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. 2004 Oct 18;2004(4):CD004477. doi: 10.1002/14651858.CD004477.pub2
Methods n = 102, 31 centres
Allocation concealment: not described
Baseline similarity: age (D), SAPS II, sepsis
Blinding: caregivers
Cointerventions: Nitric oxide applied according to protocol
Withdrawals: none
Losses to follow‐up: none
Participants Inclusions: AECC definition for ARDS; duration of ARDS < 24 hours
Exclusions: Recent MI; chronic congestive heart failure; liver or renal failure; pneumonectomy; neurogenic pulmonary edema; neutropenia
Interventions IV liposomal PGE1, dose titrated to 1.8 mcg/kg every 6 hours (7.2 mcg/kg/day) for 7 days, or placebo
Outcomes 28 day mortality: RR 1.07 (95% CI 0.55 to 2.06)
Duration of ventilation (days; not stated whether median or mean): 16 (PGE1 group); 16.6 (placebo group); p = 0.94
Adverse events leading to discontinuation of therapy (details not given): treatment: 8/70, control: 2/32
Notes
Risk of bias
Bias Authors' judgement Support for judgement
Allocation concealment (selection bias) Unclear risk B ‐ Unclear