Molnar 2004a.
Methods | RCT: "the study design was prospective, randomised, controlled, blinded, multi‐center and web‐based". | |
Participants | 23 patients (age range 20‐70 years, mean 46 years; TBSA 5%‐40%, mean TBSA 16%) with bilateral hand burns treated within 24 h of burn injury. | |
Interventions | NPWT (125 mmHg pressure) applied for 48 h or silver sulfadiazine (SSD). | |
Outcomes | Rate of burn healing, volume of hand as determined by fluid displacement, range of motion, grip and pinch strength. | |
Notes | Only conference abstract available, which was an interim report on first 23 patients recruited. | |
Risk of bias | ||
Bias | Authors' judgement | Support for judgement |
Random sequence generation (selection bias) | Unclear risk | Not specified, although participants were reported as "randomised" to either the treatment or control group. |
Allocation concealment (selection bias) | Unclear risk | Not reported. |
Blinding (performance bias and detection bias) participants | High risk | Not possible due to nature of intervention. |
Blinding (performance bias and detection bias) personnel delivering intervention | High risk | Not possible due to nature of intervention. |
Blinding (performance bias and detection bias) outcome assessors | Low risk | Blinding of principal investigator used to determine rate of burn healing (personal communication with study author, information not available in abstract). |
Incomplete outcome data (attrition bias) All outcomes | Unclear risk | Interim report only; no attrition reported at this point in trial. |
Selective reporting (reporting bias) | Low risk | All pre‐specified outcomes presented in interim report. |
Other bias | Low risk | No other concerns. |
Abbreviations
h = hour(s) NPWT = negative pressure wound therapy SSD = silver sulfadiazine TBSA: total burn surface area