Evidence map›Paper›PMID 32548575›Full record

ArticleEClinicalMedicine2020

Hospitalising preterm infants in single family rooms versus open bay units: A systematic review and meta-analysis of impact on parents.

Nicole R van Veenendaal, Anne A M W van Kempen, Linda S Franck, Karel O'Brien, Jacqueline Limpens, Johanna H van der Lee, Johannes B van Goudoever, Sophie R D van der Schoor

Abstract read
In one paragraph

Article in EClinicalMedicine, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 37 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
37citing papers in PubMed, 2 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

37 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pooled it
  3. Trial
  4. Review
  5. Article
  6. Article
  7. Article
  8. Review
  9. Article
  10. A Compassion-Focused Approach to Support Parents After Preterm Birth.Clinical child and family psychology review · 2025
    Review
  11. Observational
  12. Sociodemographic characteristics of maternal presence in neonatal intensive care: an intersectional analysis.Journal of perinatology : official journal of the California Perinatal Association · 2025
    Article
  13. Parents' Experiences With Couplet Care Following Caesarean Section in an Integrated Neonatal and Maternity Unit.Advances in neonatal care : official journal of the National Association of Neonatal Nurses · 2025
    Article
  14. Article
  15. Article
  16. Article
  17. Article
  18. Article
  19. Article
  20. Maternal stress and breastfeeding outcomes in the NICU couplet care experience: a prospective cohort study.Journal of perinatology : official journal of the California Perinatal Association · 2024
    Article
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

8 authors.

Nicole R van VeenendaalDepartment of Pediatrics/Neonatology, OLVG, Amsterdam, Netherlands.
Anne A M W van KempenDepartment of Pediatrics/Neonatology, OLVG, Amsterdam, Netherlands.
Linda S FranckSchool of Nursing, University of California San Francisco, San Francisco, CA, United States.
Karel O'BrienDepartment of Pediatrics, Mount Sinai Hospital, Toronto, Canada.
Jacqueline LimpensMedical Library Amsterdam UMC, University of Amsterdam, Amsterdam, The Netherlands.
Johanna H van der LeeAmsterdam UMC, University of Amsterdam, Vrije Universiteit, Emma Children's Hospital, Amsterdam, Netherlands.
Johannes B van GoudoeverAmsterdam UMC, University of Amsterdam, Vrije Universiteit, Emma Children's Hospital, Amsterdam, Netherlands.
Sophie R D van der SchoorDepartment of Pediatrics/Neonatology, OLVG, Amsterdam, Netherlands.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundMany parents develop stress-related symptoms and depression when their preterm infant is hospitalised in the neonatal intensive care unit (NICU) after birth. We reviewed the evidence of parent well-being with preterm infants hospitalised in single family rooms (SFRs) or in open bay neonatal units (OBUs).

methodsFor this systematic review and meta-analysis, we searched MEDLINE, EMBASE, PsycINFO, Cochrane Central Register of Controlled Trials (CENTRAL), Web of Science, Clinicaltrials.gov, and International Clinical Trials Registry Platform (ICTRP) databases from inception through 22 November 2019 using controlled terms and text words related to prematurity and NICU-design. We included randomised and non-randomised studies comparing outcomes in parents with preterm infants admitted to SFRs or OBUs. Methodological quality was assessed using Cochrane Collaboration's Risk of Bias Tool for randomised controlled trials and the Risk of Bias Tool for Non-Randomised Studies of Interventions (ROBINS-I). Outcomes included: parental stress, satisfaction, participation (presence/involvement/skin-to-skin care), self-efficacy, parent-infant-bonding, depression, anxiety, post-traumatic stress, empowerment, and degree of family-centred care. Summary estimates were calculated using random effects models with standardised mean differences (SMDs). PROSPERO registration: CRD42016050643.

findingsWe identified 614 unique publications. Eleven study populations (1, 850 preterm infants, 1, 549 mothers and 379 fathers) were included. All but one study were at serious to critical risk of bias. SFRs were associated with higher levels of parental presence, involvement, and skin-to-skin care. Upon discharge, SFRs were associated with lower stress levels (

interpretationSingle family rooms seem to facilitate parental presence, involvement, skin-to-skin care, and reduce NICU-related parental stress.

Indexed as

AA, at admissionBA, before-after studyBDI, Beck Depression InventoryCI, confidence intervalEPDS, Edinburgh Postnatal Depression ScaleFCC, Family-Centred CareFCCS, Family-Centred Care SurveyMo, monthsMPAS, Maternal Postnatal Attachment ScaleNA, not applicableNICU, Neonatal Intensive Care UnitNR, not reportedNRPI, non-randomised prospective intervention studyNRRI, non-randomised retrospective intervention studyOBU, Open Bay UnitPES, Parent Expectations ScalePG, Press Ganey NICU SurveyPRISMA, Preferred Reporting Items for Systematic Reviews and Meta-analysisPROSPERO, International Prospective Register of Systematic ReviewsPSI, Parental Stress IndexPSS-NICU, Parental Stressor Scale – NICURCT, Randomised Controlled TrialROBINS-I, Risk of Bias in Non-randomised Studies of InterventionsRoB, Risk of BiasSD, standard deviationSFR, Single Family RoomSMD, standardised mean differenceSPSQ, Swedish Parental Stress IndexSTAI, State-Trait Anxiety InventoryWks, weeks

Identifiers

PMID32548575
PMCPMC7284081

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.