Cochrane · systematic review · CD001969

Early administration of inhaled corticosteroids for preventing chronic lung disease in very low birth weight preterm neonates

Shah, VS, Ohlsson, A, Halliday, HL, et al. · 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
3
current version
GRADE rated
3
No studies
0
Included studies
NR
No studies 0 · 0%Ungraded 0 · 0%Very low 0 · 0%Low 0 · 0%Moderate 3 · 100%High 0 · 0%

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

Early inhaled steroids (< 2 weeks) compared to placebo (among all randomised) for preventing chronic lung disease in very low birth weight preterm neonates

Population: very low birth weight preterm neonates
2 questions
OutcomeEffectEvidenceStatus / GRADE
CLD at 36 weeks' PMA oxygen dependency at 36 weeks' PMA
Early inhaled steroids (< 2 weeks) vs placebo (among all randomised)
RR 0.97 [0.62, 1.52]5 studies · 429 participantsModerate
Downgraded: risk of bias
Death by, or CLD at, 36 weeks' PMA Death or oxygen dependency at 36 weeks' PMA
Early inhaled steroids (< 2 weeks) vs placebo (among all randomised)
RR 0.86 [0.75, 0.99]6 studies · 1285 participantsModerate
Downgraded: risk of bias

Early inhaled steroid (< 2 weeks) compared to placebo (among survivors) for preventing chronic lung disease in very low birth weight preterm neonates

Population: Very low birth weight preterm neonates
1 question
OutcomeEffectEvidenceStatus / GRADE
CLD at 36 weeks' PMA
Early inhaled steroid (< 2 weeks) vs placebo (among survivors)
RR 0.76 [0.63, 0.93]6 studies · 1088 participantsModerate