Cochrane · systematic review · CD006602

Monoclonal antibody for reducing the risk of respiratory syncytial virus infection in children

Andabaka, T, Nickerson, JW, Rojas‐Reyes, MX, et al. · Cochrane Database of Systematic Reviews · 2013 · Cochrane Library

Acute Respiratory InfectionsAMSTAR 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
14
current version
GRADE rated
13
No studies
0
Included studies
NR
No studies 0 · 0%Ungraded 1 · 7.1%Very low 1 · 7.1%Low 1 · 7.1%Moderate 6 · 42.9%High 5 · 35.7%

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

Palivizumab compared to placebo for high risk of severe respiratory syncytial virus infection

Population: patients at high risk of severe respiratory syncytial virus infection
7 questions
OutcomeEffectEvidenceStatus / GRADE
Hospitalisation for RSV infection
Palivizumab vs placebo
RR 0.49 [0.37, 0.64]3 studies · 2831 participantsHigh
All‐cause mortality
Palivizumab vs placebo
RR 0.69 [0.42, 1.15]3 studies · 2831 participantsModerate
Total RSV hospital days per 100 children
Palivizumab vs placebo
no estimate extracted2 studies · 2789 participantsModerate
Admission to ICU
Palivizumab vs placebo
RR 0.5 [0.3, 0.81]2 studies · 2789 participantsHigh
Mechanical ventilation for RSV infection
Palivizumab vs placebo
RR 1.1 [0.2, 6.09]2 studies · 2789 participantsVery low
Downgraded: inconsistency
Supplemental oxygen therapy for RSV infection
Palivizumab vs placebo
no estimate extracted0 studies · 0 participantsUngraded
Number of children reporting any SAE
Palivizumab vs placebo
RR 0.88 [0.8, 0.96]1 study · 1287 participantsHigh

Palivizumab compared to motavizumab for high risk of severe respiratory syncytial virus infection

Population: patients at high risk of severe respiratory syncytial virus infection
7 questions
OutcomeEffectEvidenceStatus / GRADE
Hospitalisation for RSV infection
Palivizumab vs motavizumab
RR 1.36 [0.97, 1.9]2 studies · 7870 participantsModerate
All‐cause mortality
Palivizumab vs motavizumab
RR 0.74 [0.38, 1.43]4 studies · 8265 participantsModerate
Total RSV hospital days per 100 children
Palivizumab vs motavizumab
no estimate extracted2 studies · 7870 participantsLow
Admission to ICU
Palivizumab vs motavizumab
RR 1.68 [0.89, 3.19]2 studies · 7870 participantsModerate
Mechanical ventilation for RSV infection
Palivizumab vs motavizumab
RR 3.79 [1.26, 11.42]2 studies · 7870 participantsHigh
Supplemental oxygen therapy for RSV infection
Palivizumab vs motavizumab
RR 1.49 [0.98, 2.26]2 studies · 7870 participantsModerate
Number of children reporting any SAE
Palivizumab vs motavizumab
RR 1.04 [0.96, 1.13]4 studies · 8238 participantsHigh