Evidence map›Paper›PMID 30193382›Full record

ArticleAmerican journal of perinatology2019

Increased Frequency of Skin-to-Skin Contact Is Associated with Enhanced Vagal Tone and Improved Health Outcomes in Preterm Neonates.

Megan M Marvin, Fumiyuki C Gardner, Kristin M Sarsfield, R Alberto Travagli, Kim K Doheny

Abstract read
In one paragraph

Article in American journal of perinatology, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed
–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

13 citing papers in PubMed.

  1. Trial
  2. Observational
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  5. Article
  6. Review
  7. Article
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  12. Necrotizing enterocolitis: It's not all in the gut.Experimental biology and medicine (Maywood, N.J.) · 2020
    Review
  13. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors.

Megan M MarvinDivision of Neonatal-Perinatal Medicine, Department of Pediatrics, The Pennsylvania State University, College of Medicine, Hershey, Pennsylvania.
Fumiyuki C GardnerDivision of Neonatal-Perinatal Medicine, Department of Pediatrics, The Pennsylvania State University, College of Medicine, Hershey, Pennsylvania.
Kristin M SarsfieldDivision of Neonatal-Perinatal Medicine, Department of Pediatrics, The Pennsylvania State University, College of Medicine, Hershey, Pennsylvania.
R Alberto TravagliDepartment of Neural and Behavioral Sciences, The Pennsylvania State University, College of Medicine, Hershey, Pennsylvania.
Kim K DohenyDivision of Neonatal-Perinatal Medicine, Department of Pediatrics, The Pennsylvania State University, College of Medicine, Hershey, Pennsylvania.

Funding

Vagal Dysregulation in Neonatal Gastrointestinal PathologyR01DK099350 · NIDDK · PENNSYLVANIA STATE UNIV HERSHEY MED CTR · PI KOPENHAVER DOHENY, KIM, TRAVAGLI, RENATO ALBERTO · 2014 to 2017
$2.2M
NIDDK NIH HHS R01 DK099350
6 · The paper itself

Abstract

objectiveAn estimation of the individual's ability to cope with environmental adversity, that is, stress resiliency, can be extrapolated by measuring cardiac vagal tone, that is, high-frequency heart rate variability (HF-HRV); indeed, higher HF-HRV is associated with health and developmental advantages for preterm neonates. Previous studies show skin-to-skin contact (SSC) improves stress resiliency; however, linkages between SSC and HF-HRV on outcomes have not been assessed. We aimed to test the hypothesis that increased SSC frequency would enhance HF-HRV, reduce neonatal morbidity, and improve developmental outcomes. STUDY

designWeekly electrocardiograms and clinical data were obtained from 101 preterm neonates. SSC frequency was determined from the electronic medical record.

resultsAt postnatal week 1, frequency of SSC and HF-HRV were positively correlated (

conclusionHigher SSC frequency was associated with increased HF-HRV during the first postnatal week. SSC and HF-HRV uniquely predicted diminished neonatal morbidity throughout hospitalization. Additionally, HF-HRV uniquely predicted earlier PMA at discharge. Augmenting SSC early in life enhances stress resiliency and improves health outcomes.

Indexed as

Kangaroo-Mother Care MethodElectrocardiographyFemaleHeart RateHumansInfant, NewbornInfant, PrematureMaleProspective StudiesRegression AnalysisVagus Nerve

Identifiers

PMID30193382
PMCPMC6405324

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Registered trials

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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.