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. 2010 Jan 20;2010(1):CD003974. doi: 10.1002/14651858.CD003974.pub3

Irjala 1993.

Methods Design: three group parallel trial 
 Purpose: examine the relationship between quality of sleep the night before surgery and several biochemical cerebro‐spinal fluid indicators
Participants Patients: in‐patients in need of surgery 
 Baseline comparability: yes (age, sex, weight, height)
Interventions Placebo: tablet with no midazolam or temazepam 
 Untreated: no tablet 
 Experimental: 
 ‐tablet with midazolam 
 ‐tablet with temazepam 
 (Co‐intervention: no)
Outcomes Quality of sleep 
 Concentrations of 3,4‐dihydroxyphenylglycol, 
 3‐methoxy‐4‐hydroxyphenylglycol, 3,4‐dihydroxyphenylacetic acid, homovanillic acid, tryptophan, 5‐hydroxyindoleacetic acid and cortisol
Notes Relevant outcome data not accessible: data lost (personal communication Irjala J)
Risk of bias
Bias Authors' judgement Support for judgement
Adequate sequence generation? Unclear risk NS
Allocation concealment? Unclear risk NS
Blinding? 
 Treatment provider Low risk '... the anaesthetist (J.I.) was not aware of the groupings'
Blinding? 
 Outcome assessor Unclear risk Not relevant as patient reported outcome
Incomplete outcome data addressed? 
 All outcomes High risk Drop‐out > 15% or NS
Free of selective reporting? High risk Relevant outcome data not accessible: data lost (personal communication Irjala J)
Free of other bias? Low risk  
Trial size > 49? High risk N = 35
Clearly concealed allocation + trial size > 49 + drop‐out max 15% High risk Trial size < 49