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. 2022 Mar 16;2022(3):CD008524. doi: 10.1002/14651858.CD008524.pub4

Pinnock 1988.

Study characteristics
Methods Individually randomised study in urban area of Australia
Participants Eligibility: children aged 0–2 years with history of bronchiolitis and nasal culture positive for RSV
Excluded: children taking vitamin A; children with cystic fibrosis, cardiopulmonary difficulties, major brain dysfunctions
Sample: 206 children. Mean age 58 months. 60% boys
Interventions Experimental group: vitamin 4.2 mg per week as retinyl palmitate for 12 months
Control group: placebo
Outcomes Diarrhoea, diarrhoea‐related hospitalisation, acute respiratory infections, pneumonia, pneumonia‐related hospitalisation, mean serum vitamin A
Notes  
Risk of bias
Bias Authors' judgement Support for judgement
Random sequence generation (selection bias) Low risk Quote: "Randomization was achieved by randomly allocating four of eight batch numbers to vitamin A supplement and the remaining four to placebo".
Quote: "the batch number code was retained by the manufacturer".
Allocation concealment (selection bias) Low risk Quote: "The batch number code was retained by the manufacturer. The bottles were then distributed sequentially according to batch number as children presented …".
Comment: probably done.
Blinding (performance bias and detection bias)
Blinding of participants Low risk Quote: "The placebo had an identical appearance and formulation except for the active ingredient".
Comment: probably done.
Blinding (performance bias and detection bias)
Blinding of provider Low risk Quote: "Both investigators and parents were blind as to the treatment status of the child".
Blinding (performance bias and detection bias)
Blinding of outcome assessor Low risk Quote: "Both investigators and parents were blind as to the treatment status of the child … The batch number code was retained by the manufacturer".
Incomplete outcome data (attrition bias) Low risk Comment: complete details of those excluded and lost to follow‐up were provided.
Selective reporting (reporting bias) High risk Comment: outcomes mentioned in methods not reported in results.
Other bias Low risk Comment: study appeared free of other bias.