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. 2016 Jul 15;2016(7):CD001069. doi: 10.1002/14651858.CD001069.pub5

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
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)
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