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. 2020 Apr 27;2020(4):CD013134. doi: 10.1002/14651858.CD013134.pub2

Khan 2014.

Study characteristics
Methods Design: quasi‐RCT
Unit of randomisation: not specified
Type of study: study on pneumonia treatment
Participants Location/setting: study was carried out in Paediatric Department (ward), Islamic International Medical College‐Trust, (IIMC‐T), Railway Hospital, Rawalpindi, Pakistan
Sample size: 222 children
Dropout/withdrawals: none
Sex: males and females (39% females and 61% males)
Age range: 2 months to 5 years
Diagnostic criteria: not specified
Severity of condition: severe pneumonia
Interventions Intervention (sample size): 200 mg oral vitamin C drops once daily until symptoms of severe pneumonia were improved (N = 111)
Control (sample size): placebo drops (sodium citrate with colouring agent mixed in water) were given once daily until severe pneumonia improved (N = 111)
Concomitant interventions: IV amoxicillin and supportive treatment
Follow‐up: clinical progress of both groups was taken thrice daily in terms of oxygen saturation, respiratory rate, and chest indrawing. The number of days to improvement of severe pneumonia was recorded. Improvements in respiratory rates was reported in less than 4 days, chest indrawing in less than 2 days, and oxygen saturation in less than 1 day.
Outcomes Primary outcomes: duration of Illness: mean number of days for improvement in respiratory rate, mean number of days for improvement in oxygen saturation, and mean number of days for improvement in chest indrawing
Secondary outcomes: not specified
Timing of outcome assessment: not specified
Notes Study start date: 1 April 2010
Study end date: 31 March 2011
Limitations: not specified
Funding source: not specified
Conflicts of interest: not specified
Risk of bias
Bias Authors' judgement Support for judgement
Random sequence generation (selection bias) High risk Randomisation not done.
Allocation concealment (selection bias) High risk Randomisation not done.
Blinding of participants and personnel (performance bias)
All outcomes Low risk Quote: "In other group children received placebo drops (consisted of sodium citrate along with coloring agent mixed in water), which matched exactly with vitamin C drops in color and taste." (p. 56)
Comment: adequately done
Blinding of outcome assessment (detection bias)
All outcomes Unclear risk Quote: "In other group children received placebo drops (consisted of sodium citrate along with colouring agent mixed in water), which matched exactly with vitamin C drops in colour and taste." (p. 56)
Comment: insufficient information regarding outcome assessor
Incomplete outcome data (attrition bias)
All outcomes Low risk There was no loss to follow‐up.
Selective reporting (reporting bias) Unclear risk We did not find a study protocol. Outcomes specified in the methodology section have been reported in the results section.
Other bias Low risk No other potential bias detected.