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Arch Dis Child Fetal Neonatal Ed 77:F70-F74 doi:10.1136/fn.77.1.F70
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Systematic review of prophylactic vs rescue surfactant

Table 1

 Summary of data from randomised controlled trials

Author Surfactant Entry criteria Exclusions Primary outcome Sample size calculation Number of centres Control group Blinded Technique of randomisation
Dunn10 Calf (now  called  BLES) < 30 weeks Malformations, rupture  of membranes > 2  weeks and  oligohydramnios Difference in arterial,  alveolar oxygen ratio  of 0.1 (0.15) 60 per group at 90%  power at α =0.05 1 Yes No Envelopes sequentially  numbered. Randomisation not  stated. Stratified 24-26 weeks  and 27-29 weeks
Kendig11 Calf (now  called  Infasurf) < 30 weeks Malformations 15% difference in  survival 450 total at 80% power  and α =0.05 3 No No Envelopes consecutively  numbered for each centre.  Randomised blocks of 8
Egberts12 Curosurf 26-30  weeks Malformations, ROM >  3 weeks 40% increase in  transcutaneous  oxygen to FiO2 ratio,  50% reduction in x
 ray of RDS
50 per group for 1st  outcome and 57 per  group for second  outcome at 80% power  and α =0.05 4 No No Envelopes in each centre in  blocks of 4 or 8
Kattwinkel 13 Infasurf 29-32  weeks Malformations, positive  blood culture at birth.  Judged too mature,  severe perinatal  asphyxia 7% difference in  moderate RDS ( mean  airway pressure => 8  cm H2O or FiO2  =>0.4) 1320 total at 90% power  and α =0.05 8 No No Envelopes. Randomisation not  stated
Walti14 Curosurf 25-31  weeks Malformations, stillborn,  ROM > 3 weeks 20% difference in  survival without BPD  at 28 days 250 total at 90% power  and α =0.05 12 No No Envelopes Randomisation not  stated
Bevilacqua 15 Curosurf 24-30  weeks Malformations or  infection To reduce by 30% the  incidence of grade 3-4  RDS 280 total at 80% power  and α 5% 18 No No Envelopes stratified for gestation

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