Table 4
Author, date,and countryPatient groupStudy type(level of evidence)OutcomesKey resultsStudy weaknesses
DS, dioctahedral smectite; ORS, oral rehydration solution.
Vivatvakin Bet al, 1992,Thailand62 patients (age 1–24 months) with acute diarrhoea randomised to DS+ORS or ORSProspective randomised controlled trialDuration of diarrhoea (hours)Significantly shorter duration of diarrhoea in the DS+ORS group (43.3±25.1 v 84.7±48.5, p = 0.005)Small number of patients; unclear randomisation; no blinding
Madkour AAet al, 1993,Egypt90 boys (age 3–24 months) with acute diarrhoea randomised to DS+ORS or ORSProspective randomised controlled trialDuration of diarrhoea (hours)Significantly shorter duration of diarrhoea in the DS+ORS group (54.1±2.35 v 72.9±1.98, p<0.001)Small number of patients
Total number of diarrhoeal stoolsSignificant smaller number of total diarrhoeal stools in the DS+ORS group (11.3±0.48 v 13.8±0.45, p<0.001)
Lexomboon Uet al, 1994,Thailand66 patients (age 1–24 months) with acute diarrhoea randomised to DS+ORS or ORSProspective randomised controlled trialCure rate at 72 hoursSignificantly higher cure rate in the DS+ORS group at 72 hours after the treatment (71% v 34%, p<0.01)Small number of patients; unclear randomisation; no blinding
Guarino Aet al, 2001,Italy804 patients (age 3 months–5 years) with acute diarrhoea randomised to DS+ORS or ORSProspective randomised controlled trialDuration of diarrhoea (hours)Significantly shorter duration of diarrhoea in the DS+ORS group (96±21 v 119±23, p<0.001)Incomparable baseline data; no intention to treat analysis; no blinding
Narkeviciute Iet al, 2002,Lithuania54 patients (age 6–48 months) with acute diarrhoea randomised to DS+ORS or ORSProspective randomised controlled trialDuration of diarrhoea (hours)Significantly shorter duration of diarrhoea in the DS+ORS group (42.3±24.7 v 61.8±33.9, p = 0.019)Small number of patients; randomisation by birthday; no blinding