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. 2013 Mar 28;2013(3):CD002106. doi: 10.1002/14651858.CD002106.pub4

Wyatt 1990.

Methods RCT. Method of randomisation and allocation concealment not reported. Blinding at outcome assessment recorded.
Participants 50 patients with minor second‐degree burns who present to an emergency department and/or occupational medicine clinic. Burns which occurred more than 48 hours before presentation for treatment or burns to face, hands, feet or perineum, electrical and chemical burns and those participants with concomitant disease such as diabetes mellitus were excluded.
Interventions Hydrocolloid dressing (DuoDerm, ConvaTec, Squibb) versus SSD (Silvadene, Marion Laboratories)
Outcomes Time to complete wound healing 
 Number of dressing changes 
 Level of pain
Notes Withdrawals:8/50 (16%) 
 Loss to follow‐up: 8/50 (16%)
Risk of bias
Bias Authors' judgement Support for judgement
Random sequence generation (selection bias) Unclear risk Patients "randomly assigned" but no description of method
Allocation concealment (selection bias) Unclear risk Not reported
Blinding (performance bias and detection bias) 
 All outcomes High risk Patients and investigators not blinded as the randomised treatments had different care protocols. One of the outcomes, impression of overall healing, was assessed blindly by one investigator.
Incomplete outcome data (attrition bias) 
 All outcomes High risk 8/50 (16%) patients excluded, 4 because they were lost to follow‐up and 4 because of protocol violations. It is not reported whether the reasons for dropouts were related to group assignment.
Selective reporting (reporting bias) Low risk All prespecified outcomes reported
Other bias Unclear risk Dressing provided by medical equipment company

C: control 
 ED: emergency department 
 Gp: group 
 I: intervention 
 ITT: intention‐to‐treat 
 NA: not applicable 
 RCT: randomised controlled trial 
 SSD: silver sulphadiazine 
 %TBSA: percentage of total burn surface area