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. 2012 Sep 12;2012(9):CD006616. doi: 10.1002/14651858.CD006616.pub2

Spapen 2005.

Methods Randomized, double blinded, placebo‐controlled trial
Participants Severe sepsis
Interventions N‐acetylcysteine50 mg/kg/4 hrs followed by 100 mg/kg/24 hrs for 44 hrs versus placebo (5% dextrose)
Outcomes microalbuminuria, organ dysfunction scores
Notes  
Risk of bias
Bias Authors' judgement Support for judgement
Random sequence generation (selection bias) Low risk Computer generated permuted blocks.
Allocation concealment (selection bias) Low risk Infusions prepared by hospital pharmacy.
Blinding (performance bias and detection bias) 
 All outcomes Low risk Patients and investigators were blinded for treatment allocations.
Selective reporting (reporting bias) Low risk  
Other bias Low risk