Cochrane · systematic review · CD004339

Arginine supplementation for prevention of necrotising enterocolitis in preterm infants

Shah, PS, Shah, VS, Kelly, LE · 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 1 · 16.7%Moderate 5 · 83.3%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

Arginine compared with placebo for prevention of necrotising enterocolitis

Population: prevention of necrotising enterocolitis in preterm infants
6 questions
OutcomeEffectEvidenceStatus / GRADE
NEC any stage Bell's criteria
Arginine vs placebo
RR 0.38 [0.23, 0.64]3 studies · 285 participantsModerate
Downgraded: imprecision, indirectness
Stage 1 NEC Bell's criteria
Arginine vs placebo
RR 0.37 [0.15, 0.9]3 studies · 285 participantsModerate
Downgraded: imprecision, indirectness
Stage 2 NEC Bell's criteria
Arginine vs placebo
RR 0.51 [0.25, 1.06]3 studies · 285 participantsModerate
Downgraded: imprecision, indirectness
Stage 3 NEC Bell's criteria
Arginine vs placebo
RR 0.13 [0.02, 1.03]3 studies · 285 participantsModerate
Downgraded: imprecision, indirectness
Mortality due to any cause
Arginine vs placebo
RR 0.77 [0.41, 1.45]3 studies · 285 participantsLow
Downgraded: imprecision, inconsistency, indirectness
Side effects ‐ hypotension
Arginine vs placebo
RR 1.03 [0.41, 2.59]2 studies · 192 participantsModerate
Downgraded: imprecision, indirectness