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. 2017 Oct 24;2017(10):CD001145. doi: 10.1002/14651858.CD001145.pub4

Romagnoli 1997.

Methods Randomised controlled trial
Participants 30 preterm infants, oxygen‐ and ventilator‐dependent on 10th day and at high risk of BPD by authors' own scoring system (90% risk)
Interventions Dexamethasone 0.50 mg/kg/d for 6 days, 0.25 mg/kg/d for 6 days, and 0.125 mg/kg/d for 3 days (total dose 4.75 mg/kg) from 10th day intravenously. Control group received no placebo.
Outcomes Failure to extubate at 28 days, BPD (28 days of life and 36 weeks' PMA), infection, hyperglycaemia, hypertension, PDA, severe IVH, NEC, received late steroids, severe ROP, left ventricular hypertrophy
Notes
Risk of bias
Bias Authors' judgement Support for judgement
Random sequence generation (selection bias) Unclear risk Random allocation via numbered sealed envelopes
Allocation concealment (selection bias) Low risk Alloocation concealment: yes
Blinding (performance bias and detection bias) 
 All outcomes High risk Blinding of intervention: no
Blinding of participants and personnel (performance bias) 
 All outcomes High risk Blinding of intervention: no
Blinding of outcome assessment (detection bias) 
 All outcomes Low risk Blinding of outcome measurement: yes
Incomplete outcome data (attrition bias) 
 All outcomes Low risk Complete follow‐up: yes
Selective reporting (reporting bias) Low risk All prespecified outcomes reported