Schmied 1996.
Methods | Design: RCT Operative phase: intra + post‐operative Withdrawals: none Setting: multicentre (2) (Austria and USA) Sample size: 60 Funding: Augustine Medical Inc, the Joseph Drown and Max Kade Foundations, and National Institutes of Health grant RO 1GM49670. Mallinckrodt Anesthesia Products Inc, donated thermocouples and thermometers. The authors do not consult for, accept honoraria from, or own shares or share options in any anaesthesia‐ or surgery‐related company |
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Participants | Age (mean): 63 years Gender (M/F): 23/37 ASA grade: I ‐ III Surgery type: elective (primary unilateral total hip arthroplasty) Surgery duration (mean range): < 2 hrs (85/87 mins) Anaesthesia type: general |
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Interventions |
Intervention (ABSW): n = 30 Upper‐body forced‐air warming cover (Bair‐Hugger®, Augustine Medical, Eden Prairie, MN) and a warmer set to "high" + intravenous fluids warmed to 37ºC Duration (mean): not stated Temperature: 37ºC Body area covered: upper body Proportion covered: not stated Control: n = 30 "Hypothermia group" (active skin and fluid warming was avoided) Co‐interventions: Low‐molecular weight heparin (5000 IU every 8 hrs) starting 2 hrs before surgery Room temperature: 21ºC |
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Outcomes | Fluids infused (crystalloids; colloids) (intraoperatively and postoperatively) Blood loss (cumulative) (ml) N of participants transfused Transfusion (RBC) (ml/participant) Other outcomes reported not included in the review:
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Notes | Comparison 1 | |
Risk of bias | ||
Bias | Authors' judgement | Support for judgement |
Random sequence generation (selection bias) | Low risk | Randomization was based on computer‐generated codes sealed in sequentially‐numbered, opaque envelopes |
Allocation concealment (selection bias) | Low risk | Randomization was based on computer‐generated codes sealed in sequentially‐numbered, opaque envelopes |
Blinding of participants and personnel (performance bias) All outcomes | Unclear risk | Not reported |
Blinding of outcome assessment (detection bias) All outcomes | Unclear risk | Not reported |
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 | Low risk | All randomized participants were analysed |
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 |