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Pilgramm2 - Revision history
2026-10-04T13:58:25Z
Revision history for this page on the wiki
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http://hboevidence.wikis.unsw.edu.au/index.php?title=Pilgramm2&diff=1142&oldid=prev
M.bennett at 05:48, 28 September 2021
2021-09-28T05:48:55Z
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<td colspan="2" style="background-color: #fff; color: #222; text-align: center;">← Older revision</td>
<td colspan="2" style="background-color: #fff; color: #222; text-align: center;">Revision as of 05:48, 28 September 2021</td>
</tr><tr><td colspan="2" class="diff-lineno" id="mw-diff-left-l1" >Line 1:</td>
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<tr><td class='diff-marker'>−</td><td style="color: #222; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #ffe49c; vertical-align: top; white-space: pre-wrap;"><div><del style="font-weight: bold; text-decoration: none;">'''<span style="font-family: &#39;Times New Roman&#39;,&#39;serif&#39;; font-size: 16px;">The efficacy of hyperbaric oxygen in the treatment of acute acoustic trauma is unclear.</span>'''</del></div></td><td colspan="2"> </td></tr>
<tr><td class='diff-marker'> </td><td style="background-color: #f8f9fa; color: #222; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"></td><td class='diff-marker'> </td><td style="background-color: #f8f9fa; color: #222; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"></td></tr>
<tr><td class='diff-marker'>−</td><td style="color: #222; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #ffe49c; vertical-align: top; white-space: pre-wrap;"><div><span style="<del class="diffchange diffchange-inline">border</del>-<del class="diffchange diffchange-inline">color</del>: <del class="diffchange diffchange-inline">windowtext; border-style: solid; border-width: 1.5pt; display: block; padding: 1pt 4pt;"></del></div></td><td class='diff-marker'>+</td><td style="color: #222; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #a3d3ff; vertical-align: top; white-space: pre-wrap;"><div><span style="<ins class="diffchange diffchange-inline">line</ins>-<ins class="diffchange diffchange-inline">height</ins>:<ins class="diffchange diffchange-inline">normal</ins>">'''<span style="font-size:<ins class="diffchange diffchange-inline">18.0pt</ins>"><span style="font-family:" <ins class="diffchange diffchange-inline">times="" new</ins>="<ins class="diffchange diffchange-inline">" roman"</ins>,serif"=""><ins class="diffchange diffchange-inline">The efficacy </ins>of <ins class="diffchange diffchange-inline">hyperbaric oxygen in the treatment </ins>of <ins class="diffchange diffchange-inline">acute acoustic trauma is unclear.</ins></span><<ins class="diffchange diffchange-inline">/</ins>span><ins class="diffchange diffchange-inline">'''</ins></span></div></td></tr>
<tr><td class='diff-marker'>−</td><td style="color: #222; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #ffe49c; vertical-align: top; white-space: pre-wrap;"><div><del class="diffchange diffchange-inline"><span style="padding-bottom: 0cm; padding-left: 0cm; padding-right: 0cm; padding-top: 0cm;</del>">'''<span style="<del class="diffchange diffchange-inline">font-family: &#39;Times New Roman&#39;,&#39;serif&#39;; </del>font-size: <del class="diffchange diffchange-inline">16px;</del>"><del class="diffchange diffchange-inline">Clinical Bottom Line:</span>'''</del></div></td><td colspan="2"> </td></tr>
<tr><td class='diff-marker'>−</td><td style="color: #222; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #ffe49c; vertical-align: top; white-space: pre-wrap;"><div><span style="font-family: <del class="diffchange diffchange-inline">&#39;Times New Roman&#39;,&#39;serif&#39;; font-size: 16px;</del>"<del class="diffchange diffchange-inline">>1. Poorly reported trial cannot be evaluated.</span></span></del></div></td><td colspan="2"> </td></tr>
<tr><td class='diff-marker'>−</td><td style="color: #222; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #ffe49c; vertical-align: top; white-space: pre-wrap;"><div><del class="diffchange diffchange-inline"></span></del></div></td><td colspan="2"> </td></tr>
