Meta AnalysisID 3673

硝苯地平对比阿托西班治疗先兆早产:一项个体参与者数据Meta分析

CRD42016024244

We plan to perform an Individual Participant Data Meta-Analysis (IPDMA) of randomized clinical trials to provide clinicians with the best available evidence on the effectiveness and neonatal outcome of tocolysis using ei

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Record Fields

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Meta Analysis Id
3673
Evidence Id
12231
Core Evidence Id
12231
Source Meta Analysis Id
3632
Herb2 Meta Analysis Id
HBMA003632
Crd Id
CRD42016024244
Title
Nifedipine versus atosiban in treatment of threatened preterm labor: an individual participant data meta-analysis
Review Question
We plan to perform an Individual Participant Data Meta-Analysis (IPDMA) of randomized clinical trials to provide clinicians with the best available evidence on the effectiveness and neonatal outcome of tocolysis using either nifedipine or atosiban.
Study Type Included
RCTs
Condition Being Studied
Tocolytics are administered in threatened preterm birth to delay birth for at least 48 hours to let antenatal corticosteroids do their work. Nifedipine and atosiban are both commonly used tocolytic drugs.
Participant
Pregnant women, between 24-34 weeks of gestational age with signs of threatened preterm birth (ruptured membranes and contractions, cervical length shortening, fetal fibronectin test results). Exclusion criteria: signs of fetal stress, congenital malformations, contraindications for tocolytic drugs.
Animal
Human Disease Modelled
Intervention
48 hours of tocolytic treatment with either: - nifedipine orally, or - atosiban intravenous
Comparator Control
see above.
Main Outcome
The primary outcome will be a composite of neonatal morbidities and perinatal mortality. Neonatal morbidities include bronchopulmonary dysplasia (BPD), periventricular leucomalacia (PVL), intraventricular haemorrhage, necrotising enterocolitis (NEC) and culture proven sepsis.
Outcome Measure
Additional Outcome
Secondary outcomes are time to delivery, gestational age at delivery and days on ventilation support, successful 48 hours of tocolysis, maternal side effects and blood loss during delivery.
Study Method
Individual patient data (IPD) meta-analysis, Intervention
Keyword
Female; Humans; Infant, Newborn; Nifedipine; Obstetric Labor, Premature; Pregnancy; Vasotocin
Contact
Mr van Winden [email protected]
Organisational Affiliation
Amsterdam UMC, Department Obstetrics and Gynecology
Funding Source
No funding.
Other Selection Criteria
Final Publication
Same Topic Review
a short systematic review and meta-analysis will be published alongside the primary paper of our nifedipine vs. atosiban trial (soon to be published in The Lancet).
Published Protocol
Review Type
Language
English
Country
Iran, Iraq, Israel, Netherlands
Review Stage
Review Ongoing
First Submission Date
2018-07-26
Registration Date
2016-02-25
Anticipated Start Date
2015-06-01
Anticipated Completion Date
2018-12-01
Title Cn
硝苯地平对比阿托西班治疗先兆早产:一项个体参与者数据Meta分析
Title En
Nifedipine versus atosiban in treatment of threatened preterm labor: an individual participant data meta-analysis
Bilingual Status
complete