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

Melling 2001.

Methods Design: RCT
Operative phase: preoperative
Withdrawals: 4
Setting: 1 centre (UK)
Sample size: 420
Funding: Smith & Nephew foundation; Augustine Medical inc
Participants Age (range): not stated
Gender (M/F): 174/242
ASA grade: not stated
Surgery type: elective (mixed of clean surgery: breast, varicose veins, or hernia)
Surgery duration: < 2 hrs (48/49.5 mins)
Anaesthesia type: not stated/unclear
Interventions Intervention (ABSW1): n = 139
"Systemic warming": forced‐air warming blanket
Duration: 30 mins preoperative (the blanket was left on until just before surgery) (average: 38.73 min)
Body area covered: whole body
Proportion covered: not stated
Intervention (ABSW2): n = 140
"Local warming": non‐contact radiant heat dressing, to just the planned wound area
Duration 30 mins preoperative (average 44.94 mins
Control: n = 141
Unwarmed cotton blankets (usual care)
Duration: 30 mins (average: 38.73 mins)
Control body area covered: not stated
Proportion covered: wound treated only
Co‐interventions: not stated
Same standard preoperative care
Room temperature: not stated
Outcomes Wound infection
Other outcomes reported not included in the review:
  • Development of haematomas, seromas and/or wounds requiring aspiration

  • Prescription of postoperative antibiotics

  • ASEPSIS wound scores

Notes Comparison 1 (x 2 comparisons)
Comparison 2
Risk of bias
Bias Authors' judgement Support for judgement
Random sequence generation (selection bias) Unclear risk Not reported
Allocation concealment (selection bias) Low risk Opaque envelopes
Blinding of participants and personnel (performance bias) 
 All outcomes Unclear risk Not reported
Blinding of outcome assessment (detection bias) 
 All outcomes Low risk A single trained observer unaware of treatment allocation reviewed participants at 2 and 6 weeks postoperatively
Baseline comparability of groups Low risk To a high degree according to Table 1
Co‐interventions equal between groups Unclear risk Not reported
Incomplete outcome data (attrition bias) 
 All outcomes Low risk 2 participants in the control group and 1 in the local warming group were lost to follow‐up. 1 participant's surgery was cancelled
Selective reporting (reporting bias) Unclear risk We did not have access to the protocol, therefore we cannot exclude risk of selective reporting with the information provided
Other bias Low risk