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. 2023 Apr 11;2023(4):CD013873. doi: 10.1002/14651858.CD013873.pub2

Comparison 4. High‐ versus standard‐dose strategies for the prevention of re‐intubation.

Outcome or subgroup title No. of studies No. of participants Statistical method Effect size
4.1 All‐cause mortality prior to hospital discharge 1 238 Risk Ratio (M‐H, Fixed, 95% CI) 0.75 [0.25, 2.30]
4.2 Failure to extubate within one week of commencing treatment 2 365 Risk Ratio (M‐H, Fixed, 95% CI) 0.52 [0.36, 0.74]
4.3 Reintubation within one week of commencing treatment 1   Risk Ratio (M‐H, Fixed, 95% CI) Subtotals only
4.4 Side effects (tachycardia, agitation, or feed intolerance) leading to a reduction in dose or withholding of caffeine 2 365 Risk Ratio (M‐H, Fixed, 95% CI) 1.86 [0.68, 5.09]
4.5 Bronchopulmonary dysplasia/chronic lung disease: 28 days of oxygen exposure  1 238 Risk Ratio (M‐H, Fixed, 95% CI) 0.84 [0.68, 1.04]
4.6 Bronchopulmonary dysplasia/chronic lung disease at 36 weeks' postmenstrual age 1 238 Risk Difference (M‐H, Fixed, 95% CI) ‐0.13 [‐0.25, ‐0.01]
4.7 Number of days using mechanical ventilation 1 127 Mean Difference (IV, Fixed, 95% CI) ‐0.02 [‐0.89, 0.85]
4.8 Intraventricular hemorrhage, any grade 1 238 Risk Ratio (M‐H, Fixed, 95% CI) 1.02 [0.68, 1.53]
4.9 Intraventricular hemorrhage, grade 3 to 4 2 365 Risk Ratio (M‐H, Fixed, 95% CI) 4.08 [0.74, 22.55]
4.10 Necrotizing enterocolitis (proven = Bell stage of 2 or greater) (Bell 1978) 2 365 Risk Ratio (M‐H, Fixed, 95% CI) 0.38 [0.08, 1.79]
4.11 Patent ductus arteriosus (PDA) requiring treatment (cyclo‐oxygenase inhibitors or surgical ligation) 1 127 Risk Ratio (M‐H, Fixed, 95% CI) 0.65 [0.30, 1.41]
4.12 Retinopathy of prematurity (ROP) (any ROP) (International Committee 2005) 1 238 Risk Ratio (M‐H, Fixed, 95% CI) 0.65 [0.40, 1.05]
4.13 Retinopathy of prematurity (ROP) (severe ROP [stage 3 or greater]) (International Committee 2005) 1 238 Risk Ratio (M‐H, Fixed, 95% CI) 0.39 [0.11, 1.45]