Benson 2012.
Methods | Design: RCT Operative phase: pre‐ and intraoperative Withdrawals: 1 (not informed) Setting: 1 centre (Canada) Sample size: 30 Funding: grant from the Fort Garry Branch Royal Canadian Legion Poppy |
|
Participants | Age (mean): 68.0/68.5 years Gender (M/F): 12/18 ASA grade: I ‐ III Surgery type: elective (total knee arthroplasty) Surgery duration (mean): < 2 hrs (60.1/61.9 mins anaesthesia duration) Anaesthesia type: spinal |
|
Interventions |
Intervention (ABSW): n = 15 Forced‐air warming gown connected to a portable warming unit capable of generating up to 1000 BTU per hr (Bair Paws® patient adjustable Warming System, Arizant HealthCare, Eden Prairie, MN. Gown model 81001, unit model 875) Temperature (max.) at 43ºC Duration: perioperative Body area covered: not stated Control: n = 15 Hospital gown and prewarmed standard cotton blanket Duration: perioperative Control body area covered: spread over the trunk, upper limbs and head * Note: Each group retained the same warming method throughout the perioperative period (defined here as from the time of preoperative preparation in the day surgery through to discharge from the PACU) Co‐interventions: not stated Room temperature: 20.5ºC |
|
Outcomes | Postoperative pain (at 12 and 24 hours) (VNRS 0 ‐ 10) Thermal comfort (Likert 1 ‐ 5) Other outcomes reported not included in the review:
|
|
Notes | Comparison 1 | |
Risk of bias | ||
Bias | Authors' judgement | Support for judgement |
Random sequence generation (selection bias) | Low risk | Lot drawing with coloured papers in a bag |
Allocation concealment (selection bias) | High risk | There was no allocation concealment |
Blinding of participants and personnel (performance bias) All outcomes | High risk | Open‐label |
Blinding of outcome assessment (detection bias) All outcomes | Unclear risk | Outcome assessment was done at PACU, but there is no mention of blinding |
Baseline comparability of groups | Low risk | To a high extent according to Table 1 |
Co‐interventions equal between groups | Unclear risk | Not reported |
Incomplete outcome data (attrition bias) All outcomes | High risk | There are several outcomes with incomplete outcome data |
Selective reporting (reporting bias) | Unclear risk | We did not have access to the protocol, therefore we cannot exclude risk of selective reporting. |
Other bias | Low risk |