<tr><td class='diff-marker'>−</td><td style="color: #222; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #ffe49c; vertical-align: top; white-space: pre-wrap;"><div><del class="diffchange diffchange-inline">**<span style</del>="<del class="diffchange diffchange-inline">font-family: &#39;Times New Roman&#39;</del>,<del class="diffchange diffchange-inline">&#39;</del>serif<del class="diffchange diffchange-inline">&#39;; font-size: 16px;</del>"<del class="diffchange diffchange-inline">>Appraised by:</span>'''<span style</del>="<del class="diffchange diffchange-inline">font-family: &#39;Times New Roman&#39;,&#39;serif&#39;; font-size: 16px;</del>"> <del class="diffchange diffchange-inline">Mike Bennett, Dept </del>of <del class="diffchange diffchange-inline">Diving and Hyperbaric Medicine, Prince </del>of <del class="diffchange diffchange-inline">Wales Hospital</del></span></div></td><td colspan="2"> </td></tr>
<tr><td class='diff-marker'>−</td><td style="color: #222; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #ffe49c; vertical-align: top; white-space: pre-wrap;"><div><span <del class="diffchange diffchange-inline">style="font-family: &#39;Times New Roman&#39;,&#39;serif&#39;; font-size: 16px;"</del>><del class="diffchange diffchange-inline">Sydney; Wednesday, 27 January, 1999</del></span></div></td><td colspan="2"> </td></tr>
<tr><td class='diff-marker'> </td><td style="background-color: #f8f9fa; color: #222; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"></td><td class='diff-marker'> </td><td style="background-color: #f8f9fa; color: #222; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"></td></tr>
<tr><td class='diff-marker'>−</td><td style="color: #222; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #ffe49c; vertical-align: top; white-space: pre-wrap;"><div><del class="diffchange diffchange-inline">**</del><span style="<del class="diffchange diffchange-inline">font</del>-<del class="diffchange diffchange-inline">family</del>: <del class="diffchange diffchange-inline">&#39;Times New Roman&#39;,&#39;serif&#39;; font-size: 16px;</del>"<del class="diffchange diffchange-inline">>Clinical Scenario: </span</del>>'''<span style="<del class="diffchange diffchange-inline">font-family: &#39;Times New Roman&#39;,&#39;serif&#39;; </del>font-size: <del class="diffchange diffchange-inline">16px;</del>"><del class="diffchange diffchange-inline">A patient with acute hearing loss following acoustic trauma.</span></del></div></td><td class='diff-marker'>+</td><td style="color: #222; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #a3d3ff; vertical-align: top; white-space: pre-wrap;"><div><span style="<ins class="diffchange diffchange-inline">line</ins>-<ins class="diffchange diffchange-inline">height</ins>:<ins class="diffchange diffchange-inline">normal</ins>">'''<span style="font-size:<ins class="diffchange diffchange-inline">14.0pt</ins>"><span style="font-family:<ins class="diffchange diffchange-inline">" times="" new="" roman"</ins>,serif"=""><ins class="diffchange diffchange-inline">Clinical Bottom Line:</ins></span></span>'''</span></div></td></tr>
<tr><td class='diff-marker'>−</td><td style="color: #222; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #ffe49c; vertical-align: top; white-space: pre-wrap;"><div><del class="diffchange diffchange-inline">**</del><span style="font-family: <del class="diffchange diffchange-inline">&#39;Times New Roman&#39;</del>,<del class="diffchange diffchange-inline">&#39;</del>serif<del class="diffchange diffchange-inline">&#39;; font-size: 16px;</del>"<del class="diffchange diffchange-inline">>Three-part Question:</span>'''<span style</del>="<del class="diffchange diffchange-inline">font-family: &#39;Times New Roman&#39;,&#39;serif&#39;; font-size: 16px;</del>"> <del class="diffchange diffchange-inline">For patients with acute acoustic trauma, does the addition of hyperbaric oxygen to the standard treatment regime result in any improvement in final hearing or reduction in tinnitus?</del></span></div></td><td colspan="2"> </td></tr>
<tr><td class='diff-marker'>−</td><td style="color: #222; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #ffe49c; vertical-align: top; white-space: pre-wrap;"><div><del class="diffchange diffchange-inline">**<span style="font-family: &#39;Times New Roman&#39;,&#39;serif&#39;; font-size: 16px;">Search Terms:</del></span>'''<del class="diffchange diffchange-inline"><span style="font-family: &#39;Times New Roman&#39;,&#39;serif&#39;; font-size: 16px;"> Hyperbaric oxygenation, trauma/acoustic.</del></span></div></td><td colspan="2"> </td></tr>
<tr><td class='diff-marker'> </td><td style="background-color: #f8f9fa; color: #222; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"></td><td class='diff-marker'> </td><td style="background-color: #f8f9fa; color: #222; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"></td></tr>
