Lateral kangaroo position for thermal stability of extremely preterm: Non‐inferiority randomized controlled trial

Author:

Jimenez‐Fernández Lucía1,Serrano‐Gutierrez Ana1,Martínez‐Pérez Patricia1,Melchor‐Muñoz Patricia1,Fernández‐Carvajal Amalia1,Campos‐Martínez Belén1,Piris‐Borregas Salvador1,Pont‐Vilalta María2,Collados‐Gómez Laura134ORCID

Affiliation:

1. Neonatology Department 12 de Octubre University Hospital Madrid Spain

2. Radiodiagnostics Department 12 de Octubre University Hospital Madrid Spain

3. Invecuid Care Research Group Hospital 12 de Octubre Health Research Institute (i+12) Madrid Spain

4. Faculty of Biomedicine, Nursing and Nutrition Department Universidad Europea de Madrid Madrid Spain

Abstract

AbstractBackgroundKangaroo care (KC) is an evidence‐based best practice that can prevent major health complications in preterm infants. However, there is a lack of evidence on the feasibility and safety of placing extremely preterm infants under 28 weeks gestational age in KC position.AimTo compare thermal stability 60 min after the first KC session in the lateral versus prone position in extremely preterm infants under 28 weeks gestational age.Study DesignThis is a single‐centre, randomized, non‐inferiority, parallel clinical trial. The patients were extremely preterm infants during their first 5 days of life. Infants in the intervention group received KC in the lateral position while those in the control group received KC in the prone position. All infants receiving KC were inside their polyethylene bags but maintained skin‐to‐skin contact. The primary outcome was the axillary temperature of the infants, and the secondary outcome was the development of intraventricular haemorrhage.ResultsSeventy infants were randomized (35 per group). The mean gestational age was 26 +1(1+1) in both groups. In the first KC session, the infant temperature at 60 minutes was 36.79°C (0.43) in lateral KC position, and 36.78°C (0.38) in prone KC position (p = .022). In lateral KC position, 7.69% (2) of the children who, according to the cranial ultrasound performed before the first session, had no haemorrhage presented with intraventricular haemorrhage after the first session. In prone KC position, new haemorrhages appeared after the first session in 29.17% (7) (p = .08).ConclusionsThe lateral KC position is an alternative to the conventional prone KC position and maintains normothermia in infants under 28 weeks gestational age.Relevance to Clinical PracticeExtremely preterm infants are candidates for KC. Lateral KC position is an evidence‐based best practice that can be applied to preterm infants under 28 weeks GA. This evidence is particularly useful in performing umbilical catheterization on these patients.

Publisher

Wiley

Reference27 articles.

同舟云学术

1.学者识别学者识别

2.学术分析学术分析

3.人才评估人才评估

"同舟云学术"是以全球学者为主线,采集、加工和组织学术论文而形成的新型学术文献查询和分析系统,可以对全球学者进行文献检索和人才价值评估。用户可以通过关注某些学科领域的顶尖人物而持续追踪该领域的学科进展和研究前沿。经过近期的数据扩容,当前同舟云学术共收录了国内外主流学术期刊6万余种,收集的期刊论文及会议论文总量共计约1.5亿篇,并以每天添加12000余篇中外论文的速度递增。我们也可以为用户提供个性化、定制化的学者数据。欢迎来电咨询!咨询电话:010-8811{复制后删除}0370

www.globalauthorid.com

TOP

Copyright © 2019-2024 北京同舟云网络信息技术有限公司
京公网安备11010802033243号  京ICP备18003416号-3