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. 2023 Nov 28;2023(11):CD012152. doi: 10.1002/14651858.CD012152.pub4

Comparison 1. Dextrose gel versus control.

Outcome or subgroup title No. of studies No. of participants Statistical method Effect size
1.1 Hypoglycaemia 2 2548 Risk Ratio (M‐H, Fixed, 95% CI) 0.87 [0.79, 0.95]
1.2 Major neurological disability at two years of age 2 1554 Risk Ratio (M‐H, Fixed, 95% CI) 1.00 [0.59, 1.68]
1.2.1 Major neurological disability at two years of age 2 1554 Risk Ratio (M‐H, Fixed, 95% CI) 1.00 [0.59, 1.68]
1.3 Major neurological disability at six to seven years of age 1 308 Risk Ratio (M‐H, Fixed, 95% CI) 0.72 [0.49, 1.06]
1.4 Major neurological disability at two years of age ‐ by risk factor 1 1194 Risk Ratio (M‐H, Fixed, 95% CI) 1.45 [0.78, 2.71]
1.4.1 Child of mother with diabetes 1 900 Risk Ratio (M‐H, Fixed, 95% CI) 1.10 [0.54, 2.23]
1.4.2 Other risk factor 1 294 Risk Ratio (M‐H, Fixed, 95% CI) 3.95 [0.85, 18.27]
1.5 Receipt of treatment for hypoglycaemia during initial hospital stay 2 2548 Risk Ratio (M‐H, Fixed, 95% CI) 0.89 [0.79, 1.00]
1.6 Separation from mother for treatment of hypoglycaemia (admission to NICU for hypoglycaemia) 2 2548 Risk Ratio (M‐H, Fixed, 95% CI) 1.12 [0.81, 1.55]
1.7 Receipt of intravenous treatment for hypoglycaemia 2 2548 Risk Ratio (M‐H, Fixed, 95% CI) 1.01 [0.68, 1.49]
1.8 Adverse effects (e.g. choking or vomiting at time of administration) 2 2510 Risk Ratio (M‐H, Fixed, 95% CI) 1.22 [0.64, 2.33]
1.9 Developmental disability at two years of age 2   Risk Ratio (M‐H, Fixed, 95% CI) Subtotals only
1.9.1 Developmental disability at two years of age 2 1553 Risk Ratio (M‐H, Fixed, 95% CI) 1.03 [0.84, 1.26]
1.10 Developmental disability at six to seven years of age 1   Risk Ratio (M‐H, Fixed, 95% CI) Subtotals only
1.10.1 Developmental disability at six to seven years of age 1 308 Risk Ratio (M‐H, Fixed, 95% CI) 0.85 [0.68, 1.07]
1.11 Any neurological disability at two years of age ‐ by risk factor 1 1194 Risk Ratio (M‐H, Fixed, 95% CI) 1.11 [0.88, 1.40]
1.11.1 Child of mother with diabetes 1 900 Risk Ratio (M‐H, Fixed, 95% CI) 1.12 [0.87, 1.46]
1.11.2 Other risk factor 1 294 Risk Ratio (M‐H, Fixed, 95% CI) 1.07 [0.65, 1.75]
1.12 Any neurological disability at six to seven years of age ‐ by risk factor 1 308 Risk Ratio (M‐H, Fixed, 95% CI) 0.84 [0.68, 1.05]
1.12.1 Child of mother with diabetes 1 219 Risk Ratio (M‐H, Fixed, 95% CI) 0.80 [0.63, 1.02]
1.12.2 Other risk factor 1 89 Risk Ratio (M‐H, Fixed, 95% CI) 0.99 [0.59, 1.68]
1.13 Any neurological disability at six to seven years of age ‐ by single or multiple gel dose 1 308 Risk Ratio (M‐H, Fixed, 95% CI) 0.85 [0.68, 1.07]
1.13.1 Single dose 1 167 Risk Ratio (M‐H, Fixed, 95% CI) 0.82 [0.61, 1.10]
1.13.2 Multiple dose 1 141 Risk Ratio (M‐H, Fixed, 95% CI) 0.90 [0.64, 1.27]
1.14 Receipt of oral dextrose gel treatment for hypoglycaemia 2 2548 Risk Ratio (M‐H, Fixed, 95% CI) 0.90 [0.79, 1.01]
1.15 Receipt of any medications for hypoglycaemia such as glucagon or corticosteroids 2 2548 Risk Ratio (M‐H, Fixed, 95% CI) Not estimable
1.16 Number of episodes of hypoglycaemia (glucose oxidase method) (total number per infant) 1 186 Mean Difference (IV, Fixed, 95% CI) ‐0.18 [‐0.55, 0.19]
1.17 Neonatal seizures 2 2548 Risk Ratio (M‐H, Fixed, 95% CI) 0.69 [0.08, 5.69]
1.18 Duration of initial hospital stay (days) 2 2537 Mean Difference (IV, Fixed, 95% CI) 0.06 [‐0.13, 0.24]
1.19 Breastfeeding (any) after discharge 2 2323 Risk Ratio (M‐H, Fixed, 95% CI) 1.01 [0.98, 1.05]
1.19.1 Breastfeeding (full or exclusive) after discharge 2 2323 Risk Ratio (M‐H, Fixed, 95% CI) 1.01 [0.98, 1.05]
1.20 Visual impairment at two years of age 2 1551 Risk Ratio (M‐H, Fixed, 95% CI) 0.19 [0.01, 4.03]
