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TUESDAY, Jan. 8, 2019 (HealthDay News) — For extremely preterm infants, the use of single-family rooms is associated with reduced sepsis incidence and improvements in breastfeeding rates during hospital stays but with no difference in long-term neurodevelopment, according to a review published online Jan. 7 in The Lancet Child & Adolescent Health<\/i>.<\/p>\n
Nicole R. van Veenendaal, M.D., from OLVG in Amsterdam, and colleagues conducted a systematic literature review to identify studies that compared outcomes of extremely preterm infants (<28 weeks of gestation) hospitalized in single-family rooms versus common open bay units.<\/p>\n
Based on the 13 studies included in the analysis (4,793 participants), the researchers found no differences in cognitive neurodevelopment using the Bayley Scales of Infant and Toddler Development-III at 18 to 24 months of corrected age. However, in single-family rooms, the incidence of sepsis was lower (4,165 infants; risk ratio [RR], 0.63) and exclusive breastfeeding at discharge was higher (484 infants; RR, 1.31) versus open bay units. There was no difference in hospital stay, growth, bronchopulmonary dysplasia, intraventricular hemorrhage, retinopathy of prematurity, or mortality.<\/p>\n
“To establish whether single rooms have an impact on long-term neurodevelopment we also need well-designed studies to examine the vast majority of preterm infants who are born after 32 weeks gestation, in whom no follow-up studies have been done,” a coauthor said in a statement.<\/p>\n
Three authors disclosed financial ties to Nutricia.<\/p>\n
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