Cochrane · systematic review · CD009609

High‐flow nasal cannula therapy for infants with bronchiolitis

Armarego, M, Forde, H, Wills, K, et al. · Cochrane Database of Systematic Reviews · 2024 · 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
6
current version
GRADE rated
6
No studies
0
Included studies
NR
No studies 0 · 0%Ungraded 0 · 0%Very low 0 · 0%Low 4 · 66.7%Moderate 2 · 33.3%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

Summary of findings table ‐ High‐flow nasal cannula compared to standard oxygen therapy (low‐flow) for infants with bronchiolitis

Population: infants with bronchiolitis
6 questions
OutcomeEffectEvidenceStatus / GRADE
Length of hospital stay
Summary of findings table ‐ High‐flow nasal cannula vs standard oxygen therapy (low‐flow)
no estimate extracted7 studies · 1951 participantsLow
Downgraded: risk of bias, inconsistency
Adverse events
Summary of findings table ‐ High‐flow nasal cannula vs standard oxygen therapy (low‐flow)
RR 1.2 [0.38, 3.74]4 studies · 1789 participantsLow
Downgraded: imprecision
Change in respiratory rate at 4 to 6 hours
Summary of findings table ‐ High‐flow nasal cannula vs standard oxygen therapy (low‐flow)
no estimate extracted5 studies · 692 participantsLow
Downgraded: risk of bias, inconsistency
Change in heart rate at 4 to 6 hours
Summary of findings table ‐ High‐flow nasal cannula vs standard oxygen therapy (low‐flow)
no estimate extracted5 studies · 692 participantsModerate
Downgraded: risk of bias
Need for treatment escalation
Summary of findings table ‐ High‐flow nasal cannula vs standard oxygen therapy (low‐flow)
RR 0.55 [0.39, 0.79]8 studies · 2215 participantsModerate
Downgraded: risk of bias
Duration of oxygen therapy
Summary of findings table ‐ High‐flow nasal cannula vs standard oxygen therapy (low‐flow)
no estimate extracted7 studies · 2132 participantsLow
Downgraded: risk of bias, inconsistency