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. 2007 Apr 18;2007(2):CD004215. doi: 10.1002/14651858.CD004215.pub2

Bell 1983.

Methods Cross‐over design, quasi‐ randomized, order of subjects: four infants studied first in each incubator. 
 Blinding of randomization ‐ no 
 Blinding of intervention ‐ no 
 Complete follow up ‐ yes 
 Blinding of outcome measure ‐ no
Participants 8 subjects 
 Birthweight 1440 ‐ 1890 g (median 1540g) 
 Gestational age 30‐35 (median 32 wk), AGA, 
 Age 6‐19 days (median 13.5d)
Interventions Single vs double walled incubator. Isolette, Air Shields, Model C‐86. Skin temperature at servo‐control at 36.5oC. 
 2‐period cross‐over, own control. Each infant studied for two, 2 hour periods with 1 hour in between for stabilization. 
 Each infant studied during consecutive periods on the same day.
Outcomes Oxygen consumption, carbon dioxide production, Body temperatures, heart rate and respiratory rate. 
 Metabolic heat production, heat loss, heat gain, were calculated.
Notes Infants abdominal skin temperature servo controlled to 36.5 C 
 quiet, temperature controlled room.
Risk of bias
Bias Authors' judgement Support for judgement
Adequate sequence generation? Unclear risk Cross‐over design, quasi‐ randomized, order of subjects: four infants studied first in each incubator. 
 Blinding of randomization ‐ no
Allocation concealment? High risk Blinding of randomization ‐ no
Blinding? 
 All outcomes High risk Blinding of intervention ‐ no 
 Blinding of outcome measure ‐ no
Incomplete outcome data addressed? 
 All outcomes Low risk Complete follow up ‐ yes