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

Persson 2001.

Methods Design: RCT
Operative phase: intraoperative
Withdrawals: 3/59 (5%)
Setting: 1 centre (Sweden)
Sample size: 59
Funding: not stated
Participants Age (mean): 48.0 ‐ 48.3 years
Gender (M/F): 0/59
ASA grade: I ‐ II
Surgery type: elective (subtotal hysterectomy)
Surgery duration (mean): < 2 hrs (79/91 mins)
Anaesthesia type: general
Interventions Intervention (ABSW): n = 29
Upper‐body forced‐air warming blanket (Warm‐Touch®, Mallinckrodt, USA) connected to a forced‐air blower (Warm‐TouchTM, Mallinckrodt, USA)
Duration (mean): started approximately 15 mins after induction of general anaesthesia
Temperature: set at 43° ‐ 46°C
Body area covered: over the chest adjacent to the skin covering both arms
Proportion covered: not stated
Control: n = 30
Cotton blankets
Body area covered: upper body
Co‐interventions:
Both participant groups had cotton blankets covering the body after surgery. No active warming was provided in the PACU
Room temperature: 23.4° ‐ 23.5ºC
Outcomes Blood loss (ml)
Pain (VAS 0 ‐ 10)
Shivering (the paper states that "shivering was reported in one patient in the warm group, but none in the control group")
Other outcomes reported not included in the review:
  • Analgesic requirements

  • Dose of fentanyl

  • Nausea/vomiting

Notes Comparison 1
Results presented in graphs
Risk of bias
Bias Authors' judgement Support for judgement
Random sequence generation (selection bias) Unclear risk Not reported
Allocation concealment (selection bias) Low risk Sealed, 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 Nurses recording data of interest were blinded to the study
Baseline comparability of groups Low risk To a high extent according to Table 1
Co‐interventions equal between groups Low risk Yes
Incomplete outcome data (attrition bias) 
 All outcomes Unclear risk 1 participant in the warm group was excluded because of intubation difficulties. 2 participants in the warm group were excluded as a result of an altered surgical procedure and re‐operation due to bleeding within 12 hrs respectively. In the postoperative period, 11 participants in the warm group and 7 in the control group did not fully complete the 48‐hr study protocol because of postoperative nausea and vomiting
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