Evidence map›Paper›PMID 40837552›Full record

ReviewCureus2025

The Thermoregulatory Effect of Immediate Skin-to-Skin Contact for Preterm Infants: A Systematic Review and Meta-Analysis With Trial Sequential Analysis.

Wardah Albzea, Hanaa F Alrashidi, Shahad Alsanea, Dhouha Alrakaf, Danah AlOmani, Fatemah Alazemi

Abstract readReview
In one paragraph

Review in Cureus, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. 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

6 authors.

Wardah AlbzeaDepartment of Internal Medicine, Faculty of Medicine, Alexandria University, Alexandria, EGY.
Hanaa F AlrashidiDepartment of Obstetrics and Gynecology, Kuwait Institute for Medical Specializations, Kuwait City, KWT.
Shahad AlsaneaDepartment of Obstetrics and Gynecology, ⁠Farwaniyah Hospital, Kuwait City, KWT.
Dhouha AlrakafDepartment of Obstetrics and Gynecology, ⁠Maternity Hospital, Kuwait City, KWT.
Danah AlOmaniDepartment of Obstetrics and Gynecology, Jaber Al-Ahmed Hospital, Kuwait City, KWT.
Fatemah AlazemiDepartment of Family and Community Medicine, Al-Rabya Health Care Centre, Kuwait City, KWT.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Neonatal thermoregulation poses a considerable challenge, particularly in premature or low-birth-weight infants. Skin-to-skin contact (SSC) is now a recommended strategy to maintain thermoregulation in term infants. Current evidence shows promising results for the application of immediate SSC in preterm infants. A systematic review and meta-analysis synthesizing evidence from randomized controlled trials (RCTs) obtained from PubMed, Google Scholar, CENTRAL, Scopus, and Web of Science until May 2025. Using Stata MP v. 17 (StataCorp LLC, College Station, TX, US), we pooled dichotomous outcomes and continuous outcomes, using relative risk (RR) and standardized mean difference, respectively, along with a 95% confidence interval (CI). Five trials and 401 patients were included in our analysis. Temperature was significantly lower in the SSC group after 60 minutes (MD: -0.21, 95% CI (-0.30, -0.12), P < 0.001). However, there was no significant difference between the two groups regarding hypothermia (RR: 1.23, 95% CI (0.71, 2.16), P = 0.46) and hyperthermia (RR: 0.73, 95% CI (0.52, 1.03), P = 0.07). Also, there was no significant difference between both groups regarding hypoglycemia (RR: 3.15, 95% CI (0.34, 29.37), P = 0.31), stability of the cardiorespiratory system in preterm infants (SCRIP) score (MD: 0.22, 95% CI (-0.10, 0.54), P = 0.18), breathing support (RR: 0.92, 95% CI (0.71, 1.22), P = 0.55), and surfactant administration (RR: 0.77, 95% CI (0.40, 1.45), P = 0.41). Immediate SSC for preterm infants showed a slight decrease in temperature after 60 minutes, showing promising tolerability. Still, despite uncertain evidence, this effect did not impact any other clinical outcome, including hypothermia, hyperthermia, hypoglycemia, SCRIP score, breathing support, or surfactant administration.

Indexed as

icukangaroo careneonatalnicusystematic review

Identifiers

PMID40837552
PMCPMC12362040

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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.