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 |