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. 2016 Jan;137(1):e20152238. doi: 10.1542/peds.2015-2238

TABLE 3.

MD and 95% CI for the Effect of KMC Compared With Conventional Care on Continuous Neonatal Outcomes

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/min38,65,7991 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/min52,65,79,81,8390 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, %52,65,7981,8390,92 14 0.90 (0.35 to 1.45) <.01 <.01 92 4 1.28 (0.39 to 2.17) .01 <.01 86
 Temperature, °C65,7883,8587,89,9395 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, SMD14,18,28,48,49,53,58,59,98100 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, SMD38,101109 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, 0–2138,103105,107109 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, s110112 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/min111113 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.

a

Random effects MD.

b

I2: variation in RR or MD attributable to heterogeneity.