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. 2020 Feb 11;2020(2):CD003481. doi: 10.1002/14651858.CD003481.pub8

Comparison 5. Oral ibuprofen versus intravenous (IV) ibuprofen.

Outcome or subgroup title No. of studies No. of participants Statistical method Effect size
1 Failure to close a patent ductus arteriosus (after single or 3 doses) 5 406 Risk Ratio (M‐H, Fixed, 95% CI) 0.38 [0.26, 0.56]
2 Mortality (during first 28/30 days of life) 1 64 Risk Ratio (M‐H, Fixed, 95% CI) 1.13 [0.50, 2.55]
3 Mortality (during hospital stay) 2 188 Risk Ratio (M‐H, Fixed, 95% CI) 0.83 [0.38, 1.82]
4 Mean plasma cystatin‐C (mg/L) after treatment 1 102 Mean Difference (IV, Fixed, 95% CI) ‐0.25 [‐0.37, ‐0.13]
5 Need for surgical closure of the ductus 5 406 Risk Ratio (M‐H, Fixed, 95% CI) 0.41 [0.14, 1.21]
6 Duration of ventilatory support 2 134 Mean Difference (IV, Fixed, 95% CI) 0.54 [‐0.01, 1.10]
7 Duration of hospitalisation (days) 3 236 Mean Difference (IV, Fixed, 95% CI) ‐2.51 [‐5.21, 0.19]
8 Pneumothorax 2 172 Risk Ratio (M‐H, Fixed, 95% CI) 0.41 [0.11, 1.54]
9 Pulmonary haemorrhage 1 70 Risk Ratio (M‐H, Fixed, 95% CI) 0.14 [0.01, 2.52]
10 Pulmonary hypertension 2 172 Risk Ratio (M‐H, Fixed, 95% CI) 0.0 [0.0, 0.0]
11 Chronic lung disease (at 36 weeks' postmenstrual age or at discharge) 3 236 Risk Ratio (M‐H, Fixed, 95% CI) 0.82 [0.56, 1.20]
12 Intraventricular haemorrhage (any grade) 1 64 Risk Ratio (M‐H, Fixed, 95% CI) 1.08 [0.59, 2.00]
13 Periventricular leukomalacia 1 64 Risk Ratio (M‐H, Fixed, 95% CI) 1.0 [0.15, 6.67]
14 Necrotising enterocolitis (any stage) 3 236 Risk Ratio (M‐H, Fixed, 95% CI) 0.86 [0.35, 2.15]
15 Intestinal perforation 2 134 Risk Ratio (M‐H, Fixed, 95% CI) 0.32 [0.01, 7.48]
16 Gastrointestinal bleed 2 172 Risk Ratio (M‐H, Fixed, 95% CI) 2.89 [0.12, 69.24]
17 Sepsis 3 236 Risk Ratio (M‐H, Fixed, 95% CI) 0.82 [0.54, 1.25]
18 Retinopathy of prematurity that required laser treatment 2 172 Risk Ratio (M‐H, Fixed, 95% CI) 0.59 [0.26, 1.34]
19 Serum/plasma creatinine levels (μmol/L) after treatment 2 170 Mean Difference (IV, Fixed, 95% CI) ‐22.47 [‐32.40, ‐12.53]
20 Oliguria (Urine output < 1 mL/kg/hour) 4 304 Risk Ratio (M‐H, Fixed, 95% CI) 0.14 [0.01, 2.66]
21 Mental Developmental Index (Bayley II) at 18‐24 months 1 57 Mean Difference (IV, Fixed, 95% CI) ‐9.0 [‐23.89, 5.89]
22 Psychomotor Developmental Index at 18‐24 months 1 57 Mean Difference (IV, Fixed, 95% CI) 5.0 [‐7.67, 17.67]
23 Moderate/severe cerebral palsy at 18‐24 months 1 57 Risk Ratio (M‐H, Fixed, 95% CI) 1.35 [0.24, 7.48]
24 Blindness at 18‐24 months 1 57 Risk Ratio (M‐H, Fixed, 95% CI) 0.0 [0.0, 0.0]
25 Deafness at 18‐24 months 1 57 Risk Ratio (M‐H, Fixed, 95% CI) 0.0 [0.0, 0.0]