Cochrane · systematic review · CD011921

Oropharyngeal colostrum in preventing mortality and morbidity in preterm infants

Nasuf, AWA, Ojha, S, Dorling, J · Cochrane Database of Systematic Reviews · 2018 · 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
7
current version
GRADE rated
7
No studies
0
Included studies
NR
No studies 0 · 0%Ungraded 0 · 0%Very low 6 · 85.7%Low 1 · 14.3%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

Oropharyngeal colostrum (OPC) compared to control (water, saline, or no intervention) in preterm infants

Population: preterm infants
7 questions
OutcomeEffectEvidenceStatus / GRADE
Incidence of necrotising enterocolitis (NEC)
Oropharyngeal colostrum (OPC) vs control (water, saline, or no intervention)
RR 1.42 [0.5, 4.02]6 studies · 335 participantsVery low
Downgraded: risk of bias
Incidence of late‐onset sepsis
Oropharyngeal colostrum (OPC) vs control (water, saline, or no intervention)
RR 0.86 [0.56, 1.33]6 studies · 335 participantsVery low
Downgraded: risk of bias
Death before discharge to home
Oropharyngeal colostrum (OPC) vs control (water, saline, or no intervention)
RR 0.76 [0.34, 1.71]6 studies · 335 participantsVery low
Downgraded: risk of bias, imprecision, inconsistency
Days to full enteral feed
Oropharyngeal colostrum (OPC) vs control (water, saline, or no intervention)
no estimate extracted6 studies · 335 participantsVery low
Downgraded: risk of bias, imprecision, inconsistency
Length of hospital stay (days)
Oropharyngeal colostrum (OPC) vs control (water, saline, or no intervention)
no estimate extracted4 studies · 293 participantsVery low
Downgraded: risk of bias
Pneumonia
Oropharyngeal colostrum (OPC) vs control (water, saline, or no intervention)
RR 2.08 [0.54, 8.06]3 studies · 57 participantsLow
Downgraded: risk of bias, imprecision, inconsistency
Reported adverse effects
Oropharyngeal colostrum (OPC) vs control (water, saline, or no intervention)
no estimate extracted6 studies · 335 participantsVery low
Downgraded: risk of bias