Question · asked by 1 review

High‐dose vs standard‐dose strategies: Side effects (tachycardia, agitation, or feed intolerance) leading to a reduction in dose or withholding of caffeine

It is very uncertain whether high‐dose changes side effects (tachycardia, agitation or feed intolerance) leading to… compared with standard‐dose strategies (very low certainty).

What each review found

Current versions only
FindingEffectStudiesGRADE certainty
High‐dose vs standard‐dose strategies
Side effects (tachycardia, agitation or feed intolerance) leading to a reduction in dose or withholding of caffeine: high‐loading and high‐maintenance dose standard‐loading and standard‐maintenance dose · preterm infants with or at risk for apnea of prematurity
It is very uncertain whether high‐dose changes side effects (tachycardia, agitation or feed intolerance) leading to… compared with standard‐dose strategies (very low certainty).
Caffeine dosing regimens in preterm infants with or at risk for apnea of prematurity (2023) · Cochrane Headline outcomes only
RR 1.92 [0.53, 6.9]2 studies · 150 participantsVery low
High‐dose vs standard‐dose strategies
Side effects (tachycardia, agitation, or feed intolerance) leading to a reduction in dose or withholding of caffeine · preterm infants with or at risk for apnea of prematurity
The review found no eligible studies for this question.
Caffeine dosing regimens in preterm infants with or at risk for apnea of prematurity (2023) · Cochrane Headline outcomes only
no estimate extractedNot reportedNo studies found
High‐dose vs standard‐dose strategies
Side effects (tachycardia, agitation, or feed intolerance) leading to a reduction in dose or withholding of caffeine · preterm infants with or at risk for apnea of prematurity
High‐dose showed no clear difference in side effects (tachycardia, agitation, or feed intolerance) leading… compared with standard‐dose strategies (low certainty).
Caffeine dosing regimens in preterm infants with or at risk for apnea of prematurity (2023) · Cochrane Headline outcomes only
RR 1.66 [0.86, 3.23]5 studies · 593 participantsLow

Findings are shown side by side, never pooled across reviews.

The reviews

ReviewSearched up toIncluded studiesAMSTAR 2
Caffeine dosing regimens in preterm infants with or at risk for apnea of prematurity
2023 · Cochrane Headline outcomes only
Not reportedlist not extracted yetNot assessed

Studies behind the findings

None of these reviews ties its included studies to this outcome in the data here. Cochrane reviews and reviews with headline outcomes only do not list their studies yet.

How reviews are matched to this question

Reviews word the same question differently. Four decision models (TypeSafe's Jev, Liquid AI's d1-ultra, SubQ Snap and Baseten's Elephant) judged each wording of the population, intervention, comparator and outcome against the others; two wordings count as the same when at least three of them agree and none clearly disagrees, and findings count as this question only when all four elements match. Timing, setting and subgroup never split a question: they are shown on each finding.