Vitamin E for intraventricular hemorrhage prevention in preterm neonates: A systematic review and meta‐analysis

Abstract Background Some research suggests that vitamin E may help prevent intraventricular hemorrhage (IVH) in preterm neonates. However, consolidated evidence regarding its effects on brain vascular health in this population is lacking. This study systematically reviews primary research on this to...

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Main Authors: Felipe Araujo Gouhie, Ana Clara Nogueira Cezar, Davi Alves Silva, Beatriz Rizzo Parreira, Larissa Ferreira Machado, Laura Caroline Felipe deFreitas, Paulo Roberto daSilva Lucena Patriota
Format: Article
Language:English
Published: Wiley 2025-06-01
Series:Neuroprotection
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Online Access:https://doi.org/10.1002/nep3.70005
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author Felipe Araujo Gouhie
Ana Clara Nogueira Cezar
Davi Alves Silva
Beatriz Rizzo Parreira
Larissa Ferreira Machado
Laura Caroline Felipe deFreitas
Paulo Roberto daSilva Lucena Patriota
author_facet Felipe Araujo Gouhie
Ana Clara Nogueira Cezar
Davi Alves Silva
Beatriz Rizzo Parreira
Larissa Ferreira Machado
Laura Caroline Felipe deFreitas
Paulo Roberto daSilva Lucena Patriota
author_sort Felipe Araujo Gouhie
collection DOAJ
description Abstract Background Some research suggests that vitamin E may help prevent intraventricular hemorrhage (IVH) in preterm neonates. However, consolidated evidence regarding its effects on brain vascular health in this population is lacking. This study systematically reviews primary research on this topic. This study examines the effectiveness of vitamin E supplementation in preventing IVH in preterm neonates than a placebo, thus addressing gaps in the literature. Methods The Cochrane, Dimensions, Embase, and PubMed databases were searched for relevant studies based on specific inclusion criteria. Subsequently, the relevant data were extracted, and statistical analysis was conducted using R studio (version 4.3.1) by applying appropriate models to account for heterogeneity and generate a combined estimate. The results were interpreted considering potential biases and limitations. Results Five studies involving 554 patients were included. Among them, 274 (49.45%) received vitamin E. The results (relative ratio 0.57; 95% confidence interval 0.35–0.92; p = 0.02; I2 = 56%) demonstrated a reduction in the incidence of IVH in patients who received administration of vitamin E (n = 274) compared with those who received a placebo (n = 280). Conclusion These findings highlight the potential therapeutic benefits of vitamin E supplementation in preterm neonates, which show a significant reduction in IVH incidence than placebo. Further research and clinical trials are required to fully explore its protective effects in this population.
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spelling doaj-art-0c5332747114481ca4aa74a22bef2ec62025-08-20T03:27:47ZengWileyNeuroprotection2770-72962770-730X2025-06-013216517110.1002/nep3.70005Vitamin E for intraventricular hemorrhage prevention in preterm neonates: A systematic review and meta‐analysisFelipe Araujo Gouhie0Ana Clara Nogueira Cezar1Davi Alves Silva2Beatriz Rizzo Parreira3Larissa Ferreira Machado4Laura Caroline Felipe deFreitas5Paulo Roberto daSilva Lucena Patriota6Faculty of Medicine Federal University of Uberlândia Uberlândia Minas Gerais BrazilFaculty of Medicine Federal University of Uberlândia Uberlândia Minas Gerais BrazilFaculty of Medicine Federal University of Uberlândia Uberlândia Minas Gerais BrazilFaculty of Medicine Federal University of Uberlândia Uberlândia Minas Gerais BrazilFaculty of Medicine Federal University of Uberlândia Uberlândia Minas Gerais BrazilFaculty of Medicine Federal University of Uberlândia Uberlândia Minas Gerais BrazilFaculty of Medicine Federal University of Uberlândia Uberlândia Minas Gerais BrazilAbstract Background Some research suggests that vitamin E may help prevent intraventricular hemorrhage (IVH) in preterm neonates. However, consolidated evidence regarding its effects on brain vascular health in this population is lacking. This study systematically reviews primary research on this topic. This study examines the effectiveness of vitamin E supplementation in preventing IVH in preterm neonates than a placebo, thus addressing gaps in the literature. Methods The Cochrane, Dimensions, Embase, and PubMed databases were searched for relevant studies based on specific inclusion criteria. Subsequently, the relevant data were extracted, and statistical analysis was conducted using R studio (version 4.3.1) by applying appropriate models to account for heterogeneity and generate a combined estimate. The results were interpreted considering potential biases and limitations. Results Five studies involving 554 patients were included. Among them, 274 (49.45%) received vitamin E. The results (relative ratio 0.57; 95% confidence interval 0.35–0.92; p = 0.02; I2 = 56%) demonstrated a reduction in the incidence of IVH in patients who received administration of vitamin E (n = 274) compared with those who received a placebo (n = 280). Conclusion These findings highlight the potential therapeutic benefits of vitamin E supplementation in preterm neonates, which show a significant reduction in IVH incidence than placebo. Further research and clinical trials are required to fully explore its protective effects in this population.https://doi.org/10.1002/nep3.70005brain vascularintraventricular hemorrhagenewbornpreterm neonatesvitamin E
spellingShingle Felipe Araujo Gouhie
Ana Clara Nogueira Cezar
Davi Alves Silva
Beatriz Rizzo Parreira
Larissa Ferreira Machado
Laura Caroline Felipe deFreitas
Paulo Roberto daSilva Lucena Patriota
Vitamin E for intraventricular hemorrhage prevention in preterm neonates: A systematic review and meta‐analysis
Neuroprotection
brain vascular
intraventricular hemorrhage
newborn
preterm neonates
vitamin E
title Vitamin E for intraventricular hemorrhage prevention in preterm neonates: A systematic review and meta‐analysis
title_full Vitamin E for intraventricular hemorrhage prevention in preterm neonates: A systematic review and meta‐analysis
title_fullStr Vitamin E for intraventricular hemorrhage prevention in preterm neonates: A systematic review and meta‐analysis
title_full_unstemmed Vitamin E for intraventricular hemorrhage prevention in preterm neonates: A systematic review and meta‐analysis
title_short Vitamin E for intraventricular hemorrhage prevention in preterm neonates: A systematic review and meta‐analysis
title_sort vitamin e for intraventricular hemorrhage prevention in preterm neonates a systematic review and meta analysis
topic brain vascular
intraventricular hemorrhage
newborn
preterm neonates
vitamin E
url https://doi.org/10.1002/nep3.70005
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