Khan 2014.
Study characteristics | ||
Methods |
Design: quasi‐RCT Unit of randomisation: not specified Type of study: study on pneumonia treatment |
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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 |
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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. |
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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 |
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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 |
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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. |