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Search review questions

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
Amethocaine vs placebo
Adverse effects (short‐lasting skin reactions) · preterm infants
Topical anaesthesia for needle‐related pain in newborn infants (2017) · Cochrane
no estimate extracted3 studies · 181 participantsModerate
Summary of findings table for oro/nasopharyngeal suction vs no suction
Mortality (before discharge) · newborn infants at birth
Routine oro/nasopharyngeal suction versus no suction at birth (2017) · Cochrane
RR 2.29 [0.94, 5.53]2 studies · 3023 participantsLow
Summary of findings table for oro/nasopharyngeal suction vs no suction
Need for resuscitation · newborn infants at birth
Routine oro/nasopharyngeal suction versus no suction at birth (2017) · Cochrane
RR 0.85 [0.69, 1.06]5 studies · 3791 participantsLow
Summary of findings table for oro/nasopharyngeal suction vs no suction
Hypoxic Ischaemic Encephalopathy · newborn infants at birth
Routine oro/nasopharyngeal suction versus no suction at birth (2017) · Cochrane
RR 0.76 [0.33, 1.77]1 study · 509 participantsLow
Summary of findings table for oro/nasopharyngeal suction vs no suction
Infection · newborn infants at birth
Routine oro/nasopharyngeal suction versus no suction at birth (2017) · Cochrane
RR 0.76 [0.42, 1.36]1 study · 509 participantsLow
Summary of findings table for oro/nasopharyngeal suction vs no suction
Admission to NICU · newborn infants at birth
Routine oro/nasopharyngeal suction versus no suction at birth (2017) · Cochrane
RR 0.82 [0.62, 1.08]2 studies · 997 participantsLow
Pair‐wise comparison of exchange blood transfusion (EBT) plus 10% calcium gluconate intravenously vs EBT alone (change from baseline)
All‐cause death Number of events · neonates receiving EBT
Prophylactic intravenous calcium therapy for exchange blood transfusion in the newborn (2017) · Cochrane
no estimate extracted1 study · 30 participantsLow
Pair‐wise comparison of exchange blood transfusion (EBT) plus 10% calcium gluconate intravenously vs EBT alone (change from baseline)
Mean total serum calcium levels Mean difference · neonates receiving EBT
Prophylactic intravenous calcium therapy for exchange blood transfusion in the newborn (2017) · Cochrane
no estimate extracted1 study · 30 participantsVery low
Pair‐wise comparison of exchange blood transfusion (EBT) plus 10% calcium gluconate intravenously vs EBT alone (change from baseline)
Mean ionised serum calcium levels Mean ionised serum calcium · neonates receiving EBT
Prophylactic intravenous calcium therapy for exchange blood transfusion in the newborn (2017) · Cochrane
no estimate extracted1 study · 30 participantsVery low
Pair‐wise comparison of exchange blood transfusion (EBT) plus 10% calcium gluconate intravenously vs EBT alone (change from baseline)
Adverse reaction: cardiac arrest Number of events · neonates receiving EBT
Prophylactic intravenous calcium therapy for exchange blood transfusion in the newborn (2017) · Cochrane
no estimate extracted1 study · 30 participantsVery low
Pair‐wise comparison of exchange blood transfusion (EBT) plus 10% calcium gluconate intravenously vs EBT alone (change from baseline)
Adverse reaction: apnoea and hypoglycaemia Number of events · neonates receiving EBT
Prophylactic intravenous calcium therapy for exchange blood transfusion in the newborn (2017) · Cochrane
no estimate extracted1 study · 30 participantsVery low
Frenotomy vs no frenotomy or sham procedure
Infant breastfeeding assessed by validated scale ‐ IBFAT scores following procedure · tongue‐tie in newborn infants
Frenotomy for tongue‐tie in newborn infants (2017) · Cochrane
no estimate extracted1 study · 58 participantsLow
Frenotomy vs no frenotomy or sham procedure
