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. 2019 Jul 2;2019(7):CD011785. doi: 10.1002/14651858.CD011785.pub2

Pourarian 2005.

Methods Randomised controlled trial in Iran.
Participants Inclusion criteria: neonates admitted to the neonatal intensive care unit (NICU) ward irrespective of gestational age.
Exclusion criteria: renal failure (serum creatinine > 1.5 mg/dl), nasal or pharyngeal bleeding or bleeding tendency, abnormal PT, PTT, platelet count, abnormal liver function test or received oral feeding.
Interventions Intervention (n = 40): prophylactic intravenous ranitidine 5 mg/kg/day (3 divided doses) for 4 days irrespective of gastric pH.
Control group (n = 40): received no prophylactic treatment.
Outcomes
  1. Gastric pH was measured on admission, 1 hour, 2 or 3 days;

  2. clinical complications such as the amount of GI bleeding, the number of blood transfusions and surfactant therapy.

Notes Gastric bleeding rates calculated from percentages reported in publication.
Authors did not believe there were any adverse reactions attributable to the intervention.
Risk of bias
Bias Authors' judgement Support for judgement
Random sequence generation (selection bias) Unclear risk Method not reported.
Allocation concealment (selection bias) Unclear risk Insufficient information given.
Blinding of participants and personnel (performance bias) 
 All outcomes Unclear risk Not reported. No placebo reported.
Blinding of outcome assessment (detection bias) 
 All outcomes Unclear risk Not reported.
Incomplete outcome data (attrition bias) 
 All outcomes Unclear risk Percentages reported so denominator unclear.
Selective reporting (reporting bias) Unclear risk No protocol available.
Other bias Unclear risk Some baseline differences in clinical conditions between groups.