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. 2012 Dec 12;2012(12):CD000033. doi: 10.1002/14651858.CD000033.pub2

Bohn 1989.

Methods Randomised controlled trial.
Participants Children (age 1‐18 years) with severe head injury (GCS ≤ 7).
82 people were included in the trial, 41 in each study group.
Interventions High‐dose phenobarbitone (loading dose 50 mg/kg followed by 20 mg/kg/day) or no phenobarbitone.
Outcomes Death and GOS were measured at the time of hospital discharge and at 6 months, ICP, sepsis.
Notes  
Risk of bias
Bias Authors' judgement Support for judgement
Random sequence generation (selection bias) Low risk Review authors' judgement: Experiencing a head injury occurs randomly.
Allocation concealment (selection bias) High risk Correspondence with author in 1997. Quote: "Patients allocated to treatment group according to which ICU physician was on duty."
Blinding (performance bias and detection bias) 
 Participants Low risk Review authors' judgement: Low risk as people had a Glasgow Coma Scale score of 7 or less and therefore had reduced cognitive function.
Blinding (performance bias and detection bias) 
 Treating physicians Unclear risk Not stated.
Blinding of outcome assessment (detection bias) 
 All outcomes Unclear risk Not stated.
Incomplete outcome data (attrition bias) 
 All outcomes Low risk Outcome data on mortality and disability are reported in full.
Selective reporting (reporting bias) Unclear risk Review authors' judgement: Not assessed as we were unable to obtain the study protocol. The authors report there was a study protocol.
Other bias Unclear risk Review authors' judgement: None known.