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. 1998 Mar 28;316(7136):961–964. doi: 10.1136/bmj.316.7136.961

Table.

Summary of randomised trials comparing colloid and crystalloid fluid resuscitation that met criteria for inclusion

Trial* Type of injury No of patients Treatment
Length of follow up Mortality reported Allocation concealment
Colloid Crystalloid
Lowe et alw1-w3 Trauma 171  50 g albumin/200 ml Ringer’s lactate Ringer’s lactate 5 days Yes 1
Modigw4 w5 Trauma 31 Dextran-70 in Ringer’s acetate Ringer’s acetate To definitive reconstructive surgery Yes 1
Nagy et alw6 Trauma 41 Pentastarch in 0.9% NaCl Ringer’s lactate Unspecified Yes 1
Younes et alw7 Trauma 70 6% dextran-70 in 7.5% NaCl 7.5% NaCl To discharge Yes 3
Vassar et alw8 Trauma 174  6% dextran-70 in 7.5% NaCl 7.5% NaCl To hospital discharge Yes 3
Vassar et alw9 Trauma 149  6% or 12% dextran-70 in 7.5% NaCl 7.5% NaCl To hospital discharge Yes 3
Evans et alw10 Trauma 25 Haemacell in Ringer’s lactate Ringer’s lactate Unspecified No 2
Skillman et alw11 Surgery 16 25% concentrated salt-poor albumin; 1 g/kg and 5% albumin in saline Ringer’s lactate with 5% dextrose 1 day No 2
Boutros et alw12 Surgery 24 Albumin in 5% dextrose 5% dextrose in lactated Ringer’s; 5% dextrose in 0.45% NaCl To 48 hours postoperative Yes 2
Virgilio et alw13 Surgery 29 5% albumin in Ringer’s lactate Ringer’s lactate 2½ weeks Yes 2
Grundmann et alw14 w15 Surgery 20 Human albumin and crystalloid (details not reported) Crystalloid (details not reported) Unspecified Yes 1
Karanko et alw16 w17 Surgery 36 6% dextran-70 in 0.9% NaCl or in 5% glucose Ringer’s acetate gluconate 2 weeks Yes 2
Ley et alw18 Surgery 21 6% hetastarch and 5% plasma protein fraction 0.9% NaCl To discharge No 2
Prein et alw19 Surgery 18 10% hydroxyethylstarch in 154 mmol/l NaCl and plasma protein solution; 20% human albumin solution Ringer’s lactate Unspecified No 2
Dawidson et alw20 Surgery 20 3% dextran-60 in Ringer’s lactate Ringer’s lactate To discharge Yes 2
Hartmann et alw21 Surgery 29 Dextran-70 in NaCl with 2.5% glucose NaCl with 2.5% glucose 7 days No 2
Eleftheriadis et alw22 Surgery 91 6% hydroxyethylstarch Ringer’s solution and 3.5% gelatine solution Unspecified No 2
Tollosfrud et alw23 Surgery 40 Haemacell; dextran-70; albumin 40 mg/ml in saline Ringer’s acetate To 48 hours Yes 3
Wahba et alw24 Surgery 22 Haemacell in Ringer’s lactate Ringer’s lactate To discharge Yes 2
Bocanegra et alw25 Burns 153  Plasma with saline; whole blood supplemented with 5% glucose Isotonic saline To 60 hours, then unspecified Yes 1
Hall et alw26 Burns 172  6% dextran-70 in 0.9% NaCl Ringer’s lactate To 5 years Yes 1
Jelenko et alw27-w30 Burns 12 Albumin in hypertonic saline (240 mEq Na+, 120 mEq Cl, 120 mEq lactate, 3.5 torr/l colloid) Hypertonic saline (240 mEq Na+, 120 mEq Cl, 120 mEq lactate) To end of resuscitation Yes 2
Goodwin et alw31 Burns 79 2.5% albumin in Ringer’s lactate Ringer’s lactate To discharge Yes 2
Rackow et alw32-w34 Septic and hypovolaemic shock 26 6% hydroxyethylstarch; 5% albumin 0.9% NaCl To discharge Yes 2
Metildi et alw35 Adult respiratory distress syndrome 46 50% albumin salt-poor serum in Ringer’s lactate Ringer’s lactate To discharge Yes 2
Pockaj et alw36 Vascular leak syndrome 107  5% albumin in 154 mEq/l NaCl 0.9% normal saline with 154 mEq/l NaCl Unspecified No 2
*

For list of references see longer version of article on our website www.bmj.com.