TABLE 2.
RR and 95% CI for the Effect of KMC Compared With Conventional Care on Dichotomous Neonatal Outcomes
Outcome | All Studies | RCT and Adjusted Observational Studies | ||||||||
---|---|---|---|---|---|---|---|---|---|---|
n | RR (95% CI)a | P | Test for Heterogeneity (P) | I2, %b | n | RR (95% CI)a | p | Test for Heterogeneity (P) | I2, %b | |
Mortality | ||||||||||
Latest follow-up46–61 | 16 | 0.77 (0.60 to 0.99) | .05 | <.01 | 67 | 12 | 0.95 (0.73 to 1.23) | .69 | .13 | 32 |
≤45 d46–55,58 | 11c | 0.79 (0.57 to 1.10) | .17 | <.01 | 77 | 7 | 1.16 (0.91 to 1.47) | .23 | .29 | 18 |
3–12 mo46,47,56,57,59–61 | 7c | 0.59 (0.43 to 0.82) | <.01 | .63 | 0 | 6 | 0.67 (0.47 to 0.96) | .03 | .88 | 0 |
LBW <2000 g46–54,56–61 | 15 | 0.64 (0.46 to 0.89) | .01 | <.01 | 72 | 11 | 0.86 (0.59 to 1.24) | .41 | .10 | 38 |
All birth weights50,55 | 2 | 1.04 (0.82 to 1.33) | .73 | .83 | 0 | 1 | 1.06 (0.80 to 1.41) | .70 | — | — |
Exclusive breastfeeding | ||||||||||
Discharge or 40–41 wk PMA28,50,59,62–71 | 13 | 1.50 (1.26 to 1.78) | <.01 | <.01 | 93 | 8 | 1.25 (1.10 to 1.42) | <.01 | <.01 | 59 |
1–4 mo old45,62,63,65,69,72–74 | 8 | 1.39 (1.11 to 1.74) | .01 | .02 | 60 | 6 | 1.53 (1.08 to 2.18) | .02 | <.01 | 71 |
Other | ||||||||||
Infection15,27,28,48,52,53,58,60,65,67,75,76 | 12 | 0.67 (0.43 to 1.05) | .08 | <.01 | 60 | 10 | 0.60 (0.36 to 1.01) | 0.05 | <.01 | 65 |
Sepsis15,27,28,48,52,53,58,65 | 8 | 0.53 (0.34 to 0.83) | .01 | .23 | 25 | 7 | 0.44 (0.29 to 0.66) | <.01 | .49 | 0 |
NEC49,58,65 | 3 | 0.96 (0.45 to 2.04) | .92 | .45 | 0 | 3 | 0.96 (0.45 to 2.04) | .92 | .45 | 0 |
Hypothermia15,18,36,48,52,58,65,77,78 | 9 | 0.22 (0.12 to 0.41) | <.01 | <.01 | 71 | 7 | 0.28 (0.15 to 0.53) | <.01 | .01 | 65 |
Hyperthermia15,48,52 | 3 | 0.77 (0.59 to 1.01) | .06 | .88 | 0 | 3 | 0.77 (0.59 to 1.01) | .06 | .88 | 0 |
Apnea27,46,48,52,58,65 | 6 | 0.39 (0.13 to 1.14) | .09 | .12 | 42 | 6 | 0.39 (0.13 to 1.14) | .09 | .12 | 42 |
Hypoglycemia27,48 | 2 | 0.12 (0.05 to 0.32) | <.01 | .53 | 0 | 2 | 0.12 (0.05 to 0.32) | <.01 | .53 | 0 |
Readmission60,74 | 2 | 0.42 (0.23 to 0.76) | <.01 | 1.00 | 0 | 1 | 0.42 (0.14 to 1.29) | .13 | — | — |