<tr><td class='diff-marker'>−</td><td style="color: #222; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #ffe49c; vertical-align: top; white-space: pre-wrap;"><div><del class="diffchange diffchange-inline">**</del><span style="<del class="diffchange diffchange-inline">font</del>-<del class="diffchange diffchange-inline">family</del>: <del class="diffchange diffchange-inline">&#39;Times New Roman&#39;,&#39;serif&#39;; font-size: 16px;</del>"><del class="diffchange diffchange-inline">The Study:</span>'''</del></div></td><td class='diff-marker'>+</td><td style="color: #222; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #a3d3ff; vertical-align: top; white-space: pre-wrap;"><div><ins class="diffchange diffchange-inline">#</ins><span style="<ins class="diffchange diffchange-inline">line</ins>-<ins class="diffchange diffchange-inline">height</ins>:<ins class="diffchange diffchange-inline">normal</ins>"><span style="font-size:<ins class="diffchange diffchange-inline">14.0pt</ins>"><span style="font-family:<ins class="diffchange diffchange-inline">" times="" new="" roman"</ins>,serif"=""><ins class="diffchange diffchange-inline">Poorly reported trial cannot be evaluated</ins></span><<ins class="diffchange diffchange-inline">/</ins>span></span>  </div></td></tr>
<tr><td class='diff-marker'>−</td><td style="color: #222; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #ffe49c; vertical-align: top; white-space: pre-wrap;"><div><span style="<del class="diffchange diffchange-inline">font-family: &#39;Times New Roman&#39;,&#39;serif&#39;; </del>font-size: <del class="diffchange diffchange-inline">16px;</del>"><del class="diffchange diffchange-inline">Double-blinded randomised controlled trial. </span></del></div></td><td colspan="2"> </td></tr>
<tr><td class='diff-marker'>−</td><td style="color: #222; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #ffe49c; vertical-align: top; white-space: pre-wrap;"><div><span style="font-family: <del class="diffchange diffchange-inline">&#39;Times New Roman&#39;</del>,<del class="diffchange diffchange-inline">&#39;</del>serif<del class="diffchange diffchange-inline">&#39;; font-size: 16px;</del>"<del class="diffchange diffchange-inline">>Patients with hearing loss 40dB following acoustic trauma within 48 hours and without improvement greater than 20dB after 24 hours in the absence of therapy. </span></del></div></td><td colspan="2"> </td></tr>
<tr><td class='diff-marker'>−</td><td style="color: #222; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #ffe49c; vertical-align: top; white-space: pre-wrap;"><div><del class="diffchange diffchange-inline"><span style</del>="<del class="diffchange diffchange-inline">font-family: &#39;Times New Roman&#39;,&#39;serif&#39;; font-size: 16px;</del>"><del class="diffchange diffchange-inline">Control group (N = ; analysed): Unknown.</del></span></div></td><td colspan="2"> </td></tr>
<tr><td class='diff-marker'>−</td><td style="color: #222; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #ffe49c; vertical-align: top; white-space: pre-wrap;"><div><span <del class="diffchange diffchange-inline">style="font-family: &#39;Times New Roman&#39;,&#39;serif&#39;; font-size: 16px;"</del>><del class="diffchange diffchange-inline">Experimental group (N = ; analysed): Unknown</del></span></div></td><td colspan="2"> </td></tr>
<tr><td class='diff-marker'> </td><td style="background-color: #f8f9fa; color: #222; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"></td><td class='diff-marker'> </td><td style="background-color: #f8f9fa; color: #222; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"></td></tr>
<tr><td class='diff-marker'>−</td><td style="color: #222; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #ffe49c; vertical-align: top; white-space: pre-wrap;"><div><del class="diffchange diffchange-inline">**<span style="font</del>-<del class="diffchange diffchange-inline">family: &#39;Times New Roman&#39;,&#39;serif&#39;; font</del>-<del class="diffchange diffchange-inline">size: 16px;">The Evidence:</span>'''</del></div></td><td class='diff-marker'>+</td><td style="color: #222; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #a3d3ff; vertical-align: top; white-space: pre-wrap;"><div>----</div></td></tr>
<tr><td class='diff-marker'>−</td><td style="color: #222; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #ffe49c; vertical-align: top; white-space: pre-wrap;"><div><del class="diffchange diffchange-inline"><span style="border</del>-<del class="diffchange diffchange-inline">color: windowtext; border</del>-<del class="diffchange diffchange-inline">style: solid; border-width: 1.5pt; display: block; margin-left: 0cm; margin-right: 395.05pt; padding: 1pt 4pt;"></del></div></td><td colspan="2"> </td></tr>
