Dataset Information

Short-time effect of the kangaroo position on electromyographic activity of premature infants: a randomized clinical trial.

ABSTRACT:

Objective

To verify the short-term influence of the kangaroo position (KP) on the electromyography activity of preterm newborns.

Method

A clinical study was conducted in a kangaroo unit sector (secondary and tertiary care) in the city of Recife, Brazil, with 44 preterm infants randomized to intervention (n=21) and control (n=23) groups. The KP was performed through a band that supports the newborn against the adult's thorax, in a prone and vertical position, and infants were dressed with few pieces of clothes, thus keeping skin-to-skin contact with the mother. Surface electromyography was used to investigate the muscle activity of the biceps brachii and hamstrings. The randomization of the groups was performed by the program R® (v. 3.3.1). The electromyography registrations were made at three different times: before the KP and after one and two hours of KP. In the control group, the registrations were performed at the times corresponding to those of the intervention group. The mean values of the electromyography activity among the times were analyzed by ANOVA for repeated measures and the Kruskal-Wallis test. The clinical trial was recorded in ClinicalTrials.gov (NCT02849665 - 07/28/2016).

Results

In the intervention group (n=21), there was a variation of the electromyography activity values between the three recording moments for both the biceps brachii and hamstrings. In the control group (n=23), there was no statistical difference between the recording moments for both.

Conclusions

The KP increases the short-term electromyographic activity of the biceps brachii and hamstrings.

SUBMITTER: Diniz KT

PROVIDER: S-EPMC9432240 | biostudies-literature | 2020 Nov - Dec

REPOSITORIES: biostudies-literature

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Publications

Short-time effect of the kangaroo position on electromyographic activity of premature infants: a randomized clinical trial.

Diniz Kaísa Trovão KT Cabral Filho José Eulálio JE Miranda Rafael Moura RM Lima Geisy Maria Souza GMS Figueredo Natália Priscila Dos Santos NPDS Araújo Kalline Fernanda Nunes de KFN

Jornal de pediatria 20191014 6

<h4>Objective</h4>To verify the short-term influence of the kangaroo position (KP) on the electromyography activity of preterm newborns.<h4>Method</h4>A clinical study was conducted in a kangaroo unit sector (secondary and tertiary care) in the city of Recife, Brazil, with 44 preterm infants randomized to intervention (n=21) and control (n=23) groups. The KP was performed through a band that supports the newborn against the adult's thorax, in a prone and vertical position, and infants were dress ...[more]

PMID: 31622569

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Project description:BackgroundThe short-term and long-term severe complications of preterm infants have brought serious psychological and economic burdens to the society and family. Therefore, our study aimed to investigate the risk factors for the mortality and serious complications in very premature infants less than 32 weeks of gestational age (GA), so as to guide the antenatal and postnatal care of very premature.MethodsThe very premature infants from 1 January 2019 to 31 December 2021 from 15 member hospitals of the Neonatal Intensive Care Unit (NICU) Multi-center Clinical Research Collaboration Group in Jiangsu Province were recruited. In accordance with the plan of the intensive care unit for unified management, recruitment of premature infants is carried out on the day of admission, and discharge or death is the outcome indicator in 1-2 months by telephone follow-up. The research content mainly includes three aspects: clinical information of mother and infant, outcomes and complications. According to the final outcomes, very premature infants were divided into two categories: survival without severe complications, survival with severe complications and death. Then, univariate and multivariate logistic regression model and receiver operating characteristic (ROC) analyses were used to analyze the independent risk factors.ResultsA total of 3,200 very premature infants with GA less than 32 weeks were recruited. The median GA is 30.00 (28.57, 31.14) weeks, the average birth weight is 1,350 (1,110, 1,590) g, among whom 375 premature infants survived with severe complications, and 2,391 premature infants survived without severe complications. Then, it was found that GA at birth was a protective factor for death and severe complications, whereas severe neonatal asphyxia and persistent pulmonary hypertension of the newborn (PPHN) were independent risk factors for death and severe complications in very premature infants born at less than 32 weeks of gestation.ConclusionsThe prognosis of very premature infants in NICU treatment depends not only on GA, but also on various perinatal factors and their clinical management, such as preterm asphyxia and PPHN occurrence, so the next step is necessary for multicenter continuous quality improvement to improve outcomes in very preterm infants.

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Dataset Information

Short-time effect of the kangaroo position on electromyographic activity of premature infants: a randomized clinical trial.

Objective

Method

Results

Conclusions

Publications

Short-time effect of the kangaroo position on electromyographic activity of premature infants: a randomized clinical trial.

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