from May 2015 to Apr 2017. Methodology: A total of 176 neonates were enrolled according to the inclusion and exclusion criteria, through non-probability consecutive sampling. Eighty eight newborns were randomly distributed to each of group “A” and “B” by lottery method. The intervention group “A” infants were wrapped in a polyethylene skin wrap from shoulders down while the control group “B” newborns were wrapped with conventional blankets. After shifting to neonatal intensive care unit, axillary temperatures were recorded with similar pediatric digital thermometers upon admission and after one hour and two hours following admission in the two groups. Results: The mean temperatures measured at one hour and two hours after admission showed significant statistical improvements in the intervention group as compared to the control group (<0.05). Conclusion: The use of polyethylene skin wrap in preterm and low birth weight neonates potentially offers a useful intervenetion in prevention of neonatal hypothermia.

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Heat Loss Prevention (Help) After Birth in Preterm Infants Using Vinyl Isolation Bag or Polyethylene Wrap

Cited by 20 publications

References 18 publications

Efficacy and Safety of Plastic Wrap for Prevention of Hypothermia after Birth and during NICU in Preterm Infants: A Systematic Review and Meta-Analysis

Efficacy and Safety of Plastic Wrap for Prevention of Hypothermia after Birth and during NICU in Preterm Infants: A Systematic Review and Meta-Analysis

The effect of thermoregulation quality improvement initiatives on the admission temperature of premature/very low birth‐weight infants in neonatal intensive care units: A systematic review

Effectiveness of Polyethylene Skin Wrap in Prevention of Hypothermia in Preterm and Low Birth Weight Neonates

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