<tr><td class='diff-marker'>−</td><td style="color: #222; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #ffe49c; vertical-align: top; white-space: pre-wrap;"><div><del class="diffchange diffchange-inline"><span style="font-family: &quot;Times New Roman&quot;,serif; font-size: 16px; padding: 0cm;">Not given.</span></del></div></td><td colspan="2"> </td></tr>
<tr><td class='diff-marker'>−</td><td style="color: #222; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #ffe49c; vertical-align: top; white-space: pre-wrap;"><div><del class="diffchange diffchange-inline"></span></del></div></td><td colspan="2"> </td></tr>
<tr><td class='diff-marker'>−</td><td style="color: #222; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #ffe49c; vertical-align: top; white-space: pre-wrap;"><div><del class="diffchange diffchange-inline"><span style="font-family: &#39;Times New Roman&#39;,&#39;serif&#39;; font-size: 16px;">'''Comments:'''</span></del></div></td><td colspan="2"> </td></tr>
<tr><td class='diff-marker'>−</td><td style="color: #222; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #ffe49c; vertical-align: top; white-space: pre-wrap;"><div><del class="diffchange diffchange-inline"><span style="font-family: &#39;Times New Roman&#39;,&#39;serif&#39;; font-size: 16px;">1. Results and methodology not clearly reported.</span></del></div></td><td colspan="2"> </td></tr>
<tr><td class='diff-marker'>−</td><td style="color: #222; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #ffe49c; vertical-align: top; white-space: pre-wrap;"><div><del class="diffchange diffchange-inline"><span style="font-family: &#39;Times New Roman&#39;,&#39;serif&#39;; font-size: 16px;">2. Text suggests that hyperbaric oxygen may be of some additional benefit, but supporting results not given.</span></del></div></td><td colspan="2"> </td></tr>
<tr><td class='diff-marker'> </td><td style="background-color: #f8f9fa; color: #222; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"></td><td class='diff-marker'> </td><td style="background-color: #f8f9fa; color: #222; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"></td></tr>
<tr><td class='diff-marker'>−</td><td style="color: #222; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #ffe49c; vertical-align: top; white-space: pre-wrap;"><div><del class="diffchange diffchange-inline">**</del><span style="<del class="diffchange diffchange-inline">font-family: &#39;Times New Roman&#39;,&#39;serif&#39;; font</del>-<del class="diffchange diffchange-inline">size</del>: <del class="diffchange diffchange-inline">16px;</del>"<del class="diffchange diffchange-inline">>Expiry date:</span</del>>'''<span style="<del class="diffchange diffchange-inline">font-family: &#39;Times New Roman&#39;,&#39;serif&#39;; </del>font-size: <del class="diffchange diffchange-inline">16px;</del>"> <del class="diffchange diffchange-inline">June 2020</span></del></div></td><td class='diff-marker'>+</td><td style="color: #222; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #a3d3ff; vertical-align: top; white-space: pre-wrap;"><div><span style="<ins class="diffchange diffchange-inline">line</ins>-<ins class="diffchange diffchange-inline">height</ins>:<ins class="diffchange diffchange-inline">normal</ins>">'''<span style="font-size:<ins class="diffchange diffchange-inline">12.0pt</ins>"><span style="font-family:<ins class="diffchange diffchange-inline">" times="" new="" roman"</ins>,serif<ins class="diffchange diffchange-inline">"="</ins>"><ins class="diffchange diffchange-inline">Citation</ins>: <ins class="diffchange diffchange-inline">1.</span></ins></span>'''<ins class="diffchange diffchange-inline"><span style="font-size:12.0pt"></ins><span style="font-family:<ins class="diffchange diffchange-inline">" times="" new="" roman"</ins>,serif<ins class="diffchange diffchange-inline">"="</ins>">Pilgramm M. Clinical and animal experiment studies to optimise the therapy for acute acoustic trauma. Scandinavian Audiology (Suppl) 1991; 34:103-122.<ins class="diffchange diffchange-inline"></span></span></ins></span></div></td></tr>
<tr><td class='diff-marker'>−</td><td style="color: #222; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #ffe49c; vertical-align: top; white-space: pre-wrap;"><div><del class="diffchange diffchange-inline">**</del><span style="font-family: <del class="diffchange diffchange-inline">&#39;Times New Roman&#39;</del>,<del class="diffchange diffchange-inline">&#39;</del>serif<del class="diffchange diffchange-inline">&#39;; font-size: 16px;</del>"><del class="diffchange diffchange-inline">References</del>: </span>'''</div></td><td colspan="2"> </td></tr>
