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. 2018 Oct 30;2018(10):CD000323. doi: 10.1002/14651858.CD000323.pub3

Warusevitane 2015.

Methods Randomisation via a random numbers list generated by an independent statistician
Double‐blind
Analysis by ITT unclear
Participants 1 centre in UK
60 participants within 7 days of acute ischaemic or haemorrhagic stroke confirmed by CT scan of the brain who required nasogastric feeds for > 24 hours
Mean age: 78
No significant differences between baseline characteristics
Interventions Rx: 10 mg metoclopramide (10 mL)
C: 10 mL normal saline
Treatment duration: 21 days or until NGT no longer needed
Outcomes Swallowing impairment using dysphagia outcome and severity scale
Notes Exclusions: signs and symptoms of pneumonia after stroke onset, history of chronic neurodegenerative disease that could affect swallowing (e.g. Parkinson disease, motor neuron disease), oesophageal disorders, contraindications to metoclopramide.
Risk of bias
Bias Authors' judgement Support for judgement
Random sequence generation (selection bias) Low risk Randomisation by numbers list generated by an independent statistician
Allocation concealment (selection bias) Low risk Allocation sequence concealed from participants
Blinding (performance bias and detection bias) 
 All outcomes Low risk Double‐blind trial
Blinding of participants and personnel (performance bias) 
 All outcomes Low risk Double‐blind trial
Blinding of outcome assessment (detection bias) 
 All outcomes Low risk Researcher and medical team involved in participants' care blinded to treatment allocation
Incomplete outcome data (attrition bias) 
 All outcomes Low risk All 60 participants analysed at end of trials (none excluded)
Selective reporting (reporting bias) Low risk All outcomes reported
Other bias Low risk None identified