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

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
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
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
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:
  • Haemoglobin (end of surgery; next morning)

  • Hematocrit

  • Prothrombin and plasma thrombin time

  • Arterial blood pressure

  • Heart rate

  • Blood platelet number

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