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. 2016 May 20;2016(5):CD009491. doi: 10.1002/14651858.CD009491.pub2

Akil 2005.

Methods Parallel‐group single‐centre randomized controlled trial conducted in Turkey
Participants 53 children requiring micturating cystourethrogram with sedation (39 girls, 14 boys; mean age of 5.8 ± 3.5 years)
Interventions Oral midazolam 0.6 mg/kg (max 15 mg) versus chloral hydrate 25 mg/kg (max 0.5 g) and placebo (saline) 15 ‐ 30 minutes before procedure
Outcomes Measured during procedures:
Incomplete procedures
Anxiety (measured during the procedure using Spielberger's Trait Anxiety Inventory)
Participant co‐operation (measured during the procedure using Houpt behavioural scale; range 1 ‐ 6 with higher scores indicating better co‐operation)
Tolerance of procedure (measured during the procedure using Frankl behaviour rating score; range 1 ‐ 4 with higher scores indicating better tolerance)
Duration of sedation
Onset of sedation
Oversedation
Notes Conflicts of interest or funding sources were not reported
Risk of bias
Bias Authors' judgement Support for judgement
Random sequence generation (selection bias) Unclear risk Not reported
Allocation concealment (selection bias) Unclear risk Not reported
Blinding of participants and personnel (performance bias) 
 All outcomes High risk Not blinded
Blinding of outcome assessment (detection bias) 
 All outcomes High risk Outcomes included in this review were not blinded ‐ only assessment of image quality was performed by a blinded outcome assessor
Incomplete outcome data (attrition bias) 
 All outcomes Low risk No withdrawals
Selective reporting (reporting bias) Unclear risk No clear evidence that measured outcomes were not reported (trial protocols were not sought for confirmation)
Other bias Low risk None expected