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. 2025 Sep 22;390:e084745. doi: 10.1136/bmj-2025-084745

Table 2.

Outcome data in newborn babies weighing <2000 g assigned to receive BCG Danish and OPV within 48 hours of admission (intervention) or delayed at least to discharge (control)

Mortality rate (deaths/total person years); No Adjusted hazard ratio (95% CI) P value*
Early BCG-OPV Control
Deaths ≤28 days (primary outcome) 1.29 (238/184); 2714 1.50 (273/182); 2706 0.83 (0.69 to 0.98) 0.03
Deaths from infection 0.40 (73/184); 2707 0.73 (133/182); 2702 0.53 (0.40 to 0.70) <0.001†
Deaths from non-infectious cause 0.89 (164/184); 2707 0.77 (139/182); 2702 1.10 (0.88 to 1.39) 0.41†
Deaths in hospital 2.33 (237/102); 2714 2.69 (269/100); 2706 0.83 (0.70 to 0.99) 0.04†
Deaths ≤28 days; controls censored when BCG-OPV given ≤28 days (original primary outcome) 1.29 (238/184); 2714 2.25 (273/121); 2706 0.78 (0.65 to 0.93) 0.006‡
Per protocol analysis 1.28 (236/184); 2702 2.26 (275/122); 2709 0.77 (0.65 to 0.92) 0.004§
Time of death after enrolment (days):      
 0-2 2.53 (56/22.1); 2714 3.41 (75/22.0); 2706 0.72 (0.51 to 1.03) 0.07¶
 3-6 3.48 (99/28.4); 2658 4.13 (116/28.1); 2631 0.84 (0.64 to 1.10) 0.21¶
 7-27 0.62 (83/134); 2553 0.62 (82/132); 2512 0.91 (0.67 to 1.24) 0.55¶

CI=confidence interval; OPV=oral polio vaccine.

*

Cox regression stratified by neonatal intensive care unit and adjusted for age, birth weight, gestational age, and sex. Six babies in the early BCG-OPV group and three in the control group were lost to follow-up before 28 days of age and censored from the time of last contact.

Secondary outcome not adjusted for multiplicity.

Biased estimate because low risk time from discharge to 28 days was removed from vaccinated controls.

§

Biased estimate because low risk time from discharge to 28 days was removed from vaccinated controls, and two babies who died were randomised to BCG-OPV but were not vaccinated because they were considered too ill were moved from the BCG-OPV group to the control group in the per protocol analysis.

Prespecified descriptive outcome not adjusted for multiplicity.