Cochrane Review Group

Neonatal

210 systematic reviews in Neonatal ask 2,353 questions. 18.4% have no studies to answer them, 25.9% rest on very low certainty evidence and 20.3% reach moderate or high certainty.

Reviews

210

Questions

2,353

current versions

No studies

18.4%

Moderate or high

20.3%

No studies 432 · 18.4%Ungraded 99 · 4.2%Very low 609 · 25.9%Low 737 · 31.3%Moderate 385 · 16.4%High 91 · 3.9%

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.

Search questions in Neonatal

Thinnest evidence

All no studies and very low questions

Question	Effect	Evidence	Status / GRADE
Summary of findings table ‐ Salbutamol vs placebo Adverse effects of bronchodilators, including hypokalaemia, tachycardia, cardiac arrhythmia, tremor, hypertension and hyperglycaemia ‐ not reported · preterm infants (< 37 weeks GA) at risk of chronic lung disease Inhaled bronchodilators for the prevention and treatment of chronic lung disease in preterm infants (2024) · Cochrane	no estimate extracted	NR	No studies
Summary of findings table ‐ Salbutamol vs placebo Pneumothorax · preterm infants (< 37 weeks GA) at risk of chronic lung disease Inhaled bronchodilators for the prevention and treatment of chronic lung disease in preterm infants (2024) · Cochrane	no estimate extracted	1 study · 173 participants	Very low
Surfactant administration via laryngeal mask airway (S‐LMA) vs surfactant administration via endotracheal tube (ETT) with extubation at standard criteria (S‐ETT) Pulmonary air leak, any (during first hospitalisation) Anytime to discharge · preterm infants with or at risk of respiratory distress syndrome Laryngeal mask airway surfactant administration for prevention of morbidity and mortality in preterm infants… (2024) · Cochrane	RR 2.56 [0.11, 59.75]	1 study · 48 participants	Very low
Surfactant administration via laryngeal mask airway (S‐LMA) vs surfactant administration via endotracheal tube (ETT) with extubation at standard criteria (S‐ETT) Bronchopulmonary dysplasia (clinical definition) among survivors · preterm infants with or at risk of respiratory distress syndrome Laryngeal mask airway surfactant administration for prevention of morbidity and mortality in preterm infants… (2024) · Cochrane	no estimate extracted	NR	No studies
Surfactant administration via laryngeal mask airway (S‐LMA) vs surfactant administration via endotracheal tube (ETT) with extubation at standard criteria (S‐ETT) Intraventricular haemorrhage grade III and IV Anytime to discharge · preterm infants with or at risk of respiratory distress syndrome Laryngeal mask airway surfactant administration for prevention of morbidity and mortality in preterm infants… (2024) · Cochrane	RR 2.56 [0.11, 59.75]	1 study · 48 participants	Very low
Surfactant administration via laryngeal mask airway (S‐LMA) vs surfactant administration via endotracheal tube (ETT) with extubation at standard criteria (S‐ETT) Death (all causes) during the first hospitalisation Anytime to discharge · preterm infants with or at risk of respiratory distress syndrome Laryngeal mask airway surfactant administration for prevention of morbidity and mortality in preterm infants… (2024) · Cochrane	RR 0.17 [0.01, 3.37]	1 study · 48 participants	Very low
Surfactant administration via laryngeal mask airway (S‐LMA) vs surfactant administration via endotracheal tube (ETT) with extubation at standard criteria (S‐ETT) Neurosensory disability in survivors · preterm infants with or at risk of respiratory distress syndrome Laryngeal mask airway surfactant administration for prevention of morbidity and mortality in preterm infants… (2024) · Cochrane	no estimate extracted	NR	No studies
Surfactant administration via laryngeal mask airway (S‐LMA) vs no surfactant administration Intraventricular haemorrhage grade III and IV Anytime to discharge · preterm infants with or at risk of respiratory distress syndrome Laryngeal mask airway surfactant administration for prevention of morbidity and mortality in preterm infants… (2024) · Cochrane	no estimate extracted	1 study · 103 participants	Very low
Surfactant administration via laryngeal mask airway (S‐LMA) vs no surfactant administration Death (all causes) during the first hospitalisation Anytime to discharge · preterm infants with or at risk of respiratory distress syndrome Laryngeal mask airway surfactant administration for prevention of morbidity and mortality in preterm infants… (2024) · Cochrane	no estimate extracted	1 study · 103 participants	Very low
Surfactant administration via laryngeal mask airway (S‐LMA) vs no surfactant administration Neurosensory disability in survivors · preterm infants with or at risk of respiratory distress syndrome Laryngeal mask airway surfactant administration for prevention of morbidity and mortality in preterm infants… (2024) · Cochrane	no estimate extracted	NR	No studies
Surfactant administration via laryngeal mask airway (S‐LMA) vs surfactant administration via endotracheal tube (ETT) with the intent to rapidly extubate (InSurE) Intraventricular haemorrhage grade III and IV Anytime to discharge · preterm infants with or at risk of respiratory distress syndrome Laryngeal mask airway surfactant administration for prevention of morbidity and mortality in preterm infants… (2024) · Cochrane	no estimate extracted	1 study · 50 participants	Very low
Surfactant administration via laryngeal mask airway (S‐LMA) vs surfactant administration via endotracheal tube (ETT) with the intent to rapidly extubate (InSurE) Neurosensory disability in survivors · preterm infants with or at risk of respiratory distress syndrome Laryngeal mask airway surfactant administration for prevention of morbidity and mortality in preterm infants… (2024) · Cochrane	no estimate extracted	NR	No studies

Reviews 210

Routine monitoring of gastric residual for prevention of necrotising enterocolitis in preterm infants

Abiramalatha, T, Thanigainathan, S, et al. · Cochrane Database of Systematic Reviews · 2023

Neonatal

Thinnest evidence

Reviews 210

Routine monitoring of gastric residual for prevention of necrotising enterocolitis in preterm infants

Re‐feeding versus discarding gastric residuals to improve growth in preterm infants

Surfactant therapy guided by tests for lung maturity in preterm infants at risk of respiratory distress syndrome

Superoxide dismutase for bronchopulmonary dysplasia in preterm infants

Automated oxygen delivery for preterm infants with respiratory dysfunction

Hand hygiene for the prevention of infections in neonates

Musical and vocal interventions to improve neurodevelopmental outcomes for preterm infants

Continuous positive airway pressure (CPAP) for apnoea of prematurity

Higher versus lower protein intake in formula‐fed term infants

Methylxanthine for the prevention and treatment of apnea in preterm infants

Antiseptic solutions for skin preparation during central catheter insertion in neonates

Caffeine dosing regimens in preterm infants with or at risk for apnea of prematurity

Doxapram for the prevention and treatment of apnea in preterm infants

Sucrose analgesia for heel‐lance procedures in neonates

Systemic opioids versus other analgesics and sedatives for postoperative pain in neonates

Anti‐seizure medications for neonates with seizures

Systemic opioid regimens for postoperative pain in neonates

Opioids for procedural pain in neonates

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

Prebiotics to prevent necrotising enterocolitis in very preterm or very low birth weight infants

Non‐opioid analgesics for procedural pain in neonates

Caffeine versus other methylxanthines for the prevention and treatment of apnea in preterm infants

Positioning for lumbar puncture in newborn infants

Pharmacological interventions for the management of pain and discomfort during lumbar puncture in newborn infants

Delayed introduction of progressive enteral feeds to prevent necrotising enterocolitis in very low birth weight infants