Findings

What do systematic reviews say?

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Evidence found and GRADE certainty

51 questions · 51 findings · 3 reviews · Headline outcomes only

No studies found 13 · 25.5%GRADE not reported 1 · 2%Very low 5 · 9.8%Low 8 · 15.7%Moderate 19 · 37.3%High 5 · 9.8%

Summary of findings ‐ Intramuscular midazolam vs intravenous diazepam

Additional drugs required to stop the seizure · Children with acute tonic‐clonic seizures

It is very uncertain whether summary of findings ‐ Intramuscular midazolam changes additional drugs required to terminate the seizure compared with intravenous diazepam (very low certainty).

1 finding from 1 review

Summary of findings ‐ Intramuscular midazolam vs intravenous diazepam

Seizure recurrence within 24 hours: within one hour · Children with acute tonic‐clonic seizures

It is very uncertain whether summary of findings ‐ Intramuscular midazolam changes seizure recurrence within 24 hours: within one hour compared with intravenous diazepam (very low certainty).

1 finding from 1 review

Intervention not reported

PIPP score during drug infusion Range of scale 0‐21 for infants < 28 weeks' PMA and 0‐18 for infants > 36 weeks' PMA. Lower score = less pain (Stevens 1996) · neonates requiring intubation and ventilation

The intervention showed no clear difference in PIPP score during drug infusion Range of scale 0‐21 for infants < 28… (moderate certainty).

1 finding from 1 review

Intervention not reported

Poor neurological outcome by 28 days' postnatal age · neonates requiring intubation and ventilation

The intervention showed no clear difference in poor neurological outcome by 28 days' postnatal age (moderate certainty).

1 finding from 1 review

Intervention not reported

PIPP score during drug infusion Range of scale 0‐21 for infants < 28 weeks' PMA and 0‐18 for infants > 36 weeks' PMA. Lower score = less pain (Stevens 1996) · neonates requiring intubation and ventilation

The intervention showed no clear difference in PIPP score during drug infusion Range of scale 0‐21 for infants < 28… (moderate certainty).

1 finding from 1 review