Table 2.
Summary of study characteristics per respiratory condition
| Topics | Study design | Population | Comparisons | Setting | Publication date range |
|---|---|---|---|---|---|
| Respiratory Distress Syndrome | |||||
| Prophylactic CPAP | 2 RCTs | 269 neonates, <37 weeks GA | 1 Prophylactic CPAP versus supportive care or mechanical ventilation | Brazil and Iran | 2013–2014 |
| 1 Prophylactic CPAP versus very early CPAP | All tertiary facilities | ||||
| Early versus Delayed CPAP | No studies from LMICs found | NA | 0 Early CPAP versus delayed CPAP (at approximately FiO2 0.6 or more) | NA | NA |
| Any CPAP versus Oxygen Therapy | 1 RCT | 48 neonates, <37 weeks GA | 1 Pumani bubble CPAP versus humidified oxygen | Tanzania | 2020 |
| All tertiary facilities | |||||
| Bubble CPAP | 13 RCTs | 1,261 neonates, <37 weeks GA | 13 Underwater Bubble CPAP versus other ventilators or Infant Flow Driver CPAP devices | Albania, Armenia, Brazil, India, and Iran | 2010–2017 |
| All tertiary facilities | |||||
| Animal-Derived Surfactant | 12 RCTs, 1 Quasi-RT | 1,451 neonates, <37 weeks GA | 3 bovine lung lavage versus modified bovine lung | Brazil, India, Iran, Mexico, and Turkey | 2004–2022 |
| 2 bovine lung lavage versus porcine minced lung | 12 tertiary facilities | ||||
| 9 modified bovine lung versus porcine minced lung (any initial dosage) | 1 mixed facility | ||||
| 7 modified bovine lung versus porcine minced lung (initial dosage of >100 mg/kg) | |||||
| 1 modified bovine lung versus porcine lung lavage | |||||
| 1 goat lung surfactant extract versus modified bovine lung | |||||
| 1 porcine minced lung versus modified bovine lung or porcine minced lung | |||||
| Apnoea of Prematurity | |||||
| Methylxanthines | 1 RCT, 1 Quasi-RT | 52 neonates, <37 weeks GA | 1 Aminophylline or caffeine versus normal saline placebo | Iran | 2016 |
| All tertiary facilities | |||||
| Bronchopulmonary Dysplasia | |||||
| Postnatal Corticosteroids | 5 RCTs | 534 neonates, <37 weeks GA | 1 budesonide versus surfactant | China and Iran | 2016–2022 |
| 4 budesonide and surfactant versus surfactant only | All tertiary facilities | ||||
| Meconium Aspiration Syndrome | |||||
| Endotracheal Suctioning | 4 RCTs | 571 neonates, ≥34 weeks GA | 2 Endotracheal suctioning versus oropharyngeal suctioning | India | 2015–2019 |
| 2 Endotracheal suctioning versus oro-nasopharyngeal suctioning | All tertiary facilities | ||||
| Antibiotics | 3 RCTs | 336 neonates, ≥34 weeks GA | 1 Ampicillin and amikacin versus no antibiotics | India | 1995–2015 |
| 1 Piperacillin-tazobactam and amikacin versus no antibiotics | All tertiary facilities | ||||
| 1 Gentamicin versus no antibiotics | |||||
| Bolus Surfactant | 1 RCT | 61 neonates, Unspecified age range | 1 Porcine minced lung (poractant alfa) versus unspecified non-surfactant control therapy | China | 2005 |
| All tertiary facilities | |||||
| Transient Tachypnea of the Newborn | |||||
| Salbutamol | 6 RCTs | 458 neonates, ≥34 weeks GA | 6 Nebulized salbutamol (0.15 mg/kg) versus nebulized normal saline placebo | Iran, Mexico, and Turkey | 2011–2019 |
| All tertiary facilities | |||||
RCT, randomized controlled trial; GA, gestational age; CPAP, continuous positive airway pressure; NA, not applicable; Quasi-RT, quasi-randomized trial.