Cochrane · systematic review · CD004863

Early erythropoiesis‐stimulating agents in preterm or low birth weight infants

Ohlsson, A, Aher, SM · Cochrane Database of Systematic Reviews · 2020 · 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
13
current version
GRADE rated
13
No studies
0
Included studies
NR
No studies 0 · 0%Ungraded 0 · 0%Very low 0 · 0%Low 5 · 38.5%Moderate 4 · 30.8%High 4 · 30.8%

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

Show all 2 versions

Comparison

Population: preterm infants with low birth weight
4 questions
OutcomeEffectEvidenceStatus / GRADE
Use of 1 or more red blood cell transfusions (low and high doses of EPO)
RR 0.79 [0.74, 0.85]19 studies · 1750 participantsLow
Any neurodevelopmental impairment at 18 to 22 months' corrected age (in children examined)
RR 0.62 [0.48, 0.8]4 studies · 1130 participantsLow
Bayley‐II MDI at 18 to 24 months Bayley Scales of Infant Development, Second Edition, yields 2 single age‐standardised composite scores (range 50 to 150): a Mental Development Index (MDI), which measures cognition through sensory perception, knowl...
8.22 [6.52, 9.92]3 studies · 981 participantsLow
Necrotising enterocolitis (stage not reported)
RR 0.69 [0.52, 0.91]15 studies · 2639 participantsModerate

Comparison

Population: preterm infants with low birth weight
6 questions
OutcomeEffectEvidenceStatus / GRADE
Mortality during initial hospital stay (all causes of mortality)
RR 0.89 [0.68, 1.16]20 studies · 2212 participantsHigh
Retinopathy of prematurity (stage ≥ 3)
RR 1.24 [0.81, 1.9]8 studies · 1283 participantsHigh
Intraventricular haemorrhage (grades III and IV)
RR 0.6 [0.43, 0.85]8 studies · 1460 participantsModerate
Periventricular leukomalacia
RR 0.66 [0.48, 0.92]6 studies · 1469 participantsModerate
Survivors at discharge from hospital without severe IVH, PVL, ROP
RR 1 [0.93, 1.08]1 study · 443 participantsHigh
Time to achieve full enteral feeding (days)
no estimate extracted1 study · 50 participantsLow

Comparison

Population: preterm infants with low birth weight
1 question
OutcomeEffectEvidenceStatus / GRADE
Cerebral palsy at 18 to 24 months' corrected age
RR 0.72 [0.46, 1.13]6 studies · 1172 participantsHigh

Comparison

Population: neonates born preterm with low birth weight
2 questions
OutcomeEffectEvidenceStatus / GRADE
BSID‐III composite cognitive scores at 18 to 22 months The Bayley‐III has 3 main sub tests: the Cognitive Scale, which includes items such as attention to familiar and unfamiliar objects, looking for a fallen object, and pretend play; the Language...
MD 7.8 [1.65, 13.95]1 study · 80 participantsModerate
WPPSI‐III FSIQ at 3.5 to 4 years of age Composite scores have a mean of 100 and a standard deviation of 15. Average is 90 to 109.
MD 11.9 [0.76, 23.04]1 study · 53 participantsLow