Infant breastfeeding assessed by validated scale ‐ LATCH scores following procedure · tongue‐tie in newborn infants
Frenotomy for tongue‐tie in newborn infants (2017) · Cochrane
no estimate extracted2 studies · 155 participantsLow
Frenotomy vs no frenotomy or sham procedure
Maternal nipple pain assessed by a validated pain scale ‐ visual analogue pain scale · tongue‐tie in newborn infants
Frenotomy for tongue‐tie in newborn infants (2017) · Cochrane
no estimate extracted3 studies · 183 participantsLow
Frenotomy vs no frenotomy or sham procedure
Maternal nipple pain assessed by a validated pain scale ‐ SF‐MPQ pain scale · tongue‐tie in newborn infants
Frenotomy for tongue‐tie in newborn infants (2017) · Cochrane
no estimate extracted1 study · 58 participantsLow
Intervention NR
Death or major disability by 18 to 24 months corrected age (aligned definition) · extremely preterm infants
Effects of targeting lower versus higher arterial oxygen saturations on death or disability in preterm infants (2017) · Cochrane
RR 1.04 [0.98, 1.1]5 studies · 4754 participantsHigh
Intervention NR
Death to 18 to 24 months corrected age · extremely preterm infants
Effects of targeting lower versus higher arterial oxygen saturations on death or disability in preterm infants (2017) · Cochrane
RR 1.16 [1.03, 1.31]5 studies · 4873 participantsHigh
Intervention NR
Major disability by 18 to 24 months corrected age (aligned definition) · extremely preterm infants
Effects of targeting lower versus higher arterial oxygen saturations on death or disability in preterm infants (2017) · Cochrane
RR 1.01 [0.93, 1.09]5 studies · 3867 participantsHigh
Intervention NR
Retinopathy of prematurity requiring treatment · extremely preterm infants
Effects of targeting lower versus higher arterial oxygen saturations on death or disability in preterm infants (2017) · Cochrane
RR 0.72 [0.61, 0.85]5 studies · 4089 participantsModerate
Intervention NR
Necrotising enterocolitis · extremely preterm infants
Effects of targeting lower versus higher arterial oxygen saturations on death or disability in preterm infants (2017) · Cochrane
RR 1.24 [1.05, 1.47]5 studies · 4929 participantsHigh
Intervention NR
Blindness · extremely preterm infants
Effects of targeting lower versus higher arterial oxygen saturations on death or disability in preterm infants (2017) · Cochrane
RR 1.13 [0.65, 1.97]5 studies · 3875 participantsModerate
Cerebral NIRS oximetry vs no cerebral NIRS oximetry
All‐cause mortality · prevention of morbidities in very preterm infants
Cerebral near‐infrared spectroscopy monitoring for prevention of brain injury in very preterm infants (2017) · Cochrane
RR 0.5 [0.29, 1]1 study · 166 participantsLow
Cerebral NIRS oximetry vs no cerebral NIRS oximetry
Intraventricular haemorrhage grade III or IV · prevention of morbidities in very preterm infants
Cerebral near‐infrared spectroscopy monitoring for prevention of brain injury in very preterm infants (2017) · Cochrane
RR 0.57 [0.25, 1.31]1 study · 166 participantsVery low
Cerebral NIRS oximetry vs no cerebral NIRS oximetry
Cystic periventricular leukomalacia (diagnosed by cranial ultrasound) · prevention of morbidities in very preterm infants
Cerebral near‐infrared spectroscopy monitoring for prevention of brain injury in very preterm infants (2017) · Cochrane
no estimate extracted1 study · 166 participantsVery low
Cerebral NIRS oximetry vs no cerebral NIRS oximetry
Patent ductus arteriosus · prevention of morbidities in very preterm infants
Cerebral near‐infrared spectroscopy monitoring for prevention of brain injury in very preterm infants (2017) · Cochrane
RR 1.96 [0.94, 4.08]1 study · 166 participantsVery low
Cerebral NIRS oximetry vs no cerebral NIRS oximetry
Chronic lung disease (oxygen supplementation at 36 weeks' postmenstrual age) · prevention of morbidities in very preterm infants
