Ref (type) | Population | Outcome, Interventions | Results and statistical analysis | Effect size | Favours |
Neurological impairment | |||||
Systematic review |
77 surviving term infants 3 RCTs in this analysis |
Rates of severe neurodevelopmental disability
9/40 (23%) with barbiturate (thiopental or phenobarbital) 14/37 (38%) with no drug treatment |
RR 0.61 95% CI 0.30 to 1.22 |
Not significant | |
RCT |
45 asphyxiated neonates (gestational age 34 weeks and over) manifesting hypoxic–ischaemic encephalopathy in the first 6 hours of life |
Proportion of infants who developed seizures
2/25 (8%) with prophylactic phenobarbital (20 mg/kg given within 6 hours after birth) 8/20 (40%) with standard treatment |
RR 0.20 95% CI 0.05 to 0.84 NNT 3.1 95% CI 1.8 to 12.5 |
Moderate effect size | phenobarbital |