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. 2007 Nov 7;2007:0320.
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