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Each row is one question a systematic review asked: who, what, compared with what, and which outcome, with the effect it found and how certain that is. Words match anywhere in the field.

Limit to evidence status or GRADE (optional)

2,353 questions in 210 reviews · Neonatal

current versions
No studies 432 · 18.4%Ungraded 99 · 4.2%Very low 609 · 25.9%Low 737 · 31.3%Moderate 385 · 16.4%High 91 · 3.9%

Ungraded means an effect was reported without a GRADE rating; it is not a gap. No studies means the review found nothing to answer the question. The six categories are a display order, not a score.

QuestionEffectEvidenceStatus / GRADE
Summary of findings table ‐ Phenobarbital vs levetiracetam
Proportion of infants who develop sedation or drowsiness · clinically diagnosed neonatal seizures
Anti‐seizure medications for neonates with seizures (2023) · Cochrane
RR 1.88 [0.66, 5.37]2 studies · 180 participantsVery low
Summary of findings table ‐ Phenobarbital vs levetiracetam
Proportion of infants who develop epilepsy post discharge · clinically diagnosed neonatal seizures
Anti‐seizure medications for neonates with seizures (2023) · Cochrane
RR 0.5 [0.05, 4.94]1 study · 30 participantsVery low
Summary of findings table ‐ Phenobarbital vs phenytoin
Proportion of infants who achieve seizure control after the first loading dose of ASM ‐ not reported · neonates with EEG‐confirmed seizures
Anti‐seizure medications for neonates with seizures (2023) · Cochrane
no estimate extractedNRNo studies
Summary of findings table ‐ Phenobarbital vs phenytoin
Proportion of infants who achieve seizure control after the maximal loading dose of ASM · neonates with EEG‐confirmed seizures
Anti‐seizure medications for neonates with seizures (2023) · Cochrane
RR 0.97 [0.54, 1.72]1 study · 59 participantsVery low
Summary of findings table ‐ Phenobarbital vs phenytoin
Mortality or neurodevelopmental disability at 18 to 24 months' corrected age ‐ not reported · neonates with EEG‐confirmed seizures
Anti‐seizure medications for neonates with seizures (2023) · Cochrane
no estimate extractedNRNo studies
Summary of findings table ‐ Phenobarbital vs phenytoin
Proportion of infants who achieve seizure control after first loading dose of ASM · neonates with clinically diagnosed seizures
Anti‐seizure medications for neonates with seizures (2023) · Cochrane
RR 1.92 [1.4, 2.64]2 studies · 179 participantsLow
Summary of findings table ‐ Phenobarbital vs phenytoin
Proportion of infants who achieve seizure control after maximal loading dose ‐ not reported · neonates with clinically diagnosed seizures
Anti‐seizure medications for neonates with seizures (2023) · Cochrane
no estimate extractedNRNo studies
Summary of findings table ‐ Phenobarbital vs levetiracetam
Proportion of infants who achieve seizure control after the maximal loading dose of ASM · neonates with EEG‐confirmed seizures
Anti‐seizure medications for neonates with seizures (2023) · Cochrane
RR 2.83 [1.78, 4.5]1 study · 83 participantsModerate
Summary of findings table ‐ Phenobarbital vs phenytoin
Mortality or neurodevelopmental disability at 18 to 24 months' corrected age ‐ not reported · neonates with clinically diagnosed seizures
Anti‐seizure medications for neonates with seizures (2023) · Cochrane
no estimate extractedNRNo studies
Summary of findings table ‐ Phenobarbital vs phenytoin
Mortality before hospital discharge · neonates with clinically diagnosed seizures
Anti‐seizure medications for neonates with seizures (2023) · Cochrane
RR 1.33 [0.79, 2.26]2 studies · 179 participantsVery low
Summary of findings table ‐ Phenobarbital vs phenytoin
Requirement of mechanical ventilation · neonates with clinically diagnosed seizures
Anti‐seizure medications for neonates with seizures (2023) · Cochrane
