Evidence map›Paper›PMID 22696346›Full record

SynthesisThe Cochrane database of systematic reviews2012

Body positioning for spontaneously breathing preterm infants with apnoea.

Sandie L Bredemeyer, Jann P Foster

Abstract readMeta-AnalysisSystematic Review
PubMed Publisher
In one paragraph

Synthesis in The Cochrane database of systematic reviews, 2012. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers, 5 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed, 5 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

7 citing papers in PubMed, 5 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pooled it
  3. Pooled it
  4. Body positioning for spontaneously breathing preterm infants with apnoea.The Cochrane database of systematic reviews · 2017
    Pooled it
  5. Pooled it
  6. Review
  7. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

2 authors.

Sandie L BredemeyerPerinatal Nursing, Centre for Nursing & Midwifery Research, RPA Women and Babies, School of Nursing, University of Sydney,Sydney, Australia. sandie@email.cs.nsw.gov.au
Jann P Foster

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundIt has been proposed that the use of body positioning may be a more effective way to reduce clinically significant apnoea than the use of more invasive measures.

objectivesTo determine the effect of body positioning on cardiorespiratory functioning in spontaneously breathing preterm infants with clinically significant apnoea. SEARCH

methodsWe searched the Cochrane Central Register of Controlled Trials (CENTRAL, The Cochrane Library, Issue 2, 2011), MEDLINE (1966 to March 2011), EMBASE (1988 to March 2011) and CINAHL (1988 to March 2011), abstracts of conference proceedings and citations of published articles. SELECTION CRITERIA: All studies in which infants or their sequence of body positioning was randomised or quasi-randomised. We included cross-over studies. DATA COLLECTION AND ANALYSIS: We performed assessment of trial quality, data extraction and synthesis of data using standard methods of the Cochrane Neonatal Review Group. MAIN

resultsFive studies (N = 114) were eligible for inclusion. None of the individual studies or the meta-analyses showed a reduction in apnoea, bradycardia, oxygen desaturation or oxygen saturation with body positioning (supine versus prone; prone versus right lateral; prone versus left lateral; right lateral versus left lateral; prone horizontal versus prone head elevated; right lateral horizontal versus right lateral head elevated and left lateral horizontal versus left lateral head elevated). AUTHORS'

conclusionsThere is insufficient evidence to determine the role of body positioning on apnoea, bradycardia, oxygen desaturation and oxygen saturation. Large randomised controlled trials are needed to determine the effect of body positioning on cardiorespiratory function in spontaneously breathing preterm infants.

Indexed as

ApneaBradycardiaHumansInfant, NewbornInfant, PrematureInfant, Premature, DiseasesPatient PositioningPostureRandomized Controlled Trials as TopicRespiration

Identifiers

PMID22696346

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.