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. 2005 Jan 24;2005(1):CD000196. doi: 10.1002/14651858.CD000196.pub2

Grumme 1995.

Methods Random allocation to treatment or control using identical vials.
Participants Patients of all ages admitted with head injury. Excluded groups were those with contraindication to steroids (not specified), impaired level of consciousness not due to trauma and absence of relevant brain damage (not specified).
Interventions
  1. Triamcinolone acetonide: 200mg IV, then 40mg 8 hourly for 4 days, then 20mg 8 hourly for 4 days.

  2. Placebo.

Outcomes GOS at discharge from hospital and at approximately 1 year from the injury.
Notes CT was used to guide treatment. Osmotic diuretics, controlled ventilation and cerebrospinal fluid drainage were used to control ICP.
Risk of bias
Bias Authors' judgement Support for judgement
Allocation concealment? Low risk Adequate