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. 2011 Dec 7;2011(12):CD009052. doi: 10.1002/14651858.CD009052.pub2

Groh 1993.

Methods Randomised clinical trial.
Participants Country: Germany. 
 Sample size: 20. 
 Post‐randomisation drop‐out(s): 2 (10%). 
 Revised sample size: 18. 
 Females: not stated. 
 Mean age: 50 years. 
 Piggyback: not stated. 
 Conventional: not stated. 
 Cadaveric donor: not stated. 
 Live donor: not stated. 
 Inclusion criteria: 
 1. Patients undergoing primary elective orthotopic liver transplantation.
Interventions The patients were randomised to the following groups. 
 Group 1: intervention (n = 9). 
 Further details: aprotinin 2 million KIU loading dose after induction of anaesthesia, followed by continuous infusion of 500,000 KIU/ hour until the end of procedure. 
 Group 2: control (n = 9). 
 Further details: placebo.
Outcomes The outcomes reported were blood transfusion requirements.
Notes Attempts were made to contact the authors in September 2011. 
 
 Reason for post‐randomisation drop‐out(s): death, massive surgical haemorrhage (group not stated).
Risk of bias
Bias Authors' judgement Support for judgement
Random sequence generation (selection bias) Unclear risk Comment: This information was not available.
Allocation concealment (selection bias) Unclear risk Comment: This information was not available.
Blinding of participants and personnel (performance bias) 
 All outcomes Unclear risk Comment: Although a placebo was used, the nature of the placebo was not stated.
Blinding of outcome assessment (detection bias) 
 All outcomes Unclear risk Comment: Although a placebo was used, the nature of the placebo was not stated.
Incomplete outcome data (attrition bias) 
 All outcomes High risk Quote: "Two patients had to be excluded from statistical evaluation because of massive surgical haemorrhage and death during the study period".
Selective reporting (reporting bias) High risk Comment: Important outcomes were not reported.
Vested interest bias Unclear risk Comment: This information was not available.