Persson 2001.
Methods | Design: RCT Operative phase: intraoperative Withdrawals: 3/59 (5%) Setting: 1 centre (Sweden) Sample size: 59 Funding: not stated |
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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 |
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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 |
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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:
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Notes |
Comparison 1 Results presented in graphs |
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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 | 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 |