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. 2012 Nov 14;2012(11):CD006391. doi: 10.1002/14651858.CD006391.pub2

Foster 1997.

Methods Allocation: randomised; no further details. 
 Blindness: double. 
 Design: parallel. 
 Duration: 4 hours (ultra short‐term trial duration).
Location: not indicated. 
 Setting: not indicated.
Participants Diagnosis: schizophrenia (N = 13), bipolar disorder (N = 13), schizoaffective (N = 4), psychotic disorder NOS (N = 7), acute exacerbation (DSM‐III‐R). 
 N = 37. 
 Age: mean 41.8 years. 
 Sex: 26 M, 11 F.
Interventions 1. Lorazepam: dose 2 mg every 30 min for 4 hours. N = 17. 
 2. Haloperidol: dose 5 mg every 30 min for 4 hours. N = 20.
Outcomes Leaving the study early.
Global state: CGI. 
 Mental state: BPRS. 
 Adverse effects: EPS, extreme sedation, use of antiparkinson medication.
Notes Rapid tranquillisation. 
 No differences were found either in the number of doses administered or in the administration route selected. 
 Lorazepam may provide an excellent alternative for rapid tranquillisation of the acutely agitated psychotic patient in the emergency room setting.
Risk of bias
Bias Authors' judgement Support for judgement
Random sequence generation (selection bias) Unclear risk Randomly assigned; no further details.
Allocation concealment (selection bias) Unclear risk No further details.
Blinding of participants and personnel (performance bias) 
 All outcomes Unclear risk “Double‐blind”; no further details
Blinding of outcome assessment (detection bias) 
 All outcomes Low risk “Double‐blind”. “All raters were unaware of the specific medication received by the patient.”  Raters were trained by the first author of the trial, and “periodic calibration training sessions were conducted to control for rater drift. Initial training was continued until raters agreed on item scores at least 90% of the time.”
Incomplete outcome data (attrition bias) 
 All outcomes Low risk No participant left the trial early.
Selective reporting (reporting bias) Low risk The outcomes that are of interest in the review have been reported in the pre‐specific way with the exception of adverse effects, which were not fully addressed.
Other bias High risk Baseline‐imbalance regarding the diagnosis randomised to the both different treatment groups.