1.21 Hearing impairment at two years of age 2 1551 Risk Ratio (M‐H, Fixed, 95% CI) 0.32 [0.05, 2.05]
1.22 Cerebral palsy at two years of age 2 1543 Risk Ratio (M‐H, Fixed, 95% CI) 0.49 [0.04, 5.33]
1.23 Developmental delay/intellectual impairment at two years of age 2   Risk Ratio (M‐H, Fixed, 95% CI) Subtotals only
1.23.1 Developmental delay/intellectual impairment at two years of age 2 1546 Risk Ratio (M‐H, Fixed, 95% CI) 1.07 [0.86, 1.32]
1.24 Developmental delay/intellectual impairment at two years of age ‐ mild (70 to 84) 1 1187 Risk Ratio (M‐H, Fixed, 95% CI) 1.08 [0.82, 1.43]
1.25 Developmental delay/intellectual impairment at two years of age ‐ moderate or severe (< 70) 1 1187 Risk Ratio (M‐H, Fixed, 95% CI) 1.87 [0.94, 3.72]
1.26 Developmental delay/intellectual impairment at six to seven years of age 1   Risk Ratio (M‐H, Fixed, 95% CI) Subtotals only
1.26.1 Developmental delay/intellectual impairment at six to seven years of age ‐ motor impairment 1 308 Risk Ratio (M‐H, Fixed, 95% CI) 0.25 [0.10, 0.59]
1.26.2 Developmental delay/intellectual impairment at six to seven years of age ‐ language impairment 1 308 Risk Ratio (M‐H, Fixed, 95% CI) 0.69 [0.41, 1.17]
1.27 Developmental delay/intellectual impairment at two years of age ‐ by risk factor 1 1194 Risk Ratio (M‐H, Fixed, 95% CI) 1.11 [0.88, 1.40]
1.27.1 Child of mother with diabetes 1 900 Risk Ratio (M‐H, Fixed, 95% CI) 1.12 [0.87, 1.46]
1.27.2 Other risk factor 1 294 Risk Ratio (M‐H, Fixed, 95% CI) 1.07 [0.65, 1.75]
1.28 Executive dysfunction at two years of age 2   Risk Ratio (M‐H, Fixed, 95% CI) Subtotals only
1.28.1 Executive dysfunction at two years of age 2 1544 Risk Ratio (M‐H, Fixed, 95% CI) 0.79 [0.54, 1.16]
1.29 Executive dysfunction at six to seven years of age 1   Risk Ratio (M‐H, Fixed, 95% CI) Subtotals only
1.29.1 Executive dysfunction at six to seven years of age 1 308 Risk Ratio (M‐H, Fixed, 95% CI) 0.65 [0.35, 1.19]
1.30 Executive dysfunction at six to seven years of age ‐ by single or multiple gel dose 1 308 Risk Ratio (M‐H, Fixed, 95% CI) 0.66 [0.36, 1.21]
1.30.1 Single dose 1 167 Risk Ratio (M‐H, Fixed, 95% CI) 0.41 [0.20, 0.84]
1.30.2 Multiple dose 1 141 Risk Ratio (M‐H, Fixed, 95% CI) 2.34 [0.54, 10.26]
1.31 Executive dysfunction at two years of age ‐ by risk factor 1 1187 Risk Ratio (M‐H, Fixed, 95% CI) 0.95 [0.60, 1.50]
1.31.1 Child of mother with diabetes ‐ at two years of age 1 895 Risk Ratio (M‐H, Fixed, 95% CI) 0.80 [0.47, 1.35]
1.31.2 Other risk factor ‐ at two years of age 1 292 Risk Ratio (M‐H, Fixed, 95% CI) 1.67 [0.62, 4.47]
1.32 Executive dysfunction at six to seven years of age ‐ by risk factor 1 308 Risk Ratio (M‐H, Fixed, 95% CI) 0.63 [0.35, 1.16]
1.32.1 Child of mother with diabetes ‐ at six to seven years of age 1 219 Risk Ratio (M‐H, Fixed, 95% CI) 0.74 [0.38, 1.45]
1.32.2 Other risk factor ‐ at six to seven years of age 1 89 Risk Ratio (M‐H, Fixed, 95% CI) 0.28 [0.05, 1.45]
1.33 Emotional‐behavioural difficulty at six to seven years of age 1 228 Risk Ratio (M‐H, Fixed, 95% CI) 0.62 [0.33, 1.18]
1.34 Emotional‐behavioural difficulty at six to seven years of age ‐ by risk factor 1 228 Risk Ratio (M‐H, Fixed, 95% CI) 0.61 [0.32, 1.17]
1.34.1 Child of mother with diabetes 1 160 Risk Ratio (M‐H, Fixed, 95% CI) 0.55 [0.26, 1.14]
1.34.2 Other risk factor 1 68 Risk Ratio (M‐H, Fixed, 95% CI) 0.85 [0.22, 3.25]
1.35 Emotional‐behavioural difficulty at six to seven years of age ‐ by single or multiple gel dose 1 228 Risk Ratio (M‐H, Fixed, 95% CI) 0.62 [0.32, 1.19]
1.35.1 Single dose 1 121 Risk Ratio (M‐H, Fixed, 95% CI) 0.42 [0.18, 1.01]
1.35.2 Multiple dose 1 107 Risk Ratio (M‐H, Fixed, 95% CI) 1.02 [0.35, 2.96]