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. 2009 Apr 15;2009(2):CD003288. doi: 10.1002/14651858.CD003288.pub3

Larsson 1990.

Methods Method of randomisation: sealed envelopes 
 Assessor blinding: not reported 
 Intention to treat: not done 
 Lost to follow‐up: unclear 
 Timing of intervention: up to 8 weeks, served in the morning and afternoon, when other patients were getting drinks
Participants Location: 19 wards, University Hospital, Linköping, Sweden 
 435 patients 
 Inclusion criteria: newly admitted to long‐term medical care, consent to participate, remains hospitalised for over 3 weeks 
 Exclusion criteria: none given 
 Sex: 263 female, 167 male (430) 
 Age: 81y female, 78y male 
 Health Status: long‐term care, 115 with protein‐energy malnutrition, 320 not with protein‐energy malnutrition
Interventions a: standard hospital diet plus Biosorb drink (Kabi Nutrition, Sweden) 2x200 ml/day providing 400 kcal, 16 g Protein, 16 g Fat, 44.2 g CHO 
 b: standard hospital diet 
 Allocated: 197/238 
 Assessed: unclear
Outcomes Main outcomes: 
 Mortality 
 Morbidity and complications ‐ total number pressure sores, number of sores healed Functional status ‐ improvement in modified Norton scale, activity rating
Notes Request for information sent 21/08/01 regarding vitamin content of supplement, denominators pressure sores, Norton scale, actual patient weights, actual measures of TSF and AMC, resent 14/7/01
Risk of bias
Bias Authors' judgement Support for judgement
Allocation concealment? Low risk A ‐ Adequate