Findings

What do systematic reviews say?

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Evidence found and GRADE certainty

1,550 questions · 1,617 findings · 161 reviews · Neonatal

No studies found 238 · 14.7%GRADE not reported 76 · 4.7%Very low 377 · 23.3%Low 567 · 35.1%Moderate 285 · 17.6%High 74 · 4.6%

Lactoferrin supplementation with enteral feeds in combination with probiotics vs placebo

Any late‐onset sepsis ‐ All infants [Data on only confirmed sepsis available] · prevention of sepsis and necrotizing enterocolitis in preterm infants

Lactoferrin supplementation with enteral feeds in combination with… may leads to lower any late‐onset sepsis ‐ All infants [Data on only confirmed sepsis… compared with placebo (low certainty).

1 finding from 1 review

Lactoferrin supplementation with enteral feeds in combination with probiotics vs placebo

NEC ≥ stage II · prevention of sepsis and necrotizing enterocolitis in preterm infants

It is very uncertain whether lactoferrin supplementation with enteral feeds in combination with… changes NEC ≥ stage II compared with placebo (very low certainty).

1 finding from 1 review

Zinc vs placebo; no treatment

Stunted after 6 months · the promotion of growth and prevention of infections in infants less than six months of age

Zinc supplementation showed no clear difference in stunted after 6 months compared with placebo; no treatment (moderate certainty).

1 finding from 1 review

Zinc vs placebo; no treatment

Wasted after 6 months · the promotion of growth and prevention of infections in infants less than six months of age

Zinc supplementation showed no clear difference in wasted after 6 months compared with placebo; no treatment (low certainty).

1 finding from 1 review

Supine midline head position vs any other supine head position

Intraventricular haemorrhage · very preterm infants with or at risk of germinal matrix‐intraventricular haemorrhage in preterm infants

It is very uncertain whether supine midline head position changes intraventricular haemorrhage, any grade compared with any other supine head position (very low certainty).

1 finding from 1 review

Supine midline head position vs any other supine head position

Intraventricular haemorrhage, Papile grade 3/4 · very preterm infants with or at risk of germinal matrix‐intraventricular haemorrhage in preterm infants

It is very uncertain whether supine midline head position changes intraventricular haemorrhage, grade 3 to 4 compared with any other supine head position (very low certainty).

1 finding from 1 review

Supine midline head position vs any other supine head position

All‐cause mortality during hospital stay · very preterm infants with or at risk of germinal matrix‐intraventricular haemorrhage in preterm infants

It is very uncertain whether supine midline head position changes mortality during initial hospitalisation compared with any other supine head position (very low certainty).

1 finding from 1 review

Supine midline head position vs any other supine head position

Long‐term neurodevelopmental outcome ‒not reported · very preterm infants with or at risk of germinal matrix‐intraventricular haemorrhage in preterm infants

The review found no eligible studies for this question.

1 finding from 1 review

Supine midline head position vs any other supine head position

Major neurodevelopmental disability ‒not reported · very preterm infants with or at risk of germinal matrix‐intraventricular haemorrhage in preterm infants

The review found no eligible studies for this question.

1 finding from 1 review

Supine midline head position vs any other supine head position

Cerebellar haemorrhage on brain ultrasound ‐ not reported · very preterm infants with or at risk of germinal matrix‐intraventricular haemorrhage in preterm infants

The review found no eligible studies for this question.

1 finding from 1 review

Diaphragm‐triggered non‐invasive vs other non‐invasive respiratory support

Failure of modality · preventing respiratory failure in preterm infants

It is very uncertain whether diaphragm‐triggered non‐invasive changes failure of modality compared with other non‐invasive respiratory support (very low certainty).

1 finding from 1 review