Elserafy 2009.
Methods | Cross‐over RCT Painful intervention: venipuncture Study location: NICU at King Faisal Specialist Hospital, Jeddah, Saudi Arabia Study period: January 2005 to May 2007 |
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Participants | 36 infants: median (range): 32 weeks' PMA (27 to 46), mean (SD) GA: 32.4 (2.0) ‐ 2 different mean PMAs reported in the article | |
Interventions | 0.5 mL sterile water with pacifier 0.5 mL sterile water without pacifier 0.5 mL 24% sucrose with pacifier 0.5 mL 24% sucrose without pacifier Pacifier alone Control group (the authors do not state what this grooup received ‐ we assume no intervention) |
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Outcomes | Duration of cry, PIPP, HR, respiratory rate, glucose check | |
Notes | All infants received all of the 6 interventions and so we could not use the results in meta‐analyses | |
Risk of bias | ||
Bias | Authors' judgement | Support for judgement |
Random sequence generation (selection bias) | Low risk | A paper was randomly picked so that assignments were random and double‐blinded for the sucrose and water solutions |
Allocation concealment (selection bias) | High risk | Consecutively numbered envelopes, but report did not specify whether they were opaque or sealed |
Blinding (performance bias and detection bias) All outcomes | Low risk | Personnel were blinded to sucrose and water solutions |
Blinding of outcome assessment (detection bias) All outcomes | Low risk | Outcome assessors were blinded |
Incomplete outcome data (attrition bias) All outcomes | Low risk | Outcomes reported for randomized infants |
Selective reporting (reporting bias) | Unclear risk | The study protocol was not available to us so we could not judge whether there were any deviations from it |
Other bias | Low risk | Appears free of other bias |