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. 2017 Jul 12;2017(7):CD011821. doi: 10.1002/14651858.CD011821.pub2

Baghel 2009.

Methods Country where data collected: India
Parallel‐group RCT
Unit of randomisation: participant
Unit of analysis: participant
Duration: 2 months (follow‐up)
Participants Inclusion criteria: 10‐50 years, 1st‐ or 2nd‐degree burn less than 50% TBSA
Exclusion criteria: immunocompromised people; patients on chemotherapy, with renal or liver failure or with asthma
Participants: 78 hospital patients
Mean age (years): 34.5 vs 28.5 years
Male participants: 21/37 vs 23/41
Burn type: NR
Burn degree: 1st‐degree 21/37 vs 21/41; 2nd 16/37 vs 20/41
Burn size (%TBSA): < 10% 0 vs 2; 11%‐20% 7 vs 12; 21%‐30% 13 vs 10; 31%‐40% 8 vs 6; 41%‐50% 9 vs 11
Burn location: NR
Interventions Intervention arm 1: pure undiluted honey; wounds dressed daily with sterile gauze and cotton dressing applied. N = 37
Intervention arm 2: SSD; wounds dressed daily with sterile gauze and cotton dressing applied. N = 41
Cointerventions: All stabilised and given IV antibiotics (ampicillin, gentamicin, metronidazole) for minimum 10 days in 2nd‐degree and 5 days in 1st‐degree, wounds cleaned
Outcomes Primary outcome: wound healing (mean time to wound healing)
Notes Funding NR
Risk of bias
Bias Authors' judgement Support for judgement
Random sequence generation (selection bias) Unclear risk Quote “after taking consent patients were randomly attributed to two study groups”
Comment: no information on how randomisation sequence was derived
Allocation concealment (selection bias) Unclear risk Quote “after taking consent patients were randomly attributed to two study groups”
Comment: no information on whether allocation of study treatment was concealed
Blinding of outcome assessment (detection bias) 
 All outcomes Unclear risk Quote: "Wound was assessed at third and seventh day and at the time of completion of study. Final outcome was measured after 2 months of follow‐up, in terms of complete and incomplete recovery."
Comment: no information on whether assessment was blinded
Incomplete outcome data (attrition bias) 
 All outcomes Low risk Comment: no specific quote but outcome data on time to healing reported for all 78 randomised participants
Selective reporting (reporting bias) Unclear risk Comment: no specific quote but outcomes other than "complete recovery" were not prespecified so it is unclear whether all outcomes assessed were fully reported
Other bias Unclear risk Comment: no specific quote, no evidence of other bias but reporting insufficient to be certain