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. 2013 Dec 16;2013(12):CD008059. doi: 10.1002/14651858.CD008059.pub3

Perrins 1967.

Methods Randomised clinical trial
Study period: not stated
Participants Inclusion criteria: every patient with split skin grafting
Exclusion criteria: infants
Baseline wound size: not stated
Mean age (SD): not stated
 HBOT n = 24
 Control n =24
Total number of patients = 48
 Duration of follow‐up: 7 days
 Setting: Burns Unit, Queen Mary's Hospital, Roehampton, London, United Kingdom
Interventions Intervention: HBOT treatment in a Vicker's clinical transparent pressure chamber, sessions of 100% O2 at 2 ATA for 2 hours, 1 day twice and the next 3 days once
 Comparison: usual care, clarification of usual care was not stated
 All cases had closed dressings of paraffin gauze, cotton wool and bandages applied to the operation and donor sites
Outcomes Graft survival (defined as at least 95% take) at day 7
Notes Location: Queen Mary's Hospital, Roehampton, London, United Kingdom
Setting: Burns Unit
Financial support: not stated
Estimating patches is not a reliable and validated outcome measurement
Risk of bias
Bias Authors' judgement Support for judgement
Random sequence generation (selection bias) Unclear risk Quote: "patients were allotted randomly to treatment or control groups"
 Comment: insufficient information about the sequence generation process
Allocation concealment (selection bias) Unclear risk Comment: the method of concealment is not described
Blinding (performance bias and detection bias) 
 Care provider blinding Low risk Quote: "routine surgery was performed by the surgeon, who did not know if the case was subsequently to be treated".
 Comment: probably done; surgeon is blinded
Blinding (performance bias and detection bias) 
 Outcome assessor blinding Unclear risk Comment: the surgeon who performed the operation was blinded, but it is not clear whether he was also the outcome assessor
Blinding (performance bias and detection bias) 
 Participant blinding High risk Comment: only the surgeon who performed the operation was blinded
Incomplete outcome data (attrition bias) 
 Was drop out rate described and acceptable Low risk Comment: there were no drop‐outs and all patients were assessed at the 6‐day follow‐up time point.
Incomplete outcome data (attrition bias) 
 ITT analysis High risk Comment: 2 grafts failed completely in the treated group. These 2 cases were excluded from analysis, on the grounds that a successful 'take' could not be expected.
Selective reporting (reporting bias) High risk Comment: no protocol available, but percentage wound healing was measured at day seven with multiple sub‐endpoints. This increases the risk of a type 1 error.
Other bias Unclear risk Comment: baseline comparability not stated; same treatment apart from intervention