Melling 2001.
Methods | Design: RCT Operative phase: preoperative Withdrawals: 4 Setting: 1 centre (UK) Sample size: 420 Funding: Smith & Nephew foundation; Augustine Medical inc |
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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 |
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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 |
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Outcomes | Wound infection Other outcomes reported not included in the review:
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Notes |
Comparison 1 (x 2 comparisons) Comparison 2 |
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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 |