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Evidence · Systematic review or meta-analysis

Efficacy and Safety of Different Maintenance Doses of Caffeine Citrate for Treatment of Apnea in Premature Infants: A Systematic Review and Meta-Analysis.

Systematic review or meta-analysisBioMed Research International2018Over 5 years oldFull text
  • Apnoea of prematurity
  • Medical
  • Nursing
  • Respiratory

This paper is from 2018, more than five years ago. Newer evidence may have been published since.

Summary

This systematic review and meta-analysis compares high versus low maintenance doses of caffeine citrate for treating apnoea of prematurity. It pooled thirteen randomised controlled trials involving 1515 preterm infants, drawing on English and Chinese databases and following Cochrane methods. Higher maintenance doses appeared more effective and comparably or more safe than lower doses, although tachycardia was more frequent. It is relevant to clinicians prescribing and monitoring caffeine therapy in neonatal units.

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