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Table 4 GRADE evidence profiles for outcomes among the studies included in the meta-analysis

From: Efficient administration of a combination of nifedipine and sildenafil citrate versus only nifedipine on clinical outcomes in women with threatened preterm labor: a systematic review and meta-analysis

Certainty assessment

№ of patients

Effect

Certainty

Importance

№ of studies

Study design

Risk of bias

Inconsistency

Indirectness

Imprecision

Other considerations

Nifedipine and Sildenafil

Nifedipine alone

Relative

(95% CI)

Absolute

(95% CI)

Prolongation of pregnancy

 4

randomised trials

very seriousa

not serious

not serious

not serious

very strong association

297

294

-

MD 6.99 higher

(5.32 higher to 8.65 higher)

High

CRITICAL

Delivery rate in the 24–72 h after admission

 5

randomised trials

very seriousa

not serious

not serious

not serious

very strong association

111/908 (12.2%)

178/899 (19.8%)

RR 0.62

(0.50 to 0.76)

75 fewer per 1,000

(from 99 to 48 fewer)

High

CRITICAL

Neonatal birth weight

 5

randomised trials

very seriousa

seriousb

not serious

not serious

strong association

328

325

-

MD 252.48 higher

(40.95 higher to 494.01 higher)

Low

IMPORTANT

NICU admission

 5

randomised trials

very seriousa

not serious

not serious

not serious

very strong association

88/360 (24.4%)

141/357 (39.5%)

RR 0.62

(0.50 to 0.76)

150 fewer per 1,000

(from 197 to 95 fewer)

High

IMPORTANT

  1. CI Confidence interval, MD Mean difference, RR Risk ratio
  2. Explanations
  3. aThe overall bias for most of the studies is high risk
  4. bThe magnitude of the results in the individual studies vary and high heterogeneity exists