Santosham 1985.
Methods | Randomized controlled trial | |
Participants | Number: 89 enrolled Inclusion criteria: 0 to 12 months with acute watery diarrhoea (<7 days duration, at least 5 watery stools per day) |
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Interventions | 1. Soy‐based lactose‐free formula 4 hrs after hospitalization: 43 participants 2. Food was withheld for the first 48 hours of hospitalization: 44 participants |
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Outcomes | Stool output in the first 24 and 48 hours and during illness (ml/kg); percentage weight gain on the following: 24th and 48th hour, resolution of illness and two weeks after discharge; duration of diarrhoea (hrs); serum sodium and potassium on admission, during and at resolution of illness | |
Setting | Hospital based trial Location: Indian Health Service Hospital, Whiteriver, Arizona, USA |
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Notes | One person in each group was excluded because food other than that allowed for the study was taken Persistent vomiting was defined as more than 3 times in an 8 hour interval necessitating intravenous therapy Persistent diarrhoea defined as more than 7 days of diarrhoea |
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Risk of bias | ||
Bias | Authors' judgement | Support for judgement |
Random sequence generation (selection bias) | Low risk | Randomly assigned using block randomization of groups of four |
Allocation concealment (selection bias) | Unclear risk | No details given in trial report |
Blinding (performance bias and detection bias) All outcomes | High risk | Participants were not blinded, but it was unclear if the caregivers or the outcome assessors were blinded |
Incomplete outcome data (attrition bias) All outcomes | Low risk | 43 out of 44 and 44 out of 45 patients in the early and late refeeding group, respectively, were included in the final analysis |
Selective reporting (reporting bias) | Unclear risk | No details given in trial report |
Other bias | Unclear risk | No details given in trial report |