<tr><td class='diff-marker'>−</td><td style="color: #222; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #ffe49c; vertical-align: top; white-space: pre-wrap;"><div><span style="font-family: <del class="diffchange diffchange-inline">&#39;Times New Roman&#39;</del>,<del class="diffchange diffchange-inline">&#39;</del>serif<del class="diffchange diffchange-inline">&#39;; font-size: 16px;</del>"><del class="diffchange diffchange-inline">1. </del>Pilgramm M. Clinical and animal experiment studies to optimise the therapy for acute acoustic trauma. Scandinavian Audiology (Suppl) 1991; 34:103-122.</span></div></td><td colspan="2"> </td></tr>
<tr><td class='diff-marker'> </td><td style="background-color: #f8f9fa; color: #222; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"></td><td class='diff-marker'> </td><td style="background-color: #f8f9fa; color: #222; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"></td></tr>
<tr><td class='diff-marker'>−</td><td style="color: #222; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #ffe49c; vertical-align: top; white-space: pre-wrap;"><div><span style="<del class="diffchange diffchange-inline">display</del>: <del class="diffchange diffchange-inline">block; text</del>-<del class="diffchange diffchange-inline">align</del>: <del class="diffchange diffchange-inline">center;</del>"></div></td><td class='diff-marker'>+</td><td style="color: #222; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #a3d3ff; vertical-align: top; white-space: pre-wrap;"><div><span style="<ins class="diffchange diffchange-inline">line-height:normal">'''<span style="font-size:12.0pt"><span style="font-family:" times="" new="" roman",serif"="">Clinical Scenario</ins>:<ins class="diffchange diffchange-inline"></span></span>'''<span style="font</ins>-<ins class="diffchange diffchange-inline">size</ins>:<ins class="diffchange diffchange-inline">12.0pt</ins>"><ins class="diffchange diffchange-inline"><span style="font-family</ins>:<ins class="diffchange diffchange-inline">" times="" new="" roman",serif"="">A patient with acute hearing loss following acoustic trauma</ins>.<ins class="diffchange diffchange-inline"></span></span></span></ins></div></td></tr>
<tr><td class='diff-marker'>−</td><td style="color: #222; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #ffe49c; vertical-align: top; white-space: pre-wrap;"><div><del class="diffchange diffchange-inline">[[File</del>:<del class="diffchange diffchange-inline">sumhorsa</del>.<del class="diffchange diffchange-inline">gif|center]]</del></div></td><td colspan="2"> </td></tr>
<tr><td class='diff-marker'> </td><td style="background-color: #f8f9fa; color: #222; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"></td><td class='diff-marker'> </td><td style="background-color: #f8f9fa; color: #222; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #eaecf0; vertical-align: top; white-space: pre-wrap;"></td></tr>
<tr><td class='diff-marker'>−</td><td style="color: #222; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #ffe49c; vertical-align: top; white-space: pre-wrap;"><div><span style="display: block; text-align: center;"><span style="font-size: 29.9px;">[[Audiovestibular <del class="diffchange diffchange-inline"> </del>| <del class="diffchange diffchange-inline"> </del>BACK]]<del class="diffchange diffchange-inline"></span></del></span></span></div></td><td class='diff-marker'>+</td><td style="color: #222; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #a3d3ff; vertical-align: top; white-space: pre-wrap;"><div><ins class="diffchange diffchange-inline"><span style="line-height:normal">'''<span style="font-size:12.0pt"><span style="font-family:" times="" new="" roman",serif"="">Three-part Question:</span></span>'''<span style="font-size:12.0pt"><span style="font-family:" times="" new="" roman",serif"="">For patients with acute acoustic trauma, does the addition of hyperbaric oxygen to the standard treatment regimen result in any improvement in final hearing or reduction in tinnitus?</span></span></span></ins></div></td></tr>
<tr><td colspan="2"> </td><td class='diff-marker'>+</td><td style="color: #222; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #a3d3ff; vertical-align: top; white-space: pre-wrap;"><div> </div></td></tr>
