TABLE 3.
Outcome | All Studies | RCT and Randomized Crossover Studies | ||||||||
---|---|---|---|---|---|---|---|---|---|---|
n | MD (95% CI)a | P | Test for Heterogeneity (P) | I2, %b | n | MD (95% CI)a | P | Test for Heterogeneity (P) | I2, %b | |
Vital signs | ||||||||||
Heart rate, beats/min38,65,79–91 | 15 | −0.41 (−2.25 to 1.42) | .66 | .03 | 46 | 2 | 0.04 (−1.60 to 1.68) | .96 | .60 | 0 |
Respiratory rate, breaths/min52,65,79,81,83–90 | 12 | −3.17 (−5.15 to −1.19) | <0.01 | <.01 | 75 | 3 | −5.49 (-8.80 to −2.18) | <.01 | <.01 | 88 |
Oxygen saturation, %52,65,79–81,83–90,92 | 14 | 0.90 (0.35 to 1.45) | <.01 | <.01 | 92 | 4 | 1.28 (0.39 to 2.17) | .01 | <.01 | 86 |
Temperature, °C65,78–83,85–87,89,93–95 | 14 | 0.24 (0.15 to 0.33) | <.01 | <.01 | 82 | 3 | 0.24 (0.04 to 0.44) | .02 | <.01 | 91 |
Breastfeeding initiation time, SMD48,52,96,97 | 4 | −1.07 (−2.30 to 0.17) | .09 | <.01 | 97 | 4 | −1.07 (−2.30 to 0.17) | .09 | <.01 | 97 |
Growth | ||||||||||
Wt change, g14,18,53,59,98 | 5 | 3.29 (−4.95 to 11.52) | .43 | .02 | 67 | 2 | 8.30 (1.16 to 15.43) | .02 | .31 | 3 |
Wt change, g/day28,48,58,99,100 | 5 | 2.58 (−0.51 to 5.67) | .10 | <.01 | 81 | 4 | 3.04 (−1.35 to 7.43) | .18 | <.01 | 84 |
Wt change, g/kg/day49,99 | 2 | −0.84 (−3.39 to 1.70) | .52 | .02 | 81 | 0 | — | — | — | — |
Wt change, SMD14,18,28,48,49,53,58,59,98–100 | 11 | 0.16 (−0.08 to 0.40) | .21 | <.01 | 81 | 6 | 0.33 (−0.05 to 0.70) | .09 | <.01 | 83 |
Length change, cm/wk18,96 | 2 | 0.15 (−0.09 to 0.39) | 0.21 | .03 | 79 | 2 | 0.15 (−0.09 to 0.39) | .21 | .03 | 79 |
Length change, SMD18,48,58 | 3 | 0.24 (−0.02 to 0.49) | .07 | .26 | 25 | 3 | 0.24 (−0.02 to 0.49) | .07 | .26 | 25 |
Head circumference change, cm/wk18,28,48 | 3 | 0.19 (0.01 to 0.37) | .04 | <.01 | 89 | 3 | 0.19 (0.01 to 0.37) | .04 | <.01 | 89 |
Head circumference change, SMD18,28,48,58 | 4 | 0.61 (0.20 to 1.02) | <.01 | <.01 | 77 | 4 | 0.61 (0.20 to 1.02) | <.01 | <.01 | 77 |
Pain | ||||||||||
Pain score, SMD38,101–109 | 10 | −0.63 (−1.09 to −0.16) | .01 | <.01 | 89 | 8 | −0.75 (−1.28 to −0.22) | .01 | <.01 | 89 |
Premature Infant Pain Profile score, 0–2138,103–105,107–109 | 7 | −0.83 (−1.53 to −0.13) | .02 | <.01 | 88 | 5 | −0.98 (−1.83 to −0.13) | .02 | <.01 | 91 |
Neonatal Infant Pain Scale score, 0–738,102,106 | 3 | −1.14 (−2.34 to 0.05) | .06 | <.01 | 85 | 2 | −1.21 (−2.88 to 0.45) | .15 | <.01 | 91 |
Neonatal Facial Coding System score, 0–10101,102 | 2 | −1.40 −3.08 to 0.28) | .10 | <.01 | 91 | 2 | −1.40 (−3.08 to 0.28) | .10 | <.01 | 91 |
Crying duration after painful stimulus, s110–112 | 3 | −11.30(-19.79 to-2.80) | .01 | .80 | 0 | 3 | −11.30(−19.79 to −2.80) | .01 | .80 | 0 |
Heart rate during painful stimulus, beats/min111–113 | 3 | −7.46 (−12.98 to −1.93) | .01 | .25 | 29 | 3 | −7.46 (−12.98 to −1.93) | .01 | .25 | 29 |
Heart rate after painful stimulus, beats/min101,103,114,115 | 4 | −4.00 (−8.93 to 0.93) | .11 | <.01 | 87 | 3 | −7.52 (−8.47 to −6.58) | <.01 | .54 | 0 |
Other | ||||||||||
Length of hospital stay, days14,18,48,49,52,53,68,71,99,100,116,117 | 12 | −0.68 (−2.11 to 0.75) | .35 | <.01 | 95 | 5 | −0.38 (−2.99 to 2.23) | .78 | <.01 | 91 |
Cortisol, SMD38,95,107 | 3 | −0.44 (−0.94 to 0.06) | .08 | .12 | 54 | 2 | −0.58 (−0.88 to −0.29) | <.01 | .33 | 0 |
SMD, standardized mean difference.
Random effects MD.
I2: variation in RR or MD attributable to heterogeneity.