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. 2009 Apr 15;2009(2):CD000368. doi: 10.1002/14651858.CD000368.pub3

Byrd 1988.

Methods Allocation: randomised (computer generated list).
 Blindness: double (participants, care‐givers and researchers blind to assignment.
 Duration: unclear ("for the remainder of admission" ‐ mean number of days in hospital ˜ 8, SD 8.8).
 Consent: given.
Participants Diagnosis: congestive heart failure (129), cardiomegaly (126), acute myocardial infarction (109).
 N=393.
 Age: mean ˜ 59 years.
 Sex: 265M, 128F.
 History: just admitted to Coronary Care Unit.
Interventions 1. Intercessory prayer: standard medical care + IP (by 'born again multi‐denominational Christians' outside hospital, daily by 3‐7 intercessors until discharge). N=192.
 2. Standard medical care. N=201.
Intercessors had no contact with their assigned patients.
Outcomes Death.
 Clinical state: good/poor, complications.
 Service use: number of days in hospital, number of days in CCU, readmission to CCU.
 Leaving the study early.
Notes Multiple complications presented. Independent collaborator (Evandro Coutinho), blinded to data, selected 'Re‐admissions to CCU' as proxy for 'Complications'.
Risk of bias
Bias Authors' judgement Support for judgement
Random sequence generation (selection bias) Low risk Computer generated list.
Allocation concealment (selection bias) Unclear risk Unclear
Blinding (performance bias and detection bias) 
 All outcomes Low risk Those rating outcomes not aware group of allocation.
Incomplete outcome data (attrition bias) 
 All outcomes Unclear risk Full reporting.
Selective reporting (reporting bias) Unclear risk Primary outcomes clearly reported, but many secondary outcomes also emphasised in the trial's report.
Other bias High risk Clear expression of prior belief in the positive effects of prayer.