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. 2023 Apr 11;2023(4):CD013873. doi: 10.1002/14651858.CD013873.pub2

Scanlon 1992.

Study characteristics
Methods Study design: RCT
Location: UK
Setting: regional Neonatal Intensive Care Unit (Birmingham Maternity Hospital)
Duration: not reported
Participants Inclusion criteria: 44 infants < 31 weeks' gestational age with either 10 or more apneic attacks in 8 hours or 4 apneas in 1 hour
Exclusion criteria: not specified
Interventions High dose: loading dose 50 mg/kg/day and maintenance dose 12 mg/kg/day
Low dose: loading dose 25 mg/kg/day and maintenance dose 6 mg/kg/day
Outcomes Outcomes reported that are considered for this review:
  • reduction of number of apneas

Notes  
Risk of bias
Bias Authors' judgement Support for judgement
Random sequence generation (selection bias) Low risk Random numbers in sealed envelopes.
Allocation concealment (selection bias) Unclear risk Not described
Blinding of participants and personnel (performance bias)
All outcomes High risk The two strengths of caffeine citrate were not identical in appearance.
Blinding of outcome assessment (detection bias)
All outcomes Unclear risk Not described
Incomplete outcome data (attrition bias)
All outcomes Low risk Only eight of 44 randomized infants were excluded.
Selective reporting (reporting bias) Unclear risk Trial protocol not available.
Other bias Low risk None known