Qu 2012.
Methods | STUDY DESIGN: RCT Risk of Bias: HIGH |
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Participants | PROVIDERS: all physicians in the ICU
PARTICIPANTS: 71 patients with with confirmed severe acute pancreatitis CLINICAL PROBLEM: PCT for guiding duration of antibiotic therapy SETTING: 1 hospital in China |
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Interventions | FORMAT: Interventions: reminders (circumstantial, decision support algorithm with each PCT test); structural, introduction of PCT testing
Intervention Functions: enablement, environmental restructuring DELIVERER: department physician (ICU) COMPARISON: usual care DESIRED CHANGE: decrease excessive |
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Outcomes | PRESCRIBING: Exposure: duration of all antibiotic treatment CLINICAL: Balancing: mortality and length of stay FINANCIAL: cost of hospitalisation, but no information about cost of intervention |
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Notes | FINANCIAL SUPPORT: Funding: none. Competing Interests: none declared ADDITIONAL DATA: no response from authors to request for additional data |
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Risk of bias | ||
Bias | Authors' judgement | Support for judgement |
Random sequence generation (selection bias) | Unclear risk | Says it was randomised, but no further information |
Allocation concealment (selection bias) | Unclear risk | No information |
Blinding (performance bias and detection bias) All outcomes | Unclear risk | No mention of blinding |
Incomplete outcome data (attrition bias) All outcomes | Low risk | Outcomes on all 71 participants |
Selective reporting (reporting bias) | Low risk | |
Other bias | Low risk | |
Baseline Outcomes similar? | Unclear risk | No information |
Free of contamination? | Low risk | PCT results only reported for intervention participants. |
Baseline characteristics similar? | Low risk | Yes, Table 1 |