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

Thamlikitkul 1991.

Methods Country where data collected: Singapore
Parallel‐group RCT
Unit of randomisation: participant
Unit of analysis: participant
Duration: 26 days
Participants Inclusion criteria: thermal 1st‐ or 2nd‐degree burns, < 30% TBSA, within 24 h of admission with no prior antibiotics or topical treatment for burn
Exclusion criteria: diabetes mellitus and terminal patients
Participants: 38 patients at 2 community hospitals
Mean age (years): 18 vs 25.2
Male participants: 11 vs 11
Burn type: thermal 18 vs 17; electrical 2 vs 1
Burn degree: 1st 9 vs 5; 2nd 11 vs 13
Burn size (%TBSA): 8 vs 11.1
Burn location: NR
Interventions Intervention arm 1: Aloe vera Linn. mucilage dressings changed twice daily
Intervention arm 2: SSD dressings changed twice daily
Cointerventions: intravenous fluid 6 vs 6; antibiotics 12 vs 12, analgesia 13 vs 13, tetanus 2 vs 1, sedatives 2 vs 2, other 2 vs 0
Outcomes Primary outcome: wound healing
secondary outcome: adverse events
Notes No funding reported
Risk of bias
Bias Authors' judgement Support for judgement
Random sequence generation (selection bias) Unclear risk Quote: "Eligible patients were designated to receive Aloe vera Linn., mucilage or silver sulfadiazine for topical treatment of their burns by stratified randomization selection based on two prognostic factors...."
Comment: unclear how randomisation sequence was derived
Allocation concealment (selection bias) Unclear risk Quote: "Eligible patients were designated to receive Aloe vera Linn., mucilage or silver sulfadiazine for topical treatment of their burns by stratified randomization selection based on two prognostic factors...."
Comment: unclear whether treatment allocations were adequately concealed
Blinding of outcome assessment (detection bias) 
 All outcomes Unclear risk Quote: "Each patient was assessed daily for healing, side effects and satisfaction with the treatment"
Comment: no information on whether assessment was conducted in a blinded fashion
Incomplete outcome data (attrition bias) 
 All outcomes Low risk Comment: no specific quote but all randomised participants included in analysis
Selective reporting (reporting bias) Unclear risk Comment: no specific quote
Other bias Unclear risk Comment: no evidence of other sources of bias but reporting insufficient to be certain