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. 2014 Sep 19;2014(9):CD002063. doi: 10.1002/14651858.CD002063.pub6

El‐Bayoumi 2011.

Methods Randomised controlled trial
Open
Parallel group
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