RR 7.13 [0.38, 134.78]1 study · 109 participantsVery low
Summary of findings table ‐ Phenobarbital vs phenytoin
Proportion of infants who develop sedation or drowsiness · neonates with clinically diagnosed seizures
Anti‐seizure medications for neonates with seizures (2023) · Cochrane
RR 23 [1.41, 375.77]1 study · 70 participantsVery low
Summary of findings table ‐ Phenobarbital vs Lorazepam
Proportion of infants who achieve seizure control after the first loading dose of ASM · Neonates with clinically diagnosed seizures
Anti‐seizure medications for neonates with seizures (2023) · Cochrane
RR 0.71 [0.53, 0.94]1 study · 71 participantsVery low
Summary of findings table ‐ Phenobarbital vs Lorazepam
Proportion of infants who achieve seizure control after the maximal loading dose of ASM ‐ not reported · Neonates with clinically diagnosed seizures
Anti‐seizure medications for neonates with seizures (2023) · Cochrane
no estimate extractedNRNo studies
Summary of findings table ‐ Phenobarbital vs Lorazepam
Mortality or neurodevelopmental disability at 18 to 24 months' corrected age ‐ not reported · Neonates with clinically diagnosed seizures
Anti‐seizure medications for neonates with seizures (2023) · Cochrane
no estimate extractedNRNo studies
Summary of findings table ‐ Phenobarbital vs Lorazepam
Mortality before hospital discharge · Neonates with clinically diagnosed seizures
Anti‐seizure medications for neonates with seizures (2023) · Cochrane
RR 1.76 [0.79, 3.95]1 study · 71 participantsVery low
Summary of findings table ‐ Phenobarbital vs Lorazepam
Proportion of infants who develop sedation or drowsiness · Neonates with clinically diagnosed seizures
Anti‐seizure medications for neonates with seizures (2023) · Cochrane
RR 5.66 [1.35, 23.71]1 study · 71 participantsVery low
Summary of findings table ‐ Phenytoin vs lorazepam
Proportion of infants who achieve seizure control after the first loading dose of ASM · neonates with clinically diagnosed seizures
Anti‐seizure medications for neonates with seizures (2023) · Cochrane
RR 0.77 [0.6, 0.99]1 study · 71 participantsVery low
Summary of findings table ‐ Phenobarbital vs levetiracetam
Mortality or neurodevelopment disability at 18 to 24 months' corrected age ‐ not reported · neonates with EEG‐confirmed seizures
Anti‐seizure medications for neonates with seizures (2023) · Cochrane
no estimate extractedNRNo studies
Summary of findings table ‐ Phenytoin vs lorazepam
Proportion of infants who achieve seizure control after the maximal loading dose of ASM ‐ not reported · neonates with clinically diagnosed seizures
Anti‐seizure medications for neonates with seizures (2023) · Cochrane
no estimate extractedNRNo studies
Summary of findings table ‐ Phenytoin vs lorazepam
Mortality or neurodevelopmental disability at 18 to 24 months' corrected age ‐ not reported · neonates with clinically diagnosed seizures
Anti‐seizure medications for neonates with seizures (2023) · Cochrane
no estimate extractedNRNo studies
Summary of findings table ‐ Phenytoin vs lorazepam
Mortality before hospital discharge · neonates with clinically diagnosed seizures
Anti‐seizure medications for neonates with seizures (2023) · Cochrane
RR 0.44 [0.12, 1.57]1 study · 71 participantsVery low
Summary of findings table ‐ Phenytoin vs lorazepam
Proportion of infants who develop sedation or drowsiness · neonates with clinically diagnosed seizures
Anti‐seizure medications for neonates with seizures (2023) · Cochrane
RR 0.21 [0.01, 4.13]1 study · 71 participantsVery low
Summary of findings table ‐ Phenobarbital + bumetanide vs phenobarbital alone
Proportion of infants who achieve seizure control after the first loading dose of ASM · neonates with EEG‐confirmed seizures
Anti‐seizure medications for neonates with seizures (2023) · Cochrane
RR 0.95 [0.37, 2.4]1 study · 43 participantsLow
