Pediatric anesthesia & critical care

Comparison of Different Treatments of Persistent Pulmonary Hypertension of the Newborn: A Systematic Review and Network Meta-Analysis*

Crit Care MedPublished Systematic review and network meta-analysis of randomised trials

Authors' conclusion

MNO + OSID is the most effective PPHN treatment.

Study context

Population
Neonates with persistent pulmonary hypertension of the newborn (PPHN)
Participants
902 neonates · 23 RCTs
Comparison
16 treatment strategies vs each other and conventional therapy
Outcome
Efficacy and mortality of PPHN therapies
Methodological detailsrandom-effects, SUCRA ranking, Searched PubMed, Embase and Cochrane Library up to January 27, 2023
  • Random-effects
  • SUCRA ranking
  • Searched PubMed, Embase and Cochrane Library up to January 27, 2023

Pooled result

As reported in the abstract

Efficacy
Each group vs CONOdds ratio (95% CI)
MNO + OSIDSUCRA = 0.818, ranking first; moderate quality
27.53(2.36–321.75)
OSID + milrinoneSUCRA = 0.811, ranking second; low quality
25.13(1.67–377.78)

Further pooled results

OutcomeOR (95% CI)
Mortality reductionCON vs OSID + milrinone · SUCRA = 0.786, ranking last; low quality25.13 (1.67–377.78)

Original publication

Comparison of Different Treatments of Persistent Pulmonary Hypertension of the Newborn: A Systematic Review and Network Meta-Analysis*. Crit Care Med. Published 16 February 2024. doi:10.1097/ccm.0000000000006227

Composed by AI from the published abstract and checked against it. How Briefs are made →

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