<tr><td colspan="2"> </td><td class='diff-marker'>+</td><td style="color: #222; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #a3d3ff; vertical-align: top; white-space: pre-wrap;"><div><ins class="diffchange diffchange-inline"><span style="line-height:normal">'''<span style="font-size:12.0pt"><span style="font-family:" times="" new="" roman",serif"="">Search Terms:</span></span>'''<span style="font-size:12.0pt"><span style="font-family:" times="" new="" roman",serif"="">Hyperbaric oxygenation, trauma/acoustic.</span></span></span></ins></div></td></tr>
<tr><td colspan="2"> </td><td class='diff-marker'>+</td><td style="color: #222; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #a3d3ff; vertical-align: top; white-space: pre-wrap;"><div> </div></td></tr>
<tr><td colspan="2"> </td><td class='diff-marker'>+</td><td style="color: #222; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #a3d3ff; vertical-align: top; white-space: pre-wrap;"><div><ins class="diffchange diffchange-inline"><span style="line-height:normal">'''<span style="font-size:12.0pt"><span style="font-family:" times="" new="" roman",serif"="">The Study:</span></span>'''<span style="font-size:12.0pt"><span style="font-family:" times="" new="" roman",serif"="">Double-blinded randomised controlled trial. Patients with hearing loss 40dB following acoustic trauma within 48 hours and without improvement greater than 20dB after 24 hours in the absence of therapy.</span></span></span></ins></div></td></tr>
<tr><td colspan="2"> </td><td class='diff-marker'>+</td><td style="color: #222; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #a3d3ff; vertical-align: top; white-space: pre-wrap;"><div> </div></td></tr>
<tr><td colspan="2"> </td><td class='diff-marker'>+</td><td style="color: #222; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #a3d3ff; vertical-align: top; white-space: pre-wrap;"><div><ins class="diffchange diffchange-inline"><span style="line-height:normal">'''<span style="font-size:12.0pt"><span style="font-family:" times="" new="" roman",serif"="">Control group (N = ?):</span></span>'''<span style="font-size:12.0pt"><span style="font-family:" times="" new="" roman",serif"="">Unknown.</span></span></span></ins></div></td></tr>
<tr><td colspan="2"> </td><td class='diff-marker'>+</td><td style="color: #222; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #a3d3ff; vertical-align: top; white-space: pre-wrap;"><div> </div></td></tr>
<tr><td colspan="2"> </td><td class='diff-marker'>+</td><td style="color: #222; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #a3d3ff; vertical-align: top; white-space: pre-wrap;"><div><ins class="diffchange diffchange-inline"><span style="line-height:normal">'''<span style="font-size:12.0pt"><span style="font-family:" times="" new="" roman",serif"="">Experimental group (N =?):</span></span>'''<span style="font-size:12.0pt"><span style="font-family:" times="" new="" roman",serif"="">Unknown</span></span></span></ins></div></td></tr>
<tr><td colspan="2"> </td><td class='diff-marker'>+</td><td style="color: #222; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #a3d3ff; vertical-align: top; white-space: pre-wrap;"><div> </div></td></tr>
<tr><td colspan="2"> </td><td class='diff-marker'>+</td><td style="color: #222; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #a3d3ff; vertical-align: top; white-space: pre-wrap;"><div><ins class="diffchange diffchange-inline"><span style="line-height:normal">'''<span style="font-size:12.0pt"><span style="font-family:" times="" new="" roman",serif"="">The Evidence:</span></span>'''</span></ins></div></td></tr>
<tr><td colspan="2"> </td><td class='diff-marker'>+</td><td style="color: #222; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #a3d3ff; vertical-align: top; white-space: pre-wrap;"><div> </div></td></tr>
<tr><td colspan="2"> </td><td class='diff-marker'>+</td><td style="color: #222; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #a3d3ff; vertical-align: top; white-space: pre-wrap;"><div><ins class="diffchange diffchange-inline"><span style="line-height:normal"><span style="font-size:12.0pt"><span style="font-family:" times="" new="" roman",serif"="">None given!</span></span></span></ins></div></td></tr>
<tr><td colspan="2"> </td><td class='diff-marker'>+</td><td style="color: #222; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #a3d3ff; vertical-align: top; white-space: pre-wrap;"><div> </div></td></tr>
<tr><td colspan="2"> </td><td class='diff-marker'>+</td><td style="color: #222; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #a3d3ff; vertical-align: top; white-space: pre-wrap;"><div><ins class="diffchange diffchange-inline"><span style="line-height:normal">'''<span style="font-size:12.0pt"><span style="font-family:" times="" new="" roman",serif"="">Comments:</span></span>'''</span></ins></div></td></tr>
