Rojanapirom 1992.
Study characteristics | ||
Methods | RCT | |
Participants | 80 acute patients (from 12 years of age) undergoing appendicectomy in Thailand between May and August 1988 | |
Interventions | Group 1: hair removal with a razor (n = 40)
Group 2: no hair removal (n = 40) Product details: skin was shaved with a razor on the ward following a scrub with antiseptic solution by hospital staff. Timing of hair removal: not reported. Hair removed by: not reported. Venue for hair removal: not reported. |
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Outcomes | Primary outcome: wound infection. Wounds were examined on days 2 and 3 postoperatively and until the stitches were removed (days 7 to 10). Definition of an infection and details of who assessed the wound not provided. Wound swabs were also taken intraoperatively. | |
Notes | No details of any funding. No details of conflict of interest. | |
Risk of bias | ||
Bias | Authors' judgement | Support for judgement |
Random sequence generation (selection bias) | Unclear risk | Quote: "Each pair was randomly divided into control (shaved skin) and experiment (unshaved skin) groups." Comment: process of randomisation not given. |
Allocation concealment (selection bias) | Unclear risk | Not reported. Comment: not clear whether the person responsible for allocation to groups would have been able to predict to which group a potential participant would be allocated. |
Blinding (performance bias and detection bias) Care providers blinded | Unclear risk | Not reported. Comment: unclear whether care providers were blinded to intervention allocation. |
Blinding (performance bias and detection bias) Participants blinded | High risk | Quote: "Skin preparation in the control group. . . skin shaving with a razor. In the experiment group skin shaving was omitted." Comment: participants would have been aware of hair removal method. |
Blinding of outcome assessment (detection bias) All outcomes | Unclear risk | Not reported. Comment: unclear whether assessors were blinded to intervention allocation. |
Incomplete outcome data (attrition bias) ITT analysis undertaken | Unclear risk | Not reported. Comment: no discussion of whether participants were analysed in the groups to which they had been allocated. |
Incomplete outcome data (attrition bias) Drop out rate acceptable | Unclear risk | Not reported. Comment: insufficient details to permit a judgement. |
Selective reporting (reporting bias) | Low risk | Main outcomes reported. Comment: unlikely to be affected by reporting bias. |
Other bias | Low risk | Comment: participant groups were equal or similar. |