Summary of findings table ‐ Phenobarbital + bumetanide vs phenobarbital alone
Proportion of infants who achieve seizure control after the maximal loading dose of the ASM ‐ not reported · neonates with EEG‐confirmed seizures
Anti‐seizure medications for neonates with seizures (2023) · Cochrane
no estimate extractedNRNo studies
Summary of findings table ‐ Phenobarbital + bumetanide vs phenobarbital alone
Mortality or neurodevelopmental disability at 18 to 24 months' corrected age ‐ not reported · neonates with EEG‐confirmed seizures
Anti‐seizure medications for neonates with seizures (2023) · Cochrane
no estimate extractedNRNo studies
Summary of findings table ‐ Phenobarbital + bumetanide vs phenobarbital alone
Mortality before hospital discharge · neonates with EEG‐confirmed seizures
Anti‐seizure medications for neonates with seizures (2023) · Cochrane
RR 0.2 [0.02, 1.74]1 study · 43 participantsVery low
Summary of findings table ‐ Phenobarbital + bumetanide vs phenobarbital alone
Cognitive impairment at 18‐24 months · neonates with EEG‐confirmed seizures
Anti‐seizure medications for neonates with seizures (2023) · Cochrane
RR 0.53 [0.13, 2.15]1 study · 29 participantsVery low
Summary of findings table ‐ Phenobarbital + bumetanide vs phenobarbital alone
Requirement of mechanical ventilation · neonates with EEG‐confirmed seizures
Anti‐seizure medications for neonates with seizures (2023) · Cochrane
no estimate extracted1 study · 1 participantsUngraded
Summary of findings table ‐ Phenobarbital vs levetiracetam
Mortality before hospital discharge · neonates with EEG‐confirmed seizures
Anti‐seizure medications for neonates with seizures (2023) · Cochrane
RR 0.3 [0.04, 2.52]1 study · 106 participantsVery low
Summary of findings table ‐ Phenobarbital + bumetanide vs phenobarbital alone
Proportion of infants who develop epilepsy post‐discharge · neonates with EEG‐confirmed seizures
Anti‐seizure medications for neonates with seizures (2023) · Cochrane
RR 1.13 [0.43, 2.97]1 study · 39 participantsVery low
Summary of findings table ‐ Lignocaine vs benzodiazepines
Proportion of infants who achieve seizure control after first loading dose of ASM ‐ not reported · neonates with EEG‐confirmed seizures
Anti‐seizure medications for neonates with seizures (2023) · Cochrane
no estimate extractedNRNo studies
Summary of findings table ‐ Lignocaine vs benzodiazepines
Proportion of infants who achieve seizure control after maximal loading dose of ASM · neonates with EEG‐confirmed seizures
Anti‐seizure medications for neonates with seizures (2023) · Cochrane
RR 8.17 [0.52, 128.42]1 study · 11 participantsVery low
Summary of findings table ‐ Lignocaine vs benzodiazepines
Mortality or neurodevelopmental disability at 12 months · neonates with EEG‐confirmed seizures
Anti‐seizure medications for neonates with seizures (2023) · Cochrane
RR 1 [0.71, 1.41]1 study · 10 participantsVery low
Summary of findings table ‐ Lignocaine vs benzodiazepines
Mortality before hospital discharge · neonates with EEG‐confirmed seizures
Anti‐seizure medications for neonates with seizures (2023) · Cochrane
RR 1.2 [0.25, 5.71]1 study · 11 participantsVery low
Summary of findings table ‐ Lignocaine vs benzodiazepines
Neurodevelopmental disability at 12 months · neonates with EEG‐confirmed seizures
Anti‐seizure medications for neonates with seizures (2023) · Cochrane
RR 1 [0.36, 2.75]1 study · 10 participantsVery low
Summary of findings table ‐ Maintenance ASM vs no maintenance ASM after achieving seizure control
Proportion of infants with repeat seizure before hospital discharge · neonates with clinically diagnosed seizures
Anti‐seizure medications for neonates with seizures (2023) · Cochrane
RR 0.76 [0.56, 1.01]2 studies · 373 participantsVery low
Summary of findings table ‐ Maintenance ASM vs no maintenance ASM after achieving seizure control
