Cochrane · systematic review · CD003212

Nasal intermittent positive pressure ventilation (NIPPV) versus nasal continuous positive airway pressure (NCPAP) for preterm neonates after extubation

Lemyre, B, Deguise, M-O, Benson, P, et al. · Cochrane Database of Systematic Reviews · 2023 · 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
7
current version
GRADE rated
7
No studies
0
Included studies
NR
No studies 0 · 0%Ungraded 0 · 0%Very low 0 · 0%Low 3 · 42.9%Moderate 4 · 57.1%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

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Nasal intermittent positive pressure ventilation (NIPPV) versus nasal continuous positive airway pressure (NCPAP) to prevent extubation failure

Population: preterm neonates after extubation
7 questions
OutcomeEffectEvidenceStatus / GRADE
Respiratory failure postextubation
Nasal intermittent positive pressure ventilation (NIPPV) vs nasal continuous positive airway pressure (NCPAP)
RR 0.75 [0.67, 0.84]19 studies · 2738 participantsModerate
Downgraded: risk of bias
Endotracheal reintubation
Nasal intermittent positive pressure ventilation (NIPPV) vs nasal continuous positive airway pressure (NCPAP)
RR 0.78 [0.7, 0.87]17 studies · 2608 participantsModerate
Downgraded: risk of bias
Gastrointestinal perforation
Nasal intermittent positive pressure ventilation (NIPPV) vs nasal continuous positive airway pressure (NCPAP)
RR 0.89 [0.58, 1.38]8 studies · 1478 participantsLow
Downgraded: risk of bias, imprecision
Necrotising enterocolitis
Nasal intermittent positive pressure ventilation (NIPPV) vs nasal continuous positive airway pressure (NCPAP)
RR 0.86 [0.65, 1.15]10 studies · 2069 participantsModerate
Downgraded: risk of bias
Chronic lung disease (oxygen supplementation at 36 weeks)
Nasal intermittent positive pressure ventilation (NIPPV) vs nasal continuous positive airway pressure (NCPAP)
RR 0.93 [0.84, 1.05]9 studies · 2001 participantsModerate
Downgraded: risk of bias
Pulmonary air leak
Nasal intermittent positive pressure ventilation (NIPPV) vs nasal continuous positive airway pressure (NCPAP)
RR 0.57 [0.37, 0.87]13 studies · 2404 participantsLow
Downgraded: risk of bias, imprecision
Mortality (defined as death before discharge)
Nasal intermittent positive pressure ventilation (NIPPV) vs nasal continuous positive airway pressure (NCPAP)
RR 0.81 [0.61, 1.07]11 studies · 2258 participantsLow
Downgraded: risk of bias, imprecision