Cochrane · systematic review · CD015130

Bubble devices versus other pressure sources for nasal continuous positive airway pressure in preterm infants

Prakash, R, De Paoli, AG, Davis, PG, et al. · Cochrane Database of Systematic Reviews · 2023 · 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
6
current version
GRADE rated
5
No studies
1
Included studies
NR
No studies 1 · 16.7%Ungraded 0 · 0%Very low 0 · 0%Low 4 · 66.7%Moderate 1 · 16.7%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

Bubble versus ventilator or Infant Flow Driver nasal continuous positive airway pressure (CPAP) for preterm infants

Population: preterm infants receiving nasal CPAP
6 questions
OutcomeEffectEvidenceStatus / GRADE
Treatment failure
Bubble vs ventilator or Infant Flow Driver nasal continuous positive airway pressure (CPAP)
RR 0.76 [0.6, 0.95]13 studies · 1230 participantsLow
Downgraded: risk of bias, imprecision
All‐cause mortality before hospital discharge
Bubble vs ventilator or Infant Flow Driver nasal continuous positive airway pressure (CPAP)
RR 0.93 [0.64, 1.36]10 studies · 1189 participantsLow
Downgraded: risk of bias, imprecision
Neurodevelopmental impairment
Bubble vs ventilator or Infant Flow Driver nasal continuous positive airway pressure (CPAP)
no estimate extractedNRNo studies
Pneumothorax
Bubble vs ventilator or Infant Flow Driver nasal continuous positive airway pressure (CPAP)
RR 0.73 [0.4, 1.34]14 studies · 1340 participantsLow
Downgraded: risk of bias, imprecision
Moderate‐severe nasal injury
Bubble vs ventilator or Infant Flow Driver nasal continuous positive airway pressure (CPAP)
RR 2.29 [1.37, 3.82]8 studies · 753 participantsModerate
Downgraded: risk of bias
Bronchopulmonary dysplasia
Bubble vs ventilator or Infant Flow Driver nasal continuous positive airway pressure (CPAP)
RR 0.76 [0.53, 1.1]7 studies · 603 participantsLow
Downgraded: risk of bias, imprecision