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. 2012 Jul 11;2012(7):CD003645. doi: 10.1002/14651858.CD003645.pub3

Bjornson 1992.

Methods Cross‐over RCT of prone, supine and lateral positions
Participants Included: 4 preterm infants with a gestational age of 24 to 30 weeks and birth weight of 500 to 1500 grams requiring continuing ventilatory assistance after 7 days of life for respiratory distress syndrome
Median gestational age: 26.5 weeks; median birth weight: 1003 g; age: 9 to 24 days
Excluded: infants with documented infections, congenital defects, cardiac anomalies other than PDA, intraventricular haemorrhage grade III & IV and maternal history of substance abuse
Setting: medical centre and general hospital, Washington, US
Interventions Infants were placed in each of the positions for 20 minutes each over a 60‐minute session; infants underwent 6 to 9 sessions over 8 to 14 days
Outcomes SaO2
Data collection began immediately after position change at 1‐minute intervals for 20 minutes each position; data were reported for 6 to 9 sessions
Notes One infant completed 7/9 sessions and one completed 6 sessions due to intolerance of handling
Risk of bias
Bias Authors' judgement Support for judgement
Random sequence generation (selection bias) Unclear risk Not stated but decision made by the primary investigator
Allocation concealment (selection bias) Unclear risk Not stated
Blinding of outcome assessment (detection bias) 
 All outcomes Unclear risk Not stated
Incomplete outcome data (attrition bias) 
 All outcomes Low risk Appears to be no loss to follow‐up