Factors influencing hypothermia in very low/extremely low birth weight infants: a meta-analysis

Qinchuan Shi; Jingjing Zhang; Chong Fan; Aixia Zhang; Zhu Zhu; Yingying Tian

doi:10.7717/peerj.14907

Factors influencing hypothermia in very low/extremely low birth weight infants: a meta-analysis

PeerJ. 2023 Feb 20:11:e14907. doi: 10.7717/peerj.14907. eCollection 2023.

Authors

Qinchuan Shi^#¹, Jingjing Zhang^#², Chong Fan³, Aixia Zhang⁴, Zhu Zhu⁴, Yingying Tian⁵

Affiliations

¹ Pediatric Surgery, Women's Hospital of Nanjing Medical University, Nanjing Maternity and Child Health Care Hospital, Nanjing, Jiangsu, PR China.
² Obstetrics, Women's Hospital of Nanjing Medical University, Nanjing Maternity and Child Health Care Hospital, Nanjing, Jiangsu, PR China.
³ Emergency Medicine, Women's Hospital of Nanjing Medical University, Nanjing Maternity and Child Health Care Hospital, Nanjing, Jiangsu, PR China.
⁴ Nursing, Women's Hospital of Nanjing Medical University, Nanjing Maternity and Child Health Care Hospital, Nanjing, Jiangsu, PR China.
⁵ Special Section, Women's Hospital of Nanjing Medical University, Nanjing Maternity and Child Health Care Hospital, Nanjing, Jiangsu, PR China.

^# Contributed equally.

Abstract

Introduction: Previous studies have explored factors that influence the occurrence of hypothermia in very low/extremely low birth weight (VLBW/ELBW) infants, but the factors associated with hypothermia in VLBW or ELBW infants remain inadequately evaluated due to limited prospective data and inconsistency in study populations. Therefore, it is necessary to systematically evaluate the risk factors of hypothermia in VLBW/ELBW infants in order to provide a theoretical basis for clinical practice.

Methods: PubMed and other databases were used to search for case-control or cohort studies on factors influencing the occurrence of hypothermia in VLBW/ELBW infants. The search time was set from database creation to June 30th, 2022. Literature screening, quality evaluation, and data extraction were performed independently by two investigators according to predefined inclusion and exclusion criteria. Meta-analysis was performed using RevMan 5.3.

Results: A total of 10 papers were finally included in this study and 12 factors were established by meta-analysis: body weight (six papers), failure to keep warm in time (three papers), neonatal resuscitation (seven papers), gestational age (three papers), premature rupture of membranes (three papers), maternal combined complications (four papers), cesarean section (six papers), antenatal steroids (four papers), multiple birth (two papers), small for gestational age (two papers), 1 min Apgar score (three papers), and 5 min Apgar score (three papers). Since only one study included race, age (hour), socio-economic status, and spontaneous labor, these factors could not be fitted into RevMan 5.3 for the analysis.

Conclusion: Although there were differences in the study design of the included literature, the influencing factors described in each study were relatively similar. The influencing factors identified in this study may contribute to the construction of related intervention strategies for hypothermia in VLBW/ELBW infants.

Keywords: Extremely low birth weight infants; Hypothermia; Meta-analysis; Very low birth weight infants.

Publication types

Meta-Analysis

MeSH terms

Cesarean Section
Female
Humans
Hypothermia* / etiology
Infant, Extremely Low Birth Weight*
Infant, Newborn
Pregnancy
Prospective Studies
Resuscitation

Grants and funding

This research was supported by the Nanjing Health Science and Technology Development Special Funding Project, Grant/Award Number YKK21168. The funders had no role in study design, data collection and analysis, decision to publish, or preparation of the manuscript.