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. 2023 Oct 24;2023(10):CD013584. doi: 10.1002/14651858.CD013584.pub2

Yeager 2005.

Study characteristics
Methods Prospective, randomised, double‐blind, placebo‐controlled trial
Run‐in period: recruitment over a period for 16 months (dates not specified). Published 2005
Number of study centres and location: not specified. Authors from Dartmouth Medical School, Hanover and Dartmouth‐Hitchcock Medical Center, Lebanon, New Hampshire, USA.
Participants Sixty elective cardiac surgical patients scheduled for CABG, cardiac valve replacement, or both
Exclusion criteria:
  1. history of ongoing systemic inflammatory disease of any kind;

  2. treatment with systemic glucocorticoids for any reason within 3 months before admission.

Interventions Intervention: etomidate and hydrocortisone (8 μg/kg over 6 h)
Control: thiopentone and saline placebo
Outcomes IL‐6, IL‐10, cortisol, MIF
Notes  
Risk of bias
Bias Authors' judgement Support for judgement
Random sequence generation (selection bias) Unclear risk Random sequence generation procedures were not clearly described.
Allocation concealment (selection bias) Unclear risk Allocation concealment not clearly described
Blinding of participants and personnel (performance bias)
All outcomes Unclear risk Not clearly described
Blinding of outcome assessment (detection bias)
All outcomes Unclear risk Authors state that the trial was double‐blinded, but they do not clearly describe how this was achieved.
Incomplete outcome data (attrition bias)
All outcomes Low risk No trial group changes, no withdrawals, and no losses to follow‐up were reported, but no intention‐to‐treat analysis. Data from all the participants were included in the final analysis.
Selective reporting (reporting bias) Low risk All outcomes were reported properly.
Other bias Low risk Quote: "Supported by grant NIAID AI051547 from the National Institutes of Health (PMG)"
Funding source at low risk of bias