<tr><td colspan="2"> </td><td class='diff-marker'>+</td><td style="color: #222; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #a3d3ff; vertical-align: top; white-space: pre-wrap;"><div> </div></td></tr>
<tr><td colspan="2"> </td><td class='diff-marker'>+</td><td style="color: #222; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #a3d3ff; vertical-align: top; white-space: pre-wrap;"><div><ins class="diffchange diffchange-inline"><span style="line-height:normal"><span style="font-size:12.0pt"><span style="font-family:" times="" new="" roman",serif"="">1. Results and methodology not clearly reported.</span></span></span></ins></div></td></tr>
<tr><td colspan="2"> </td><td class='diff-marker'>+</td><td style="color: #222; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #a3d3ff; vertical-align: top; white-space: pre-wrap;"><div> </div></td></tr>
<tr><td colspan="2"> </td><td class='diff-marker'>+</td><td style="color: #222; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #a3d3ff; vertical-align: top; white-space: pre-wrap;"><div><ins class="diffchange diffchange-inline"><span style="line-height:normal"><span style="font-size:12.0pt"><span style="font-family:" times="" new="" roman",serif"="">2. Text suggests that hyperbaric oxygen may be of some additional benefit, but supporting results not given.</span></span></span></ins></div></td></tr>
<tr><td colspan="2"> </td><td class='diff-marker'>+</td><td style="color: #222; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #a3d3ff; vertical-align: top; white-space: pre-wrap;"><div> </div></td></tr>
<tr><td colspan="2"> </td><td class='diff-marker'>+</td><td style="color: #222; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #a3d3ff; vertical-align: top; white-space: pre-wrap;"><div><ins class="diffchange diffchange-inline"><span style="line-height:normal">'''<span style="font-size:12.0pt"><span style="font-family:" times="" new="" roman",serif"="">Appraised by:</span></span>'''<span style="font-size:12.0pt"><span style="font-family:" times="" new="" roman",serif"="">Mike Bennett, Dept of Diving and Hyperbaric Medicine, Prince of Wales Hospital Sydney; Wednesday, 27 January, 1999</span></span></span></ins></div></td></tr>
<tr><td colspan="2"> </td><td class='diff-marker'>+</td><td style="color: #222; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #a3d3ff; vertical-align: top; white-space: pre-wrap;"><div> </div></td></tr>
<tr><td colspan="2"> </td><td class='diff-marker'>+</td><td style="color: #222; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #a3d3ff; vertical-align: top; white-space: pre-wrap;"><div><ins class="diffchange diffchange-inline"><span style="line-height:normal">'''<span style="font-size:12.0pt"><span style="font-family:" times="" new="" roman",serif"="">Expiry date</span></span>'''<span style="font-size:12.0pt"><span style="font-family:" times="" new="" roman",serif"="">:'''June 2022</span></span></span></ins></div></td></tr>
<tr><td colspan="2"> </td><td class='diff-marker'>+</td><td style="color: #222; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #a3d3ff; vertical-align: top; white-space: pre-wrap;"><div> </div></td></tr>
<tr><td colspan="2"> </td><td class='diff-marker'>+</td><td style="color: #222; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #a3d3ff; vertical-align: top; white-space: pre-wrap;"><div><ins class="diffchange diffchange-inline"><span style="display: block; text-align: center;">[[File:Sumhorsa.gif|center|Sumhorsa.gif]]</span></ins></div></td></tr>
<tr><td colspan="2"> </td><td class='diff-marker'>+</td><td style="color: #222; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #a3d3ff; vertical-align: top; white-space: pre-wrap;"><div> </div></td></tr>
<tr><td colspan="2"> </td><td class='diff-marker'>+</td><td style="color: #222; font-size: 88%; border-style: solid; border-width: 1px 1px 1px 4px; border-radius: 0.33em; border-color: #a3d3ff; vertical-align: top; white-space: pre-wrap;"><div><span style="display: block; text-align: center;"><span style="font-size: 29.9px;">[[Audiovestibular|BACK]]</span></span></div></td></tr>
</table>
M.bennett
http://hboevidence.wikis.unsw.edu.au/index.php?title=Pilgramm2&diff=190&oldid=prev
Gordoben: Imported from Wikispaces
2018-06-16T04:50:02Z
<p>Imported from Wikispaces</p>
