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. 2020 Feb 11;2020(2):CD004863. doi: 10.1002/14651858.CD004863.pub6

Carnielli 1992.

Methods Randomised controlled trial 
 Study location: single centre in Italy 
 Study period: not stated
Participants 22 preterm infants with gestational age < 32 weeks, birth weight < 1750 grams, and age > 2 days
Interventions 11 infants in the EPO group received EPO (unnamed product), 400 IU, 3 times weekly, IV (400 IU/mL saline solution for 1 to 2 minutes) if IV line in place (1200 IU/kg/week, high dose), then continued SC, plus iron (h) 20 mg/kg once a week IV (high‐dose iron) from second day of life until discharge.
 11 infants in the control group did not receive EPO or iron.
Outcomes Number of transfusions
 Number of donor exposures (range)
 Mortality
 Neutropenia
 Hospital stay in days
 Side effects
Notes It is not stated whether infants who had received blood transfusions before study entry were included.
 Transfusion guidelines were in place.
Risk of bias
Bias Authors' judgement Support for judgement
Random sequence generation (selection bias) Unclear risk No information provided
Allocation concealment (selection bias) Unclear risk Infants randomly assigned
Blinding of participants and personnel (performance bias) 
 All outcomes High risk Control group received no placebo. Personnel were not blinded.
Blinding of outcome assessment (detection bias) 
 All outcomes High risk Control group received no placebo. Personnel were not blinded.
Incomplete outcome data (attrition bias) 
 All outcomes Low risk Complete follow‐up: yes
Selective reporting (reporting bias) Unclear risk The protocol for the study was not available to us; therefore we cannot ascertain whether deviations from the protocol occurred.
Other bias Low risk Appears free of other bias