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. 2006 Oct 18;2006(4):CD001530. doi: 10.1002/14651858.CD001530.pub2

Grahm 1989.

Methods Patients were randomised based on their date of admission. Patients admitted on odd days were entered into the control group and those admitted on even days into the experimental group.
Participants 32 patients with severe head injury and a GCS of 10 or less persisting for 6 hours.
Interventions 1) Early jejunal EN (under fluoroscopic, within 36 hr) n=17 
 2) EN (gastric feedings initiated after day 3 or when gastric function returned) n=15
Outcomes Deaths 
 LHS 
 Infection 
 Nitrogen balance
Notes Follow‐up until discharge. No loss to follow‐up. Four patients who should have been in the experimental group were placed in the control group because they were unable to start early feeding. To balance the size of the group four patients who should have been put in the control group were put into the experimental group.
Risk of bias
Bias Authors' judgement Support for judgement
Allocation concealment? High risk C ‐ Inadequate