Meta AnalysisID 3027

多巴胺治疗危重症成人患者心功能障碍:一项系统评价、Meta分析及试验序贯分析

CRD42016042867

The objective is to perform a systematic review with meta-analyses and Trial Sequential Analyses (TSA) of randomised clinical trials (RCTs) according to The Cochrane Handbook for Systematic Reviews of Interventions and T

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Record Fields

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Meta Analysis Id
3027
Evidence Id
11585
Core Evidence Id
11585
Source Meta Analysis Id
2978
Herb2 Meta Analysis Id
HBMA002978
Crd Id
CRD42016042867
Title
Dopamine for cardiac dysfunction in critically ill adult patients: a systematic review with meta-analysis and trial sequential analysis
Review Question
The objective is to perform a systematic review with meta-analyses and Trial Sequential Analyses (TSA) of randomised clinical trials (RCTs) according to The Cochrane Handbook for Systematic Reviews of Interventions and The Cochrane Hepato-Biliary Group Module comparing the benefits and harms of dopamine versus placebo, no intervention, or other inotropes in adult critically ill patients with cardiac dysfunction.
Study Type Included
We will consider all RCT’s for inclusion irrespective of language, blinding, publication status, or sample size for assessment of benefits and harms. Quasi-randomised studies (where the method of allocating participants to a treatment are not strictly random, for example, date of birth, hospital record number, alternation) and observational studies will not be included regarding assessment of benefits. RCT’s may report some of the harms of an intervention, either those which were expected and which the trial was designed to assess, or those which were not expected but which were collected in the trial as part of standard monitoring of safety. However, many serious harms of an intervention are too rare or do not appear during the follow-up period of randomised clinical trials, and therefore will not be reported. To assess (potential unexpected or rare) harms of interventions we will also include quasi-randomised and observational studies, but the results will be analysed separately.
Condition Being Studied
Critically ill patients. Mortality and adverse events.
Participant
Only trials with adult critically ill patients with cardiac dysfunction will be included. Cardiac dysfunction was defined as a left ventricular ejection fraction (LVEF) below 45% and/or a low cardiac output syndrome. Low cardiac output syndrome was defined as a pre-existing or developing state of cardiac insufficiency with underlying left or right ventricular systolic dysfunction requiring inotrope support (36,37). Since cardiac surgery, cardiology and critically ill patients will be included we anticipate that heterogeneity will be present in the patient populations.
Animal
Human Disease Modelled
Intervention
Dopamine will be the experimental intervention. There will be no restrictions on dose or duration of dopamine administration. Studies with oral administration of dopamine may be used in outpatients settings, but are not applicable to critically ill patients and will therefore be excluded.
Comparator Control
Studies will be included irrespective of the control interventions, i.e. dopamine compared with: •
Main Outcome
Outcome Measure
Additional Outcome
Study Method
Systematic review
Keyword
Adult; Critical Illness; Dopamine; Humans
Contact
Organisational Affiliation
Funding Source
Other Selection Criteria
Final Publication
Same Topic Review
Published Protocol
Review Type
Language
English
Country
Review Stage
First Submission Date
Registration Date
Anticipated Start Date
Anticipated Completion Date
Title Cn
多巴胺治疗危重症成人患者心功能障碍:一项系统评价、Meta分析及试验序贯分析
Title En
Dopamine for cardiac dysfunction in critically ill adult patients: a systematic review with meta-analysis and trial sequential analysis
Bilingual Status
complete