Evidence map›Paper›PMID 38743769›Full record

SynthesisPloS one2024

Effect of topical emollient oil application on weight of preterm newborns: A systematic review and meta-analysis.

Fekadeselassie Belege Getaneh, Anissa Mohammed, Alemu Gedefie Belete, Amare Muche, Aznamariyam Ayres, Yibeltal Asmamaw, Zemen Mengesha, Asrat Dimtse, Natnael Moges Misganaw, Dires Birhanu Mihretie and 3 more

Abstract readSystematic ReviewMeta-Analysis
In one paragraph

Synthesis in PloS one, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing 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

2 citing papers in PubMed.

  1. Article
  2. 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

13 authors.

Fekadeselassie Belege GetanehCollege of Medicine and Health Sciences, Wollo University, Dessie, Ethiopia.ORCID 0000-0001-8729-1784
Anissa MohammedCollege of Medicine and Health Sciences, Wollo University, Dessie, Ethiopia.
Alemu Gedefie BeleteCollege of Medicine and Health Sciences, Wollo University, Dessie, Ethiopia.
Amare MucheCollege of Medicine and Health Sciences, Wollo University, Dessie, Ethiopia.ORCID 0000-0002-8533-3570
Aznamariyam AyresCollege of Medicine and Health Sciences, Wollo University, Dessie, Ethiopia.
Yibeltal AsmamawCollege of Medicine and Health Sciences, Wollo University, Dessie, Ethiopia.
Zemen MengeshaCollege of Medicine and Health Sciences, Wollo University, Dessie, Ethiopia.
Asrat DimtseCollege of Health Sciences, Addis Ababa University, Addis Ababa, Ethiopia.
Natnael Moges MisganawCollege of Health Sciences, Debre Tabor University, Debre Tabor, Ethiopia.
Dires Birhanu MihretieCollege of Health Sciences, Dilla University, Dilla, Ethiopia.
Zebenay Workneh BitewCollege of Health Sciences, St. Paul's Hospital Millennium Medical College, Addis Ababa, Ethiopia.
Meaza MengstuCollege of Medicine and Health Sciences, Wollo University, Dessie, Ethiopia.
Asressie MollaCollege of Medicine and Health Sciences, Wollo University, Dessie, Ethiopia.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundSynthesizing current evidence on interventions to improve survival outcomes in preterm infants is crucial for informing programs and policies. The objective of this study is to investigate the impact of topical emollient oil application on the weight of preterm infants.

methodsA systematic review and meta-analysis of randomized controlled trials (RCTs) was conducted. To identify relevant studies, comprehensive searches were conducted across multiple databases, including PubMed, Cochrane, Scopus, Clinical trials, ProQuest Central, Epistemonikos, and gray literature sources. The inclusion criteria were based on the PICO (Population, Intervention, Comparison, and Outcomes) format. Study quality was assessed using the Cochrane risk of bias tool for randomized trials (RoB 2.0). Data analysis was performed using StataCrop MP V.17 software, which included evaluating heterogeneity, conducting subgroup analysis, sensitivity analysis, and meta-regression. The findings were reported in accordance with the PRISMA checklist, and the review was registered with PROSPERO (CRD42023413770).

resultsOut of the initial pool of 2734 articles, a total of 18 studies involving 1454 preterm neonates were included in the final analysis. Fourteen of these studies provided data that contributed to the calculation of the pooled difference in mean weight gain in preterm neonates. The random effects meta-analysis revealed a significant pooled difference in mean weight gain of 52.15 grams (95% CI: 45.96, 58.35), albeit with high heterogeneity (I2 > 93.24%, p 0.000). Subgroup analyses were conducted, revealing that preterm infants who received massages three times daily with either sunflower oil or coconut oil exhibited greater mean differences in weight gain. Meta-regression analysis indicated that the type of emollient oil, duration of therapy, and frequency of application significantly contributed to the observed heterogeneity. A sensitivity analysis was performed, excluding two outlier studies, resulting in a pooled mean weight difference of 78.57grams (95% CI: 52.46, 104.68). Among the nine studies that reported adverse events, only two mentioned occurrences of rash and accidental slippage in the intervention groups.

conclusionThe available evidence suggests that the application of topical emollient oil in preterm neonates is likely to be effective in promoting weight gain, with a moderate-to-high level of certainty. Based on these findings, it is recommended that local policymakers and health planners prioritize the routine use of emollient oils in newborn care for preterm infants. By incorporating emollient oils into standard care protocols, healthcare providers can provide additional support to promote optimal growth and development in preterm infants.

Indexed as

EmollientsInfant, PrematureAdministration, TopicalHumansInfant, NewbornRandomized Controlled Trials as TopicWeight GainEmollients

Identifiers

PMID38743769
PMCPMC11093394

What OpenQuestion holds

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LicenceCC BY
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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.