Cerebral near‐infrared spectroscopy monitoring for prevention of brain injury in very preterm infants (2017) · Cochrane
RR 1.27 [0.94, 1.5]1 study · 132 participantsVery low
Cerebral NIRS oximetry vs no cerebral NIRS oximetry
Proven necrotising enterocolitis (Bell's stage II or III) · prevention of morbidities in very preterm infants
Cerebral near‐infrared spectroscopy monitoring for prevention of brain injury in very preterm infants (2017) · Cochrane
RR 0.83 [0.33, 1.94]1 study · 166 participantsVery low
Cerebral NIRS oximetry vs no cerebral NIRS oximetry
Retinopathy of prematurity, any or severe (stage ≥ III) · prevention of morbidities in very preterm infants
Cerebral near‐infrared spectroscopy monitoring for prevention of brain injury in very preterm infants (2017) · Cochrane
RR 1.64 [0.75, 3]1 study · 166 participantsVery low
Cerebral NIRS oximetry vs no cerebral NIRS oximetry
Other adverse effects · prevention of morbidities in very preterm infants
Cerebral near‐infrared spectroscopy monitoring for prevention of brain injury in very preterm infants (2017) · Cochrane
no estimate extracted1 study · 166 participantsVery low
Intervention NR
First intubation attempt success rate (outcome achieved at time of intubation attempt and not followed up) · neonates requiring endotracheal intubation
Orotracheal intubation in infants performed with a stylet versus without a stylet (2017) · Cochrane
RR 1.08 [0.88, 1.32]NRModerate
Intervention NR
Weight < 1000 g (outcome achieved at time of intubation attempt and not followed up) · neonates requiring endotracheal intubation
Orotracheal intubation in infants performed with a stylet versus without a stylet (2017) · Cochrane
RR 0.89 [0.67, 1.18]NRModerate
Intervention NR
Gestational age of the infant · neonates requiring endotracheal intubation
Orotracheal intubation in infants performed with a stylet versus without a stylet (2017) · Cochrane
no estimate extractedNRNo studies
Intervention NR
Professional category of the intubator ‐ fellow: first intubation attempt success rate (outcome achieved at time of intubation attempt and not followed up) · neonates requiring endotracheal intubation
Orotracheal intubation in infants performed with a stylet versus without a stylet (2017) · Cochrane
RR 0.94 [0.69, 1.29]NRLow
Intervention NR
Professional category of the intubator ‐ resident: first intubation attempt success rate (outcome achieved at time of intubation attempt and not followed up) · neonates requiring endotracheal intubation
Orotracheal intubation in infants performed with a stylet versus without a stylet (2017) · Cochrane
RR 1.17 [0.9, 1.52]NRModerate
Intervention NR
Level of experience of the intubator · neonates requiring endotracheal intubation
Orotracheal intubation in infants performed with a stylet versus without a stylet (2017) · Cochrane
no estimate extractedNRNo studies
Intervention NR
Premedication given ‐ no premedication given: first intubation attempt success rate (outcome achieved at time of intubation attempt and not followed up) · neonates requiring endotracheal intubation
Orotracheal intubation in infants performed with a stylet versus without a stylet (2017) · Cochrane
RR 0.98 [0.72, 1.32]NRModerate
Intervention NR
Timing of intubation ‐ just after birth in the delivery room: first intubation attempt success rate (outcome achieved at time of intubation attempt and not followed up) · neonates requiring endotracheal intubation
Orotracheal intubation in infants performed with a stylet versus without a stylet (2017) · Cochrane
RR 0.98 [0.72, 1.32]NRModerate
Intervention NR
Timing of intubation ‐ following admission to NICU: first intubation attempt success rate (outcome achieved at time of intubation attempt and not followed up) · neonates requiring endotracheal intubation
