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. 2018 Sep 28;2018(9):CD003481. doi: 10.1002/14651858.CD003481.pub7
Methods Randomised controlled clinical trial in NICU of Vali‐ye‐Asr Hospital, Tehran, Iran. Study period 1387 to 1389 years (Shia calendar).
Participants 60 infants with ECHO‐confirmed PDA, PMA from 29 weeks to 35 weeks six days at birth, birth weight between 1000 to 2500g, age 72 hours to 120 hours and presence of a PDA confirmed by ECHO
Interventions Oral loading dose ibuprofen: 10 mg/kg on first day, followed by 2 doses of 5 mg/kg in the next 2 days
Oral loading dose ibuprofen: 15 mg/kg on first day followed by 2 doses of 7.5 mg/kg in next 2 days
Outcomes PDA closure rates, high BUN and creatinine (levels not provided), urine output < 0.5 mL/kg after onset of treatment and gastrointestinal bleed
Notes 30 (100%) infants in 15‐mg/kg group and 23 (76.7%) infants in 10 mg/kg group had successful PDA closure with no need for surgery (P value = 0.011)
Dr. Fatemeh Nayeri (corresponding author) kindly provided us with an English translation of the article in January 2013. We are still awaiting some clarifications regarding the trial. In email dated 24 May 2014, we asked for clarification regarding how the randomisation sequence was generated and how the infants were allocated to 1 of the 2 groups. We asked if it was possible for the investigators and the clinicians to determine the difference between the 2 dosing regimens? As of 17 August 2014, we have not received a response
Article in Persian. No information on funding provided
Risk of bias
Bias Authors' judgement Support for judgement
Random sequence generation (selection bias) Unclear risk No information provided regarding sequence generation
Allocation concealment (selection bias) Unclear risk "...divided into two groups of 30 by randomisation"
Blinding of participants and personnel (performance bias) All outcomes Unclear risk No information provided
Blinding of outcome assessment (detection bias) All outcomes Unclear risk No information provided
Incomplete outcome data (attrition bias) All outcomes Low risk Outcome data provided for all 60 randomised infants
Selective reporting (reporting bias) Unclear risk The protocol was not available to us, so we could not judge if there were any deviations
Other bias Low risk Appeared free of other bias