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. 2024 Nov 14;122(Suppl 1):152–172. doi: 10.1159/000542482

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.