Orotracheal intubation in infants performed with a stylet versus without a stylet (2017) · Cochrane
RR 1.18 [0.89, 1.55]NRModerate
Intervention NR
Type of stylet · neonates requiring endotracheal intubation
Orotracheal intubation in infants performed with a stylet versus without a stylet (2017) · Cochrane
no estimate extractedNRNo studies
Intravenous fluid supplementation vs no fluid supplementation
Incidence of acute bilirubin encephalopathy · newborn infants with unconjugated hyperbilirubinaemia undergoing phototherapy
Fluid supplementation for neonatal unconjugated hyperbilirubinaemia (2017) · Cochrane
no estimate extracted1 study · 74 participantsUngraded
Intravenous fluid supplementation vs no fluid supplementation
Bilirubin level (μmol/L): 4 hours postintervention · newborn infants with unconjugated hyperbilirubinaemia undergoing phototherapy
Fluid supplementation for neonatal unconjugated hyperbilirubinaemia (2017) · Cochrane
no estimate extracted1 study · 67 participantsLow
Intravenous fluid supplementation vs no fluid supplementation
Proportion of infants who required exchange transfusion · newborn infants with unconjugated hyperbilirubinaemia undergoing phototherapy
Fluid supplementation for neonatal unconjugated hyperbilirubinaemia (2017) · Cochrane
RR 0.39 [0.21, 0.71]6 studies · 462 participantsLow
Intravenous fluid supplementation vs no fluid supplementation
Frequency of breastfeeding per day: day 3 · newborn infants with unconjugated hyperbilirubinaemia undergoing phototherapy
Fluid supplementation for neonatal unconjugated hyperbilirubinaemia (2017) · Cochrane
no estimate extracted1 study · 60 participantsModerate
Intravenous fluid supplementation vs oral fluid supplementation
Number of infants with abnormal neurological signs · newborn infants with unconjugated hyperbilirubinaemia undergoing phototherapy
Fluid supplementation for neonatal unconjugated hyperbilirubinaemia (2017) · Cochrane
no estimate extracted1 study · 54 participantsUngraded
Intravenous fluid supplementation vs oral fluid supplementation
Bilirubin level (μmol/L): 4 hours postphototherapy · newborn infants with unconjugated hyperbilirubinaemia undergoing phototherapy
Fluid supplementation for neonatal unconjugated hyperbilirubinaemia (2017) · Cochrane
no estimate extracted1 study · 54 participantsModerate
Intravenous fluid supplementation vs oral fluid supplementation
Rate of change in bilirubin (μmol/L/hour): during the first 4 hours of admission · newborn infants with unconjugated hyperbilirubinaemia undergoing phototherapy
Fluid supplementation for neonatal unconjugated hyperbilirubinaemia (2017) · Cochrane
no estimate extracted1 study · 54 participantsModerate
Intervention NR
Bloodstream infection (during intervention period) · newborn infants
Early planned removal of umbilical venous catheters to prevent infection in newborn infants (2017) · Cochrane
RR 0.65 [0.35, 1.22]1 study · 210 participantsLow
Intervention NR
All‐cause mortality (up to hospital discharge) · newborn infants
Early planned removal of umbilical venous catheters to prevent infection in newborn infants (2017) · Cochrane
RR 1.12 [0.42, 2.98]1 study · 210 participantsLow
Intervention NR
Catheter‐associated thrombosis necessitating removal of catheter (during intervention period) · newborn infants
Early planned removal of umbilical venous catheters to prevent infection in newborn infants (2017) · Cochrane
RR 0.33 [0.01, 7.94]1 study · 210 participantsLow
Clonidine vs placebo
All‐cause mortality during initial hospitalization · neonates receiving mechanical ventilation
Clonidine for sedation and analgesia for neonates receiving mechanical ventilation (2017) · Cochrane
RR 0.69 [0.12, 3.98]1 study · 112 participantsLow