Norton 1996.
Methods | Parallel randomised controlled trial Setting: 1 university hospital and one district general hospital in UK Sample size: not reported |
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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 |
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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 |
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Outcomes |
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Notes | Follow‐up: six weeks for main outcomes For continuous data, results were not available for all patients |
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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 |