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. 2017 Feb 8;2017(2):CD005389. doi: 10.1002/14651858.CD005389.pub2

Summary of findings for the main comparison. Fluid restricted compared to liberal fluids compared to placebo for treatment of preterm babies with chronic lung disease.

Fluid restricted compared to liberal fluids compared to placebo for treatment of preterm babies with chronic lung disease
Participant or population: treatment of preterm babies with chronic lung disease
 Setting:Intervention: Fluid restricted compared to liberal fluids
 Comparison: placebo
Outcomes Anticipated absolute effects* (95% CI) Relative effect
 (95% CI) № of participants
 (studies) Quality of the evidence
 (GRADE) Comments
Risk with placebo Risk with fluid restricted compared to liberal fluids
Duration of oxygen therapy The mean duration of oxygen therapy was 27.5 days median 0.5 days higher
 (0 to 0 ) 60
 (1 RCT) ⊕⊕⊝⊝
 LOW 1 2  
Duration of hospitalisation The mean duration of hospitalisation was 85 days MD 3 Days higher
 (7.64 lower to 13.64 higher) 60
 (1 RCT) ⊕⊕⊝⊝
 LOW 1 2  
Daily weight gain The mean daily weight gain was 14.8 g/kg/d MD 0.5 g/kg/d higher
 (1.22 lower to 2.22 higher) 60
 (1 RCT) ⊕⊕⊝⊝
 LOW 1 2  
Proportion with apnoea Study population RR 1.35
 (0.98 to 1.86) 60
 (1 RCT) ⊕⊕⊝⊝
 LOW 1 2  
630 per 1000 850 per 1000
 (617 to 1000)
Moderate
630 per 1000 850 per 1000
 (617 to 1000)
*The risk in the intervention group (and its 95% CI) is based on the assumed risk in the comparison group and the relative effect of the intervention (and its 95% CI).
 
 CI: Confidence interval; RR: Risk ratio; OR: Odds ratio
GRADE Working Group grades of evidenceHigh quality: We are very confident that the true effect lies close to that of the estimate of the effect
 Moderate quality: We are moderately confident in the effect estimate: the true effect is likely to be close to the estimate of the effect, but there is a possibility that it is substantially different
 Low quality: Our confidence in the effect estimate is limited: the true effect may be substantially different from the estimate of the effect
 Very low quality: We have very little confidence in the effect estimate: the true effect is likely to be substantially different from the estimate of effect

1 Unmasked study

2 Wide confidence limits