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. 2018 Aug 3;2018(8):CD000567. doi: 10.1002/14651858.CD000567.pub7

Mahrous 2013.

Methods RCT
Parallel design
Single centre
Participants Total number of randomised participants: 56
Inclusion criteria: febrile neutropenic patients with severe sepsis and septic shock
Exclusion criteria: no details
Participant condition: severe sepsis; septic shock
Baseline characteristics
Colloids group
  • No baseline characteristics reported


Crystalloids group
  • No baseline characteristics reported


Country: Saudi Arabia
Setting: hospital
Interventions Colloids group
  • Participants: n = 30; losses = unclear; analysed for mortality = unclear; analysed for RRT = 30

  • Details: HES 130/0.4 (Voluven)


Crystalloids group
  • Participants: n = 26; losses = unclear; analysed for mortality = unclear; analysed for RRT = 26

  • Details: RL

Outcomes Outcomes measured/reported: acute renal failure, need for RRT, 28‐day mortality
Outcomes relevant to the review: mortality (at 28 days), RRT
Notes Funding/declarations of interest: none reported
Study dates: not reported
Abstract only. We did not include mortality data from this report, which were reported as percentages; we could not be certain whether the data were for all randomised participants or whether some participant data were lost (crystalloid group: 63.4%; colloid group: 73.3%).
Risk of bias
Bias Authors' judgement Support for judgement
Random sequence generation (selection bias) Unclear risk Participants were randomly assigned, no additional details. Abstract only
Allocation concealment (selection bias) Unclear risk No details. Abstract only
Blinding of participants and personnel (performance bias): mortality Low risk Abstract only. However, lack of blinding unlikely to introduce bias for mortality
Blinding of participants and personnel (performance bias): transfusion/renal replacement therapy/adverse events Unclear risk No details. Abstract only
Blinding of outcome assessment (detection bias): mortality Low risk Abstract only. However, lack of blinding unlikely to introduce bias for mortality
Blinding of outcome assessment (detection bias): transfusion/renal replacement therapy/adverse events Unclear risk No details. Abstract only
Incomplete outcome data (attrition bias) 
 All outcomes Unclear risk Abstract only. We could not be certain whether this study had participant losses for mortality because of apparent discrepancies in reported data in the abstract
Selective reporting (reporting bias) Unclear risk No details of clinical trials registration or prepublished protocol; not feasible to assess risk of selective outcome reporting bias
Baseline characteristics Unclear risk Not possible to assess baseline characteristics from abstract
Other bias Unclear risk Not feasible to assess other risks of bias from abstract only