Meta AnalysisID 7719

精氨酸补充对危重症患者的影响:一项系统评价

CRD42023420750

The impact of arginine administration in critically ill patients on clinical outcomes, such as survival and ICU length of stay, will be studied and used to inform clinical practice.

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Record Fields

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Meta Analysis Id
7719
Evidence Id
16277
Core Evidence Id
16277
Source Meta Analysis Id
7714
Herb2 Meta Analysis Id
HBMA007714
Crd Id
CRD42023420750
Title
Effects of arginine supplementation in critically ill patients: a systematic review
Review Question
The impact of arginine administration in critically ill patients on clinical outcomes, such as survival and ICU length of stay, will be studied and used to inform clinical practice.
Study Type Included
Studies using RCTs will be conducted Exclusion criteria: Exclusion criteria shall be case reports, , conference proceedings, randomized crossover trials, cluster randomized trials and quasi-experiment trials. Studies for which full text is not available will be excluded. Articles not written in English and Japanese.
Condition Being Studied
The subjects of this study will be critically ill patients. Critically ill patients are defined as 1) patients admitted to the ICU for intensive care, 2) patients treated in ICU-like facilities for the following serious medical conditions ⅰ)acute respiratory distress syndrome, ⅱ) major trauma, ⅲ) severe burns, ⅳ) multiple organ failure, ⅴ) septic shock, and ⅵ) severe acute pancreatitis, ⅶ) etc. Q1. mortality rate with arginine administration, Q2. length of ICU stay, Q3. incidence of infection, Q4. duration of ventilation, Q5. physical function assessment (including ADL and QOL) at discharge or thereafter up to 1 year after discharge (BI, FIM, muscle strength [grip strength, MRC-sum score], SPPB, 6-minute walk distance, SF-36 /8, EQ5D5L), Q6. changes in muscle mass during hospitalization or after discharge (assessed using anthropometry, echo, CT, and anthropometry), Q7. all adverse events will be examined.
Participant
The subjects of this study will be critically ill patients. Critically ill patients are defined as 1) patients admitted to the ICU for intensive care, 2) patients treated in ICU-like facilities for the following serious medical conditions ⅰ)acute respiratory distress syndrome, ⅱ) major trauma, ⅲ) severe burns, ⅳ) multiple organ failure, ⅴ) septic shock, and ⅵ) severe acute pancreatitis, ⅶ) etc
Animal
Human Disease Modelled
Intervention
This study will analyze studies in which patients with severe disease were treated with arginine-rich preparations.
Comparator Control
Analyze studies in which placebo or standard composition nutritional supplements were administered.
Main Outcome
1. mortality rate with arginine administration, 2. length of ICU stay 3. incidence of infection 4. duration of ventilation 5. physical function assessment (including ADL and QOL) at discharge or thereafter up to 1 year after discharge (BI, FIM, muscle strength [grip strength, MRC-sum score], SPPB, 6-minute walk distance, SF-36 /8, EQ5D5L) 6. changes in muscle mass during hospitalization or after discharge (assessed using anthropometry, echo, CT, and anthropometry) 7. all adverse events will be examined. Measures of effect Calculating relative risk
Outcome Measure
Additional Outcome
none Measures of effect none
Study Method
Keyword
Arginine; Critical Illness; Dietary Supplements; Humans; Intensive Care Units; Length of Stay
