Cochrane · systematic review · CD011506

Cerebral near‐infrared spectroscopy monitoring for prevention of brain injury in very preterm infants

Hyttel‐Sorensen, S, Greisen, G, Als‐Nielsen, B, et al. · 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
8
current version
GRADE rated
8
No studies
0
Included studies
NR
No studies 0 · 0%Ungraded 0 · 0%Very low 7 · 87.5%Low 1 · 12.5%Moderate 0 · 0%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

Cerebral NIRS oximetry compared to no cerebral NIRS oximetry in very preterm infants

Population: prevention of morbidities in very preterm infants
8 questions
OutcomeEffectEvidenceStatus / GRADE
All‐cause mortality
Cerebral NIRS oximetry vs no cerebral NIRS oximetry
RR 0.5 [0.29, 1]1 study · 166 participantsLow
Downgraded: imprecision
Intraventricular haemorrhage grade III or IV
Cerebral NIRS oximetry vs no cerebral NIRS oximetry
RR 0.57 [0.25, 1.31]1 study · 166 participantsVery low
Downgraded: imprecision
Cystic periventricular leukomalacia (diagnosed by cranial ultrasound)
Cerebral NIRS oximetry vs no cerebral NIRS oximetry
no estimate extracted1 study · 166 participantsVery low
Downgraded: imprecision
Patent ductus arteriosus
Cerebral NIRS oximetry vs no cerebral NIRS oximetry
RR 1.96 [0.94, 4.08]1 study · 166 participantsVery low
Downgraded: imprecision
Chronic lung disease (oxygen supplementation at 36 weeks' postmenstrual age)
Cerebral NIRS oximetry vs no cerebral NIRS oximetry
RR 1.27 [0.94, 1.5]1 study · 132 participantsVery low
Downgraded: imprecision
Proven necrotising enterocolitis (Bell's stage II or III)
Cerebral NIRS oximetry vs no cerebral NIRS oximetry
RR 0.83 [0.33, 1.94]1 study · 166 participantsVery low
Downgraded: imprecision
Retinopathy of prematurity, any or severe (stage ≥ III)
Cerebral NIRS oximetry vs no cerebral NIRS oximetry
RR 1.64 [0.75, 3]1 study · 166 participantsVery low
Downgraded: imprecision
Other adverse effects
Cerebral NIRS oximetry vs no cerebral NIRS oximetry
no estimate extracted1 study · 166 participantsVery low
Downgraded: imprecision