The effectiveness of neonatal early supported transfer to home interventions for parents and preterm infants in neonatal intensive care units: A systematic review and meta-analysis.

Hamer, Oliver orcid iconORCID: 0000-0002-9631-0032, Hill, James Edward, Kuroski, Jennifer orcid iconORCID: 0000-0002-4406-5127, Gupta, Richa, Appleton, Victoria, Georgiou, George orcid iconORCID: 0000-0002-6314-7849, Thompson, Gillian Anne orcid iconORCID: 0000-0003-3392-8182 and Clegg, Andrew orcid iconORCID: 0000-0001-8938-7819 (2022) The effectiveness of neonatal early supported transfer to home interventions for parents and preterm infants in neonatal intensive care units: A systematic review and meta-analysis. Journal of Neonatal Nursing . (In Press)

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Official URL: https://doi.org/10.1016/j.jnn.2022.08.005

Abstract

Background
Preterm infants often need admission to a neonatal unit causing prolonged stress for parents. Evidence has shown that neonatal early supported transfer to home interventions may reduce stress levels. This systematic review investigates effectiveness of neonatal early supported transfer to home interventions for parents and preterm infants in neonatal intensive care units. Methods Six databases and two trials registries were searched from inception to February 2022.
Risk of bias was assessed using the RoB2 and ROBINS I tool.
Results
Ten studies were included. Neonatal early supported transfer to home interventions
reduced duration of hospital stay by up to 11 days compared to usual care, without
significantly increasing hospital re-admission rates (p= >0.05). Studies were judged to
have moderate to serious risk of bias.
Conclusions
The findings indicate that early supported transfer to home interventions may reduce
hospital stay with no evidence of difference in hospital admission rates, infants weight
gain or breastfeeding rates (compared to standard care). However, due to the dearth of
high-quality evidence it is not possible to make recommendations for implementation.


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