Wilson 1999.
Methods | RCT single centre |
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Participants | 138 patients 3 groups Elective surgery General surgery Vascular surgery |
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Interventions | Preoperative Fluids and inotropes Pulmonary artery catheter Goals = DO2I |
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Outcomes | Hospital mortality HLOS ICULOS (Costs reported separately) Respiratory (prolonged weaning, adult respiratory distress syndrome (ARDS), pleural effusion, secondary ventilation, sputum retention), cardiovascular (myocardial infarction, arrhythmia, cardiac arrest, pulmonary embolus, cerebrovascular accident, transient ischaemic attack, cardiac failure), gastrointestinal (infarction, haemorrhage), acute renal failure, coagulopathy, infection (bacteraemia, sepsis syndrome, septic shock, respiratory sepsis, urinary sepsis, abdominal sepsis, wound sepsis, line sepsis, other sepsis), surgical (anastomotic breakdown, deep haemorrhage, wound haemorrhage) |
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Notes | ||
Risk of bias | ||
Bias | Authors' judgement | Support for judgement |
Random sequence generation (selection bias) | Low risk | "Random sequence was generated from a Unix computer program" |
Allocation concealment (selection bias) | Low risk | "Allocation was concealed until trial entry by sealed opaque envelope" |
Blinding of participants and personnel (performance bias) All outcomes | Unclear risk | " We were unable to effect true blinding between patients in the control and treatment groups" |
Blinding of outcome assessment (detection bias) All outcomes | Unclear risk | See quote above |
Incomplete outcome data (attrition bias) All outcomes | Low risk | No missing data |
Selective reporting (reporting bias) | Low risk | All anticipated outcome data were reported |
Other bias | Low risk | No other potential sources of bias |