Methods |
Quasi‐randomised, unblinded trial. 99 patients, 31 HBOT, 29 control. |
Participants |
Patients with a history of closed head injury and who are comatose with 'acute midbrain syndrome'. |
Interventions |
HBOT at 1.5 ATA daily ‐ time of each sessions and total number of sessions unknown. Standard care given to both groups described as 'usual intensive care regimen'. |
Outcomes |
Complete recovery, mortality. |
Notes |
|
Risk of bias |
Bias |
Authors' judgement |
Support for judgement |
Random sequence generation (selection bias) |
High risk |
Appears to have been a sequential allocation: "every second patient received hyperbaric oxygenation" . |
Allocation concealment (selection bias) |
High risk |
No evidence of concealment and it seems unlikely: "every second patient received hyperbaric oxygenation". |
Blinding (performance bias and detection bias)
All outcomes |
High risk |
No evidence of blinding and appears unlikely. |
Incomplete outcome data (attrition bias)
All outcomes |
Low risk |
No losses to follow‐up. |
Selective reporting (reporting bias) |
Low risk |
All outcomes reported. |
Other bias |
Low risk |
No other obvious potential for bias. |