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. 2016 Apr 21;2016(4):CD009016. doi: 10.1002/14651858.CD009016.pub2

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:
  • Participants with a pain score ≥ 4 "adequate management of pain"

  • Use of opioids

  • % Participants that became hypothermic

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