Mortality or neurodevelopmental disability at 18 to 24 months' corrected age ‐ not reported · neonates with clinically diagnosed seizures
Anti‐seizure medications for neonates with seizures (2023) · Cochrane
no estimate extractedNRNo studies
Summary of findings table ‐ Maintenance ASM vs no maintenance ASM after achieving seizure control
Mortality before hospital discharge · neonates with clinically diagnosed seizures
Anti‐seizure medications for neonates with seizures (2023) · Cochrane
RR 0.69 [0.39, 1.22]2 studies · 373 participantsLow
Summary of findings table ‐ Maintenance ASM vs no maintenance ASM after achieving seizure control
Mortality at 18‐24 months · neonates with clinically diagnosed seizures
Anti‐seizure medications for neonates with seizures (2023) · Cochrane
RR 0.94 [0.34, 2.61]1 study · 111 participantsLow
Summary of findings table ‐ Phenobarbital vs levetiracetam
Requirement of mechanical ventilation · neonates with EEG‐confirmed seizures
Anti‐seizure medications for neonates with seizures (2023) · Cochrane
RR 1.21 [0.76, 1.91]1 study · 106 participantsVery low
Summary of findings table ‐ Maintenance ASM vs no maintenance ASM after achieving seizure control
Neurodevelopmental disability at 18‐24 months · neonates with clinically diagnosed seizures
Anti‐seizure medications for neonates with seizures (2023) · Cochrane
RR 0.89 [0.13, 6.12]1 study · 108 participantsLow
Summary of findings table ‐ Maintenance ASM vs no maintenance ASM after achieving seizure control
Proportion of infants who develop epilepsy post‐discharge · neonates with clinically diagnosed seizures
Anti‐seizure medications for neonates with seizures (2023) · Cochrane
RR 3.18 [0.69, 14.72]1 study · 126 participantsLow
Summary of findings table ‐ Treatment of clinical and electrographic seizures vs treatment of clinical seizures alone
Seizure burden during hospitalisation · neonates
Anti‐seizure medications for neonates with seizures (2023) · Cochrane
no estimate extracted2 studies · 68 participantsLow
Summary of findings table ‐ Treatment of clinical and electrographic seizures vs treatment of clinical seizures alone
Mortality or neurodevelopmental disability at 18 to 24 months' corrected age ‐ not reported · neonates
Anti‐seizure medications for neonates with seizures (2023) · Cochrane
no estimate extractedNRNo studies
Summary of findings table ‐ Treatment of clinical and electrographic seizures vs treatment of clinical seizures alone
Mortality before hospital discharge · neonates
Anti‐seizure medications for neonates with seizures (2023) · Cochrane
RR 0.59 [0.28, 1.27]2 studies · 68 participantsLow
Summary of findings table ‐ Treatment of clinical and electrographic seizures vs treatment of clinical seizures alone
Proportion of infants who develop epilepsy post‐discharge · neonates
Anti‐seizure medications for neonates with seizures (2023) · Cochrane
RR 0.75 [0.12, 4.73]1 study · 35 participantsLow
Summary of findings table ‐ Phenobarbital vs levetiracetam
Proportion of infants who develop sedation or drowsiness · neonates with EEG‐confirmed seizures
Anti‐seizure medications for neonates with seizures (2023) · Cochrane
RR 1.74 [0.68, 4.44]1 study · 106 participantsVery low
Summary of findings table ‐ Phenobarbital vs levetiracetam
Proportion of infants who develop epilepsy post‐discharge · neonates with EEG‐confirmed seizures
Anti‐seizure medications for neonates with seizures (2023) · Cochrane
RR 0.92 [0.48, 1.76]1 study · 45 participantsVery low
Summary of findings table ‐ Phenobarbital vs levetiracetam
Proportion of infants who achieve seizure control after first loading dose of ASM · clinically diagnosed neonatal seizures
Anti‐seizure medications for neonates with seizures (2023) · Cochrane
RR 0.69 [0.55, 0.86]3 studies · 286 participantsVery low