Cochrane · systematic review · CD000509

Inhaled nitric oxide for respiratory failure in preterm infants

Barrington, KJ, Finer, N, Pennaforte, T · Cochrane Database of Systematic Reviews · 2017 · Cochrane Library

NeonatalAMSTAR 2: not assessed
SoF tableOnly the outcomes this review put in its Summary of Findings table are listed (the Cochrane Handbook caps them at about seven per comparison). Its other analyses are not shown here.
Questions
11
current version
GRADE rated
11
No studies
0
Included studies
NR
No studies 0 · 0%Ungraded 0 · 0%Very low 0 · 0%Low 0 · 0%Moderate 4 · 36.4%High 7 · 63.6%

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.

Questions and results

Inhaled NO compared with control for respiratory failure in preterm infants

Population: respiratory failure in preterm infants
11 questions
OutcomeEffectEvidenceStatus / GRADE
Death before discharge ‐ Studies with entry before 3 days based on oxygenation
Inhaled NO vs control
RR 1.02 [0.89, 1.18]10 studies · 1066 participantsHigh
Death before discharge ‐ Studies with entry after 3 days based on BPD risk
Inhaled NO vs control
RR 1.18 [0.81, 1.71]3 studies · 1075 participantsHigh
Death before discharge ‐ Studies of routine use in preterm infants on respiratory support
Inhaled NO vs control
RR 0.9 [0.74, 1.1]4 studies · 1924 participantsModerate
Death or bronchopulmonary dysplasia at 36 weeks ‐ Studies with entry before 3 days based on oxygenation
Inhaled NO vs control
RR 0.94 [0.87, 1.01]8 studies · 958 participantsHigh
Death or bronchopulmonary dysplasia at 36 weeks ‐ Studies with entry after 3 days based on BPD risk
Inhaled NO vs control
RR 0.92 [0.85, 1.01]3 studies · 1075 participantsHigh
Death or bronchopulmonary dysplasia at 36 weeks ‐ Studies of routine use in preterm infants on respiratory support
Inhaled NO vs control
RR 0.94 [0.87, 1.02]4 studies · 1924 participantsHigh
Intraventricular haemorrhage (grade 3 or 4) ‐ Studies with entry before 3 days based on oxygenation
Inhaled NO vs control
RR 1.2 [0.98, 1.47]6 studies · 773 participantsHigh
Intraventricular haemorrhage (grade 3 or 4) ‐ Studies of routine use in preterm infants on respiratory support
Inhaled NO vs control
RR 0.89 [0.73, 1.09]4 studies · 1913 participantsModerate
Downgraded: imprecision, inconsistency
Neurodevelopmental disability ‐ Studies with entry before 3 days based on oxygenation
Inhaled NO vs control
RR 1.05 [0.78, 1.4]2 studies · 208 participantsModerate
Downgraded: imprecision, inconsistency
Neurodevelopmental disability ‐ Studies with entry after 3 days based on BPD risk
Inhaled NO vs control
RR 0.9 [0.74, 1.09]2 studies · 498 participantsModerate
Downgraded: imprecision, inconsistency
Neurodevelopmental disability ‐ Studies of routine use in preterm infants on respiratory support
Inhaled NO vs control
RR 0.91 [0.74, 1.13]3 studies · 1223 participantsHigh