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. 2010 Jan 20;2010(1):CD000273. doi: 10.1002/14651858.CD000273.pub2

Scanlon 1992.

Methods Single centre 
 Blinding of randomization ‐ yes 
 Blinding of intervention ‐ no 
 Complete followup ‐ no success rates (>50% reduction in apnea) 4 infants on caffeine and 2 infants on theophylline were excluded from analysis because of a defined cause of apnea ‐ septicaemia, neurological abnormality or oesophageal reflux. All were examined for mean rates of apnea 
 Blinding of outcome measure ‐ no
Participants 30 preterm infants <31 week gestation with apnea (≥ 10 in 8 hours or 4 in 1 hour)
Interventions Exp: standard caffeine = loading dose 12.5 mg/kg and maintenance 3 mg/kg/24 hours 
 Control : theophylline = loading dose 7.5 mg/kg/8hrs (aiming for plasma levels of 13 ‐ 20 mg/l)
There was also a group that received higher dose caffeine, 25mg/kg load and 6 mg/kg/24 hrs, maintenance which is not included in this review.
Outcomes Apnea frequency over 24 hours reported after one day and after 2 days 
 Number of infants with > 50 % reduction in apnea frequency (12 in caffeine group and 14 in theophylline group)
Notes Apnea defined as a decrease in heart rate of 40 beats per minute with cessation of breathing and requiring stimulation
Risk of bias
Bias Authors' judgement Support for judgement
Allocation concealment (selection bias) Low risk Adequate
Blinding (performance bias and detection bias) 
 All outcomes High risk Interventions and outcomes not blinded
Incomplete outcome data (attrition bias) 
 All outcomes Low risk All examined
Selective reporting (reporting bias) Low risk No selective reporting
Other bias Low risk None in publication