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Table 3 Quality assessment of observational studies examining risk of hearing loss in premature infants

From: Association between furosemide in premature infants and sensorineural hearing loss and nephrocalcinosis: a systematic review

Study (Year)

Risk of Bias (Low, Moderate, Serious, Critical, No Information)

Comments

Mjoen (1982) [19]

Critical

Critical risk of bias in classification of interventions domain: ototoxic medications grouped as one variable (i.e., furosemide not identified as a single risk factor).

Salamy (1989) [20]

Moderate

Confounding well-accounted for by assessing “neonatal status” based on duration of hospitalization, days of assisted ventilation, radiography and lab results, etc.

Brown (1991) [21]

Serious

Serious risk of bias in confounding domain: Selection of variables included in the multivariate analyses based solely on results of univariate analyses and did not adequately account for severity of illness in each group.

Borradori (1997) [22]

Moderate

Confounding well-accounted for by the creation of two control groups based on BW/GA and perinatal complications related to risk of ototoxicity.

Ertl (2001) [23]

Serious

Serious risk of bias in confounding domain: infants not matched on severity of illness or co-morbidities associated with hearing loss.

Rais-Bahrami (2004) [24]

Serious

Serious risk of bias in confounding domain: no adjustment for perinatal factors related to hearing loss.

Xoinis (2007) [25]

Serious

Serious risk of bias in confounding domain: infants not matched on severity of illness or co-morbidities associated with hearing loss.

Coenraad (2011) [26]

Serious

Serious risk of bias in confounding domain: infants not matched on severity of illness or co-morbidities associated with hearing loss.

Martinez-Cruz (2012) [27]

Serious

Serious risk of bias in confounding domain: infants not matched on severity of illness or co-morbidities associated with hearing loss.

Rastogi (2013) [28]

Moderate

Confounding well-accounted for in multivariate analyses, which adjusted for GA, BW, and other known perinatal risk factors for hearing loss.

Wang (2017) [29]

Critical

Critical risk of bias in classification of interventions domain: ototoxic medications grouped as one variable (i.e., furosemide not identified as a single risk factor).

  1. Legend: BW Birth weight, GA Gestational age