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

Opasanon 2010.

Methods Country where data collected: Thailand
Parallel‐group RCT
Unit of randomisation: participant
Unit of analysis: participant
Duration: NR
Participants Inclusion criteria: partial‐thickness burn, less than 24 h post‐burn injury, TBSA < 15%
Exclusion criteria: pregnancy, immunocompromised patients and hypersensitivity to treatments used
Participants: 65
Mean age (years): 42.31 ± 23.49 vs 31.03 ± 19.76
Male participants: 15 vs 21
Burn type: flame 8 (23%) vs 18 (60%)/dcald 27 (77%) vs 10 (33%)/other (chemical, contact burn 0 (0%) vs 2 (7%)
Burn degree: NR
Burn size (%TBSA): 2.77 ± 0.41 vs 7.93 ± 1.8
Burn location: upper limb 31% vs 53%/lower limb 46% vs 33%/hand 11% vs 3%/other 12% vs 11%
Interventions Intervention arm 1: 1% SSD (1% AgSD) covered with dry gauze dressing changed every day until complete wound closure. N = 35
Intervention arm 2: Alginate silver dressing (Askina Calgitrol Ag) changed every 5 days until complete wound closure. N = 30
Cointerventions: none reported
Outcomes Primary outcome: wound healing
Secondary outcome: pain
Notes Funding NR
Risk of bias
Bias Authors' judgement Support for judgement
Random sequence generation (selection bias) Unclear risk Quote: “Sixty‐five patients were identified and randomised into two groups”
Comment: no further information on method of randomisation
Allocation concealment (selection bias) Unclear risk Quote: “Sixty‐five patients were identified and randomised into two groups”
Comment: no further information to indicate concealment of allocation
Blinding of outcome assessment (detection bias) 
 All outcomes Unclear risk Quote: “clinical assessment was evaluated by two experienced burn surgeons”
Comment: no information on whether outcome assessors were blinded as to allocation of treatment
Incomplete outcome data (attrition bias) 
 All outcomes Low risk Quote: “Sixty‐five patients were identified and randomised into two groups”
Comment: no withdrawals reported and Table 10 suggested that all participants were accounted for
Selective reporting (reporting bias) Low risk Quote: “pain scores, number of wound dressing change, nursing time and time of burn wound healing”
Comment: all stated outcomes of interest were reported
Other bias Low risk Comment: no direct quotes but no evidence of additional sources of bias but reporting insufficient to be certain