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. 2011 Sep 7;2011(9):CD001817. doi: 10.1002/14651858.CD001817.pub2

Segar 1997.

Methods Blinding of randomization: not documented 
 Blinding of intervention: no. Control patients did not receive a placebo. 
 Complete follow‐up: yes 
 Blinding of outcome: not documented 
 Washout period: 7 days
Participants Patients entered into the study: n=12 
 Either mechanical ventilation or continuous positive airway pressure; oxygen supplementation 
 Entry criteria: CLD, gestational age 24‐28 weeks, postnatal age 21‐68 days 
 Exclusion criteria: diuretic administration within 7 days, indomethacin administration within 14 days, underlying renal disease, serum creatinine > 0.7 mg/dl (0.062 mmol/L), major congenital anomalies
Interventions Furosemide and metolazone vs furosemide alone 
 Patients were randomly allocated to receive either four doses of 1 mg/kg of furosemide intravenously every 24 hours with four doses of 0.2 mg/kg of metolazone enterally every 24 hours (treatment group, N=7), or the same doses of furosemide alone (control, N=5).
Outcomes Primary outcome: plasma volume, extracellular volume 
 Secondary outcomes: weight, urine output
Notes Respiratory parameters were not assessed as part of the study.
Risk of bias
Bias Authors' judgement Support for judgement
Allocation concealment (selection bias) Unclear risk Blinding of randomization: not documented
Blinding (performance bias and detection bias) 
 All outcomes High risk Blinding of intervention: no. Control patients did not receive a placebo. 
 Blinding of outcome: not documented
Incomplete outcome data (attrition bias) 
 All outcomes Low risk Complete follow‐up: yes