Cochrane · systematic review · CD001146

Early (< 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
6
current version
GRADE rated
6
No studies
0
Included studies
NR
No studies 0 · 0%Ungraded 0 · 0%Very low 0 · 0%Low 0 · 0%Moderate 1 · 16.7%High 5 · 83.3%

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

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Early systemic postnatal corticosteroids compared with placebo or no treatment for preventing bronchopulmonary dysplasia in preterm infants

Population: preventing bronchopulmonary dysplasia in preterm infants
6 questions
OutcomeEffectEvidenceStatus / GRADE
Mortality at latest reported age
Early systemic postnatal corticosteroids vs placebo or no treatment
RR 0.95 [0.85, 1.06]31 studies · 4373 participantsHigh
BPD (36 weeks' PMA)
Early systemic postnatal corticosteroids vs placebo or no treatment
RR 0.8 [0.73, 0.88]26 studies · 4167 participantsModerate
Downgraded: risk of bias, publication bias
Mortality or BPD at 36 weeks' PMA
Early systemic postnatal corticosteroids vs placebo or no treatment
RR 0.89 [0.84, 0.94]26 studies · 4167 participantsHigh
Gastrointestinal perforation during primary hospitalisation
Early systemic postnatal corticosteroids vs placebo or no treatment
RR 1.84 [1.36, 2.49]16 studies · 3040 participantsHigh
Cerebral palsy at latest reported age
Early systemic postnatal corticosteroids vs placebo or no treatment
RR 1.42 [1.06, 1.91]13 studies · 1973 participantsHigh
Mortality or cerebral palsy at latest reported age
Early systemic postnatal corticosteroids vs placebo or no treatment
RR 1.03 [0.91, 1.16]13 studies · 1973 participantsHigh