El‐Bayoumi 2011.
Methods | Randomised controlled trial Open Parallel group |
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Participants | Children (age not specified) with GBS requiring artificial ventilation | |
Interventions | IVIg 0.4 g/kg daily for 5 days versus one plasma volume PE daily for 5 days | |
Outcomes | Duration of mechanical ventilation; length of intensive care unit stay; ability to walk unaided within 4 weeks of intensive care unit discharge | |
Notes | ||
Risk of bias | ||
Bias | Authors' judgement | Support for judgement |
Random sequence generation (selection bias) | Low risk | Done by computer‐generated random tables |
Allocation concealment (selection bias) | Unclear risk | Not stated |
Blinding (performance bias and detection bias) All outcomes except death | High risk | Although decisions about removal from ventilation were made independently, no attempt was made to mask whether participants had received PE or IVIg |
Blinding (performance bias and detection bias) Death | Low risk | Although decisions about removal from ventilation were made independently, no attempt was made to mask whether participants had received PE or IVIg. This would not have affected the assessment of death and in any case there were no deaths |
Incomplete outcome data (attrition bias) All outcomes except death | Low risk | Follow‐up complete |
Incomplete outcome data (attrition bias) Death | Low risk | No deaths |
Selective reporting (reporting bias) | Low risk | All specified outcomes fully reported |
Other bias | High risk | Number of participants who did not receive full treatment unknown |
Diagnostic criteria | Low risk | Standard diagnostic criteria, requirement for mechanical ventilation and < 14 days of muscle weakness before randomisation |
Baseline differences | Low risk | Done by computer‐generated random tables: groups well balanced |