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. 2017 Jul 7;2017(7):CD006396. doi: 10.1002/14651858.CD006396.pub4

Pääkkönen 1998.

Methods CBA study
Participants Shots with 762 Rk 62 rifle
 n = 5 shots
 Finland
 Military
Interventions Intervention: Hearing Protector Earmuffs: Peltor H61, Peltor H7, Peltor H6, Bilsom Marksman, Silenta Hunter at 156 Lcpeak dB(C); n = 5
Outcomes Difference in noise level outside versus inside the protectors
Notes Immediate
Risk of bias
Bias Authors' judgement Support for judgement
14. Blinding (subjects) High risk not blinded
15. Blinding (outcome assessors) High risk not blinded
16. Retrospective unplanned subgroup analyses Low risk no additional analysis
17. Follow‐up Unclear risk immediate outcome measurement (inside/outside HPD)
18. Statistical tests High risk no test used
19. Compliance Low risk closely observed use of HPD
20. Outcome measures Low risk calibrated measurements
21. Selection bias (population) Unclear risk all subjects were military staff
22. Selection bias (time) Low risk same day in 1995
23. Randomization High risk not randomised
24. Allocation concealment Unclear risk not randomised, not applicable
25. Adjustment for confounding Unclear risk not reported
26. Incomplete outcome data Unclear risk not reported