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 |
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| 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 |
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| 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 |