Reisman 1990.
Methods | Double‐blind, cross‐over, randomised controlled trial | |
Participants | 40 subjects with perennial allergic rhinitis and/or asthma and confirmed allergy to house dust mite | |
Interventions | Group 1: HEPA loaded with an active Enviracaire filter for 4 weeks followed by placebo for 4 weeks Group 2: same as Group 1 but order of active and placebo filters reversed |
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Outcomes | Particulate counts in bedroom air Symptom and medication scores Patients' subjective response to treatment |
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Notes | — | |
Risk of bias | ||
Bias | Authors' judgement | Support for judgement |
Adequate sequence generation? | Unclear risk | The randomisation technique in this trial was not described |
Allocation concealment? | Low risk | "A double‐blind study" |
Blinding? | Low risk | Patients and investigators were both blinded to the order in which filters were deployed in the HEPAs |
Incomplete outcome data addressed? All outcomes | Low risk | The drop‐outs in both groups were described fully and intention‐to‐treat analysis was performed |
Free of selective reporting? | Low risk | No evidence of selective reporting |
Free of other bias? | High risk | It was unclear whether the decision to only compare data from the last 2 weeks of each intervention period was decided a priori or whether this constituted a post‐hoc analysis. Follow up was short and there were difficulties in disaggregating rhinitis and asthma responses |