Findings

What do systematic reviews say?

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Evidence found and GRADE certainty

56 questions · 63 findings · 8 reviews · Neonatal

No studies found 1 · 1.6%GRADE not reported 4 · 6.3%Very low 8 · 12.7%Low 11 · 17.5%Moderate 29 · 46%High 10 · 15.9%

Inhaled NO vs control

Mortality before hospital discharge · respiratory failure in preterm infants

Inhaled NO showed no clear difference in death before discharge ‐ Studies with entry before 3 days based on… compared with control (high certainty).

3 findings from 1 review

Inhaled NO vs control

Neurodevelopmental disability · respiratory failure in preterm infants

Inhaled NO showed no clear difference in neurodevelopmental disability ‐ Studies with entry after 3 days… compared with control (moderate certainty).

3 findings from 1 review

Inhaled NO vs control

Death or bronchopulmonary dysplasia · respiratory failure in preterm infants

Inhaled NO showed no clear difference in death or bronchopulmonary dysplasia at 36 weeks ‐ Studies with entry… compared with control (high certainty).

2 findings from 1 review

Inhaled NO vs control

Death or bronchopulmonary dysplasia at 36 weeks PMA · respiratory failure in preterm infants

Inhaled NO showed no clear difference in death or bronchopulmonary dysplasia at 36 weeks ‐ Studies with entry… compared with control (high certainty).

1 finding from 1 review

Inhaled NO vs control

Intraventricular haemorrhage, Papile grade 3/4 · respiratory failure in preterm infants

Inhaled NO showed no clear difference in intraventricular haemorrhage (grade 3 or 4) ‐ Studies with entry… compared with control (high certainty).

2 findings from 1 review

Inhaled NO vs control

Death or use of ECMO; studies that did not allow back‐up use of iNO in controls · respiratory failure in infants born at or near term

Inhaled NO leads to lower death or use of ECMO; studies that did not allow back‐up use of iNO… compared with control (high certainty).

1 finding from 1 review

Inhaled NO vs control

Death or use of ECMO; infants with diaphragmatic hernia · respiratory failure in infants born at or near term

Inhaled NO showed no clear difference in death or use of ECMO; infants with diaphragmatic hernia compared with control (moderate certainty).

1 finding from 1 review

Inhaled NO vs control

Death before hospital discharge; infants with diaphragmatic hernia · respiratory failure in infants born at or near term

Inhaled NO showed no clear difference in death before hospital discharge; infants with diaphragmatic hernia compared with control (moderate certainty).

1 finding from 1 review

Inhaled NO vs control

Use of ECMO before hospital discharge; infants with diaphragmatic hernia · respiratory failure in infants born at or near term

Inhaled NO showed no clear difference in use of ECMO before hospital discharge; infants with diaphragmatic… compared with control (moderate certainty).

1 finding from 1 review

Inhaled NO vs control

Neurodevelopmental disability at 18 to 24 months among survivors · respiratory failure in infants born at or near term

Inhaled NO showed no clear difference in neurodevelopmental disability at 18 to 24 months among survivors compared with control (low certainty).

1 finding from 1 review

Inhaled NO at moderate vs severe criteria

Neurodevelopmental disability at 18 to 24 months among survivors · respiratory failure in infants born at or near term

Inhaled NO at moderate showed no clear difference in neurodevelopmental disability at 18 to 24 months among survivors compared with severe criteria (moderate certainty).

1 finding from 1 review

Inhaled steroids vs systemic steroids

Death or bronchopulmonary dysplasia at 36 weeks PMA · Neonates with developing BPD

Inhaled steroids showed no clear difference in death or BPD at 36 weeks' postmenstrual age compared with systemic steroids (moderate certainty).

2 findings from 1 review

Inhaled steroids vs systemic steroids

Diastolic blood pressure > 95th percentile at 7 years · Neonates with developing BPD

Inhaled steroids probably leads to lower diastolic blood pressure > 95th percentile at 7 years compared with systemic steroids (moderate certainty).

1 finding from 1 review