Savilahti 2000.
Methods | Controlled before‐after study | |
Participants | The study group consisted of 397 children aged 7 to 12 in a mould‐damaged school and a control group of 192 non‐exposed children of the same age in a control school in Finland | |
Interventions | Thorough remediation of the moisture‐damaged school | |
Outcomes | Building: investigation of the buildings. Microbiological samples from the air, surfaces and materials Participants: occurrence of respiratory infections (common cold, tonsillitis, otitis, sinusitis, bronchitis) |
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Notes | The moisture damage was verified using microbiological samples from the air, surfaces and materials. Following renovation, new samples were taken | |
Risk of bias | ||
Bias | Authors' judgement | Support for judgement |
Blinding of participants and personnel (performance bias) All outcomes | High risk | Not blinded |
Blinding of outcome assessment (detection bias) All outcomes | High risk | Not blinded |
Unplanned subgroup analyses (16) | Low risk | No unplanned subgroup analyses |
Follow‐up (17) | Low risk | Follow‐up time of 1 year |
Compliance (19) | Unclear risk | Compliance unclear |
Valid outcome measures (20) | Low risk | Medical records were used in addition to the questionnaire |
Selection bias (population) (21) | Low risk | Participants and controls were recruited from the same population |
Selection bias (time) (22) | Low risk | The questionnaires were sent to both the intervention and control group at the same time |
Random sequence generation (selection bias) | High risk | Not randomised |
Allocation concealment (selection bias) | High risk | Not concealed |
Adjustment for confounding (25) | Low risk | Distribution of known confounders in the intervention and control group was described |
Incomplete outcome data (26) (attrition bias) | Low risk | Response rate to the second questionnaire was 81% in the intervention school and 100% in the control school |