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. 2015 May 22;2015(5):CD008096. doi: 10.1002/14651858.CD008096.pub4

Norton 1996.

Methods Parallel randomised controlled trial
Setting: 1 university hospital and one district general hospital in UK
Sample size: not reported
Participants 30 patients: 11 male, 19 female; mean age 77
Inclusion criteria: acute cerebrovascular accident with persisting dysphagia for eight or more days, in need for sedation and prolonged mechanical ventilation.
Exclusion criteria: patients with a previous history of gastrointestinal disease which would preclude siting a gastrostomy tube or who were unfit for upper gastrointestinal endoscopy and IV sedation
Interventions PEG (n = 16): pull technique, Wilson Cook tube 24 FR or 12 FR Fresenius
NGT (n = 14): fine bore tube Flocare 500, inserted by a senior nurse
Outcomes
  1. Mortality

  2. Treatment failure

  3. Adverse events

  4. Pneumonia

  5. Amount of feed administered

  6. Change in nutritional status

  7. Length of hospital stay

Notes Follow‐up: six weeks for main outcomes
For continuous data, results were not available for all patients
Risk of bias
Bias Authors' judgement Support for judgement
Random sequence generation (selection bias) Unclear risk Not reported
Allocation concealment (selection bias) Low risk Sealed envelopes
Blinding of participants and personnel (performance bias) 
 All outcomes High risk Not possible for this type of intervention
Blinding of outcome assessment (detection bias) 
 All outcomes Unclear risk Not explicitly stated by the study investigators
Incomplete outcome data (attrition bias) 
 All outcomes Low risk Flow of patients was clearly reported
Selective reporting (reporting bias) Low risk Relevant outcomes were analysed
Other bias Low risk None suspected