Cochrane · systematic review · CD003211

Feed thickener for infants up to six months of age with gastro‐oesophageal reflux

Kwok, TC, Ojha, S, Dorling, J · 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
6
current version
GRADE rated
6
No studies
0
Included studies
NR
No studies 0 · 0%Ungraded 0 · 0%Very low 0 · 0%Low 5 · 83.3%Moderate 1 · 16.7%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

Feed thickener compared to control for infants up to 6 months of age with gastro‐oesophageal reflux

Population: Formula‐fed healthy term infants up to 6 months of age with gastro‐oesophageal reflux
6 questions
OutcomeEffectEvidenceStatus / GRADE
Number of episodes of regurgitation or vomiting per day
Feed thickener vs control
no estimate extracted6 studies · 442 participantsModerate
Downgraded: risk of bias
Proportion of infants without regurgitation or vomiting at the end of intervention period (asymptomatic infants)
Feed thickener vs control
RR 2.5 [1.38, 4.51]2 studies · 186 participantsLow
Downgraded: risk of bias, imprecision
Reflux index (percentage of time pH < 4)
Feed thickener vs control
no estimate extracted2 studies · 116 participantsLow
Downgraded: risk of bias, imprecision
Number of reflux episodes lasting > 5 minutes
Feed thickener vs control
no estimate extracted2 studies · 116 participantsLow
Downgraded: risk of bias, imprecision
Duration of longest reflux episode
Feed thickener vs control
no estimate extracted2 studies · 116 participantsLow
Downgraded: risk of bias, imprecision
Diarrhoea
Feed thickener vs control
no estimate extracted6 studies · 511 participantsLow
Downgraded: risk of bias, publication bias