Cochrane · systematic review · CD001145

Late (≥ 7 days) systemic postnatal corticosteroids for prevention of bronchopulmonary dysplasia in preterm infants

Doyle, LW, Cheong, JL, Hay, S, et al. · Cochrane Database of Systematic Reviews · 2021 · Cochrane Library

Neonatal2 versionsAMSTAR 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
5
current version
GRADE rated
5
No studies
0
Included studies
NR
No studies 0 · 0%Ungraded 0 · 0%Very low 0 · 0%Low 0 · 0%Moderate 2 · 40%High 3 · 60%

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

Show all 2 versions

Systemic corticosteroids (dexamethasone or hydrocortisone) compared with control (placebo or nothing) for chronic lung disease in preterm infants

Population: preterm infants with chronic lung disease
5 questions
OutcomeEffectEvidenceStatus / GRADE
Mortality at latest reported age
Systemic corticosteroids (dexamethasone or hydrocortisone) vs control (placebo or nothing)
RR 0.81 [0.66, 0.99]21 studies · 1428 participantsHigh
BPD at 36 weeks' PMA
Systemic corticosteroids (dexamethasone or hydrocortisone) vs control (placebo or nothing)
RR 0.89 [0.8, 0.99]14 studies · 988 participantsModerate
Downgraded: publication bias
Mortality or BPD at 36 weeks' PMA
Systemic corticosteroids (dexamethasone or hydrocortisone) vs control (placebo or nothing)
RR 0.85 [0.79, 0.92]14 studies · 988 participantsModerate
Downgraded: inconsistency, publication bias
Cerebral palsy ‐ at latest reported age
Systemic corticosteroids (dexamethasone or hydrocortisone) vs control (placebo or nothing)
RR 1.17 [0.84, 1.61]17 studies · 1290 participantsHigh
Mortality or cerebral palsy ‐ at latest reported age
Systemic corticosteroids (dexamethasone or hydrocortisone) vs control (placebo or nothing)
RR 0.9 [0.76, 1.06]17 studies · 1290 participantsHigh