<p><b>New page</b></p><div>'''<span style="font-family: &#39;Times New Roman&#39;,&#39;serif&#39;; font-size: 16px;">The efficacy of hyperbaric oxygen in the treatment of acute acoustic trauma is unclear.</span>'''<br />
<br />
<span style="border-color: windowtext; border-style: solid; border-width: 1.5pt; display: block; padding: 1pt 4pt;"><br />
<span style="padding-bottom: 0cm; padding-left: 0cm; padding-right: 0cm; padding-top: 0cm;">'''<span style="font-family: &#39;Times New Roman&#39;,&#39;serif&#39;; font-size: 16px;">Clinical Bottom Line:</span>'''<br />
<span style="font-family: &#39;Times New Roman&#39;,&#39;serif&#39;; font-size: 16px;">1. Poorly reported trial cannot be evaluated.</span></span><br />
</span><br />
**<span style="font-family: &#39;Times New Roman&#39;,&#39;serif&#39;; font-size: 16px;">Appraised by:</span>'''<span style="font-family: &#39;Times New Roman&#39;,&#39;serif&#39;; font-size: 16px;"> Mike Bennett, Dept of Diving and Hyperbaric Medicine, Prince of Wales Hospital</span><br />
<span style="font-family: &#39;Times New Roman&#39;,&#39;serif&#39;; font-size: 16px;">Sydney; Wednesday, 27 January, 1999</span><br />
<br />
**<span style="font-family: &#39;Times New Roman&#39;,&#39;serif&#39;; font-size: 16px;">Clinical Scenario: </span>'''<span style="font-family: &#39;Times New Roman&#39;,&#39;serif&#39;; font-size: 16px;">A patient with acute hearing loss following acoustic trauma.</span><br />
**<span style="font-family: &#39;Times New Roman&#39;,&#39;serif&#39;; font-size: 16px;">Three-part Question:</span>'''<span style="font-family: &#39;Times New Roman&#39;,&#39;serif&#39;; font-size: 16px;"> For patients with acute acoustic trauma, does the addition of hyperbaric oxygen to the standard treatment regime result in any improvement in final hearing or reduction in tinnitus?</span><br />
**<span style="font-family: &#39;Times New Roman&#39;,&#39;serif&#39;; font-size: 16px;">Search Terms:</span>'''<span style="font-family: &#39;Times New Roman&#39;,&#39;serif&#39;; font-size: 16px;"> Hyperbaric oxygenation, trauma/acoustic.</span><br />
<br />
**<span style="font-family: &#39;Times New Roman&#39;,&#39;serif&#39;; font-size: 16px;">The Study:</span>'''<br />
<span style="font-family: &#39;Times New Roman&#39;,&#39;serif&#39;; font-size: 16px;">Double-blinded randomised controlled trial. </span><br />
<span style="font-family: &#39;Times New Roman&#39;,&#39;serif&#39;; font-size: 16px;">Patients with hearing loss 40dB following acoustic trauma within 48 hours and without improvement greater than 20dB after 24 hours in the absence of therapy. </span><br />
<span style="font-family: &#39;Times New Roman&#39;,&#39;serif&#39;; font-size: 16px;">Control group (N = ; analysed): Unknown.</span><br />
<span style="font-family: &#39;Times New Roman&#39;,&#39;serif&#39;; font-size: 16px;">Experimental group (N = ; analysed): Unknown</span><br />
<br />
**<span style="font-family: &#39;Times New Roman&#39;,&#39;serif&#39;; font-size: 16px;">The Evidence:</span>'''<br />
<span style="border-color: windowtext; border-style: solid; border-width: 1.5pt; display: block; margin-left: 0cm; margin-right: 395.05pt; padding: 1pt 4pt;"><br />
<span style="font-family: &quot;Times New Roman&quot;,serif; font-size: 16px; padding: 0cm;">Not given.</span><br />
</span><br />
<span style="font-family: &#39;Times New Roman&#39;,&#39;serif&#39;; font-size: 16px;">'''Comments:'''</span><br />
<span style="font-family: &#39;Times New Roman&#39;,&#39;serif&#39;; font-size: 16px;">1. Results and methodology not clearly reported.</span><br />
<span style="font-family: &#39;Times New Roman&#39;,&#39;serif&#39;; font-size: 16px;">2. Text suggests that hyperbaric oxygen may be of some additional benefit, but supporting results not given.</span><br />
<br />
**<span style="font-family: &#39;Times New Roman&#39;,&#39;serif&#39;; font-size: 16px;">Expiry date:</span>'''<span style="font-family: &#39;Times New Roman&#39;,&#39;serif&#39;; font-size: 16px;"> June 2020</span><br />
**<span style="font-family: &#39;Times New Roman&#39;,&#39;serif&#39;; font-size: 16px;">References: </span>'''<br />
<span style="font-family: &#39;Times New Roman&#39;,&#39;serif&#39;; font-size: 16px;">1. Pilgramm M. Clinical and animal experiment studies to optimise the therapy for acute acoustic trauma. Scandinavian Audiology (Suppl) 1991; 34:103-122.</span><br />
<br />
<span style="display: block; text-align: center;"><br />
[[File:sumhorsa.gif|center]]<br />
<br />
<span style="display: block; text-align: center;"><span style="font-size: 29.9px;">[[Audiovestibular | BACK]]</span></span></span></div>
Gordoben