Skip to main content
. 2017 Jan 31;2017(1):CD010941. doi: 10.1002/14651858.CD010941.pub2

DeMartini 1999.

Methods Single center randomized controlled trial.
Participants Intubated preterm infants
Interventions The infants were randomly assigned to 1 of 2 dosage regimens.
  1. A high‐dosage regimen with a cumulative dose of 4.1 mg/kg of dexamethasone administered over a 21‐day course: 0.5 mg/kg/day for 2 days, then 0.3 mg/kg/day for 3 days, then 0.24 mg/kg/day for 3 days, then 0.2 mg/kg/day for 3 days, then 0.14 mg/kg/day for 3 days, then 0.1 mg/kg/day for 3 days, followed by 2 doses of 0.1 mg/kg every 48 hours;

  2. A low‐dosage regimen with a cumulative dose of 2.7 mg/kg of dexamethasone administered over a 7‐day course: 0.5 mg/kg/day for 3 days, then 0.3 mg/kg/day for 4 days.


All medication was given divided into 2 dosages per day.
No patients were treated with any corticosteroids outside the study protocol.
Outcomes The primary outcomes were mortality, duration of mechanical ventilation and duration of oxygen dependence.
Secondary outcomes were the occurrence of clinically suspected sepsis, NEC, hypertension, hyperglycemia and hypertriglyceridemia. No long‐term follow‐up was performed.
Notes Only published as abstract. The original investigator provided data on the incidence of BPD, defined as oxygen dependence at 36 weeks' PMA, combined with mortality at 36 weeks. No long‐term follow‐up performed.
Risk of bias
Bias Authors' judgement Support for judgement
Random sequence generation (selection bias) Unclear risk No information.
Allocation concealment (selection bias) Low risk By personal communication, no information on the methods.
Blinding of participants and personnel (performance bias) 
 All outcomes Low risk By personal communication.
Blinding of outcome assessment (detection bias) 
 All outcomes Low risk By personal communication.
Incomplete outcome data (attrition bias) 
 All outcomes Unclear risk Not specified in the abstract.
Selective reporting (reporting bias) Unclear risk Unknown due to abstract form.
Other bias Unclear risk Unknown due to abstract form.