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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.
2,353 questions in 210 reviews · Neonatal
current versionsNo 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.
| Question | Effect | Evidence | Status / 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 extracted | 3 studies · 181 participants | Moderate |
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 participants | Low |
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 participants | Low |
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 participants | Low |
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 participants | Low |
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 participants | Low |
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 extracted | 1 study · 30 participants | Low |
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 extracted | 1 study · 30 participants | Very 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 extracted | 1 study · 30 participants | Very 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 extracted | 1 study · 30 participants | Very 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 extracted | 1 study · 30 participants | Very 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 extracted | 1 study · 58 participants | Low |
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 extracted | 2 studies · 155 participants | Low |
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 extracted | 3 studies · 183 participants | Low |
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 extracted | 1 study · 58 participants | Low |
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 participants | High |
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 participants | High |
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 participants | High |
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 participants | Moderate |
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 participants | High |
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 participants | Moderate |
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 participants | Low |
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 participants | Very 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 extracted | 1 study · 166 participants | Very 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 participants | Very 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 participants | Very 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 participants | Very 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 participants | Very 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 extracted | 1 study · 166 participants | Very 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] | NR | Moderate |
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] | NR | Moderate |
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 extracted | NR | No 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] | NR | Low |
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] | NR | Moderate |
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 extracted | NR | No 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] | NR | Moderate |
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] | NR | Moderate |
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] | NR | Moderate |
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 extracted | NR | No 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 extracted | 1 study · 74 participants | Ungraded |
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 extracted | 1 study · 67 participants | Low |
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 participants | Low |
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 extracted | 1 study · 60 participants | Moderate |
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 extracted | 1 study · 54 participants | Ungraded |
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 extracted | 1 study · 54 participants | Moderate |
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 extracted | 1 study · 54 participants | Moderate |
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 participants | Low |
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 participants | Low |
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 participants | Low |
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 participants | Low |