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. 2021 Oct 21;2021(10):CD001146. doi: 10.1002/14651858.CD001146.pub6

Comparison 5. Complications during primary hospitalisation.

Outcome or subgroup title No. of studies No. of participants Statistical method Effect size
5.1 Infection 25 4101 Risk Ratio (M‐H, Fixed, 95% CI) 1.05 [0.96, 1.15]
5.1.1 Dexamethasone 18 2821 Risk Ratio (M‐H, Fixed, 95% CI) 1.02 [0.91, 1.15]
5.1.2 Hydrocortisone 7 1280 Risk Ratio (M‐H, Fixed, 95% CI) 1.08 [0.94, 1.25]
5.2 Hyperglycaemia 14 2688 Risk Ratio (M‐H, Fixed, 95% CI) 1.26 [1.15, 1.37]
5.2.1 Dexamethasone 12 2117 Risk Ratio (M‐H, Fixed, 95% CI) 1.35 [1.21, 1.49]
5.2.2 Hydrocortisone 2 571 Risk Ratio (M‐H, Fixed, 95% CI) 1.01 [0.84, 1.22]
5.3 Hypertension 11 1993 Risk Ratio (M‐H, Fixed, 95% CI) 1.85 [1.54, 2.22]
5.3.1 Dexamethasone 10 1943 Risk Ratio (M‐H, Fixed, 95% CI) 1.84 [1.53, 2.21]
5.3.2 Hydrocortisone 1 50 Risk Ratio (M‐H, Fixed, 95% CI) 3.00 [0.33, 26.92]
5.4 Hypertrophic cardiomyopathy 1 50 Risk Ratio (M‐H, Fixed, 95% CI) 4.33 [1.40, 13.37]
5.5 Growth failure 1 50 Risk Ratio (M‐H, Fixed, 95% CI) 6.67 [2.27, 19.62]
5.6 Pulmonary air leak 17 3276 Risk Ratio (M‐H, Fixed, 95% CI) 0.90 [0.73, 1.11]
5.6.1 Dexamethasone 12 2041 Risk Ratio (M‐H, Fixed, 95% CI) 0.85 [0.66, 1.08]
5.6.2 Hydrocortisone 5 1235 Risk Ratio (M‐H, Fixed, 95% CI) 1.06 [0.72, 1.56]
5.7 Patent ductus arteriosus (PDA) 24 4013 Risk Ratio (M‐H, Fixed, 95% CI) 0.78 [0.72, 0.85]
5.7.1 Dexamethasone 17 2706 Risk Ratio (M‐H, Fixed, 95% CI) 0.76 [0.69, 0.84]
5.7.2 Hydrocortisone 7 1307 Risk Ratio (M‐H, Fixed, 95% CI) 0.82 [0.71, 0.95]
5.8 Severe IVH 26 4103 Risk Ratio (M‐H, Fixed, 95% CI) 0.97 [0.84, 1.12]
5.8.1 Dexamethasone 17 2736 Risk Ratio (M‐H, Fixed, 95% CI) 0.96 [0.81, 1.14]
5.8.2 Hydrocortisone 9 1367 Risk Ratio (M‐H, Fixed, 95% CI) 0.98 [0.76, 1.27]
5.9 Severe intraventricular haemorrhage (IVH) in infants examined 8 1964 Risk Ratio (M‐H, Fixed, 95% CI) 0.92 [0.75, 1.12]
5.9.1 Dexamethasone 4 994 Risk Ratio (M‐H, Fixed, 95% CI) 0.78 [0.59, 1.03]
5.9.2 Hydrocortisone 4 970 Risk Ratio (M‐H, Fixed, 95% CI) 1.11 [0.82, 1.49]
5.10 Periventricular leukomalacia (PVL) 15 2807 Risk Ratio (M‐H, Fixed, 95% CI) 1.12 [0.83, 1.53]
5.10.1 Dexamethasone 8 1514 Risk Ratio (M‐H, Fixed, 95% CI) 1.23 [0.84, 1.81]
5.10.2 Hydrocortisone 7 1293 Risk Ratio (M‐H, Fixed, 95% CI) 0.96 [0.58, 1.59]
5.11 PVL in infants with cranial ultrasound scans 7 1841 Risk Ratio (M‐H, Fixed, 95% CI) 1.13 [0.79, 1.60]
5.12 PVL in survivors seen at follow‐up 2 183 Risk Ratio (M‐H, Fixed, 95% CI) 1.22 [0.60, 2.48]
5.13 Necrotising enterocolitis (NEC) 25 4050 Risk Ratio (M‐H, Fixed, 95% CI) 0.90 [0.74, 1.11]
5.13.1 Dexamethasone 15 2661 Risk Ratio (M‐H, Fixed, 95% CI) 0.88 [0.69, 1.13]
5.13.2 Hydrocortisone 10 1389 Risk Ratio (M‐H, Fixed, 95% CI) 0.95 [0.66, 1.37]
5.14 Gastrointestinal bleeding 12 1816 Risk Ratio (M‐H, Fixed, 95% CI) 1.86 [1.35, 2.55]
5.14.1 Dexamethasone 10 1725 Risk Ratio (M‐H, Fixed, 95% CI) 1.87 [1.35, 2.58]
5.14.2 Hydrocortisone 2 91 Risk Ratio (M‐H, Fixed, 95% CI) 1.53 [0.27, 8.74]
5.15 Gastrointestinal perforation 16 3040 Risk Ratio (M‐H, Fixed, 95% CI) 1.84 [1.36, 2.49]
5.15.1 Dexamethasone 9 1936 Risk Ratio (M‐H, Fixed, 95% CI) 1.73 [1.20, 2.51]
5.15.2 Hydrocortisone 7 1104 Risk Ratio (M‐H, Fixed, 95% CI) 2.05 [1.21, 3.47]
5.16 Pulmonary haemorrhage 10 1820 Risk Ratio (M‐H, Fixed, 95% CI) 1.16 [0.87, 1.54]
5.16.1 Dexamethasone 7 686 Risk Ratio (M‐H, Fixed, 95% CI) 0.97 [0.65, 1.45]
5.16.2 Hydrocortisone 3 1134 Risk Ratio (M‐H, Fixed, 95% CI) 1.36 [0.92, 2.03]
5.17 Any retinopathy of prematurity (ROP) 9 1345 Risk Ratio (M‐H, Fixed, 95% CI) 0.88 [0.80, 0.97]
5.17.1 Dexamethasone 8 1042 Risk Ratio (M‐H, Fixed, 95% CI) 0.84 [0.72, 0.99]
5.17.2 Hydrocortisone 1 303 Risk Ratio (M‐H, Fixed, 95% CI) 0.93 [0.84, 1.04]
5.18 Severe ROP 14 2577 Risk Ratio (M‐H, Fixed, 95% CI) 0.81 [0.67, 0.99]
5.18.1 Dexamethasone 8 1507 Risk Ratio (M‐H, Fixed, 95% CI) 0.77 [0.60, 0.99]
5.18.2 Hydrocortisone 6 1070 Risk Ratio (M‐H, Fixed, 95% CI) 0.89 [0.65, 1.23]
5.19 Severe ROP in survivors 12 1575 Risk Ratio (M‐H, Fixed, 95% CI) 0.77 [0.64, 0.94]
5.19.1 Dexamethasone 10 1238 Risk Ratio (M‐H, Fixed, 95% CI) 0.75 [0.59, 0.95]
5.19.2 Hydrocortisone 2 337 Risk Ratio (M‐H, Fixed, 95% CI) 0.83 [0.60, 1.17]