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. 2018 Feb 5;2018(2):CD008342. doi: 10.1002/14651858.CD008342.pub2

Comparison 1. Intravenous versus intramuscular vitamin K.

Outcome or subgroup title No. of studies No. of participants Statistical method Effect size
1 Bleeding complications 1   Risk Ratio (M‐H, Fixed, 95% CI) Subtotals only
1.1 0.2 mg IV versus 0.2 mg IM 1 52 Risk Ratio (M‐H, Fixed, 95% CI) 7.0 [0.38, 129.11]
1.2 0.2 mg IV versus 0.5 mg IM 1 54 Risk Ratio (M‐H, Fixed, 95% CI) 0.81 [0.20, 3.27]
1.3 Any IV Vitamin K (0.2 mg) versus any IM Vitamin K (0.2 mg and 0.5 mg) 1 80 Risk Ratio (M‐H, Fixed, 95% CI) 1.56 [0.38, 6.46]
2 Intraventricular hemorrhage > Grade II 1   Risk Ratio (M‐H, Fixed, 95% CI) Subtotals only
2.1 0.2 mg IV versus 0.2 mg IM 1 52 Risk Ratio (M‐H, Fixed, 95% CI) 2.0 [0.19, 20.72]
2.2 0.2 mg IV versus 0.5 mg IM 1 54 Risk Ratio (M‐H, Fixed, 95% CI) 0.72 [0.13, 3.96]
2.3 Any IV Vitamin K (0.2 mg) versus any IM Vitamin K (0.2 mg and 0.5 mg) 1 80 Risk Ratio (M‐H, Fixed, 95% CI) 1.04 [0.20, 5.31]
3 Presence of PIVKA II at day 5 1   Risk Ratio (M‐H, Fixed, 95% CI) Subtotals only
3.1 0.2 mg IV versus 0.2 mg IM 1 60 Risk Ratio (M‐H, Fixed, 95% CI) 1.52 [0.37, 6.23]
3.2 0.2 mg IV versus 0.5 mg IM 1 57 Risk Ratio (M‐H, Fixed, 95% CI) 2.07 [0.41, 10.43]
3.3 Any IV Vitamin K (0.2 mg) versus any IM Vitamin K (0.2 mg and 0.5 mg) 1 89 Risk Ratio (M‐H, Fixed, 95% CI) 1.74 [0.51, 6.00]
4 Presence of PIVKA II at day 25 1   Risk Ratio (M‐H, Fixed, 95% CI) Subtotals only
4.1 0.2 mg IV versus 0.2 mg IM 1 52 Risk Ratio (M‐H, Fixed, 95% CI) 1.08 [0.07, 16.36]
4.2 0.2 mg IV versus 0.5 mg IM 1 51 Risk Ratio (M‐H, Fixed, 95% CI) 1.04 [0.07, 15.74]
4.3 Any IV Vitamin K (0.2 mg) versus any IM Vitamin K (0.2 mg and 0.5 mg) 1 78 Risk Ratio (M‐H, Fixed, 95% CI) 1.06 [0.10, 11.15]
5 Prolonged PT at day 5 1   Risk Ratio (M‐H, Fixed, 95% CI) Subtotals only
5.1 0.2 mg IV versus 0.2 mg IM 1 63 Risk Ratio (M‐H, Fixed, 95% CI) 0.65 [0.24, 1.76]
5.2 0.2 mg IV versus 0.5 mg IM 1 60 Risk Ratio (M‐H, Fixed, 95% CI) 0.94 [0.30, 2.90]
5.3 Any IV Vitamin K (0.2 mg) versus any IM Vitamin K (0.2 mg and 0.5 mg) 1 92 Risk Ratio (M‐H, Fixed, 95% CI) 0.76 [0.30, 1.93]
6 Vitamin K1 epoxide detected (≥ 10 ng/mL on day 5) 1   Risk Ratio (M‐H, Fixed, 95% CI) Subtotals only
6.1 0.2 mg IV versus 0.2 mg IM 1 61 Risk Ratio (M‐H, Fixed, 95% CI) 9.9 [0.56, 176.29]
6.2 0.2 mg IV versus 0.5 mg IM 1 58 Risk Ratio (M‐H, Fixed, 95% CI) 0.57 [0.19, 1.74]
6.3 Any IV Vitamin K (0.2 mg) versus any IM Vitamin K (0.2 mg and 0.5 mg) 1 90 Risk Ratio (M‐H, Fixed, 95% CI) 1.20 [0.38, 3.78]
7 Vitamin K1 epoxide detected (≥ 0.3 ng/mL on day 25) 1   Risk Ratio (M‐H, Fixed, 95% CI) Subtotals only
7.1 0.2 mg IV versus 0.2 mg IM 1 52 Risk Ratio (M‐H, Fixed, 95% CI) 0.33 [0.01, 7.82]
7.2 0.2 mg IV versus 0.5 mg IM 1 54 Risk Ratio (M‐H, Fixed, 95% CI) 0.12 [0.01, 2.11]
7.3 Any IV Vitamin K (0.2 mg) versus any IM Vitamin K (0.2 mg and 0.5 mg) 1 80 Risk Ratio (M‐H, Fixed, 95% CI) 0.19 [0.01, 3.23]
8 Necrotizing enterocolitis 1   Risk Ratio (M‐H, Fixed, 95% CI) Subtotals only
8.1 0.2 mg IV versus 0.2 mg IM 1 52 Risk Ratio (M‐H, Fixed, 95% CI) 1.0 [0.15, 6.57]
8.2 0.2 mg IV versus 0.5 mg IM 1 54 Risk Ratio (M‐H, Fixed, 95% CI) 1.08 [0.16, 7.10]
8.3 Any IV Vitamin K (0.2 mg) versus any IM Vitamin K (0.2 mg and 0.5 mg) 1 80 Risk Ratio (M‐H, Fixed, 95% CI) 1.04 [0.20, 5.31]
9 Sepsis 1   Risk Ratio (M‐H, Fixed, 95% CI) Subtotals only
9.1 0.2 mg IV versus 0.2 mg IM 1 52 Risk Ratio (M‐H, Fixed, 95% CI) 1.0 [0.28, 3.58]
9.2 0.2 mg IV versus 0.5 mg IM 1 54 Risk Ratio (M‐H, Fixed, 95% CI) 0.86 [0.26, 2.86]
9.3 Any IV Vitamin K (0.2 mg) versus any IM Vitamin K (0.2 mg and 0.5 mg) 1 80 Risk Ratio (M‐H, Fixed, 95% CI) 0.92 [0.31, 2.72]
10 Mortality (all infants) 1   Risk Ratio (M‐H, Fixed, 95% CI) Subtotals only
10.1 0.2 mg IV versus 0.2 mg IM 1 67 Risk Ratio (M‐H, Fixed, 95% CI) 1.32 [0.56, 3.14]
10.2 0.2 mg IV versus 0.5 mg IM 1 64 Risk Ratio (M‐H, Fixed, 95% CI) 2.82 [0.84, 9.46]
10.3 Any IV Vitamin K (0.2 mg) versus any IM Vitamin K (0.2 mg and 0.5 mg) 1 98 Risk Ratio (M‐H, Fixed, 95% CI) 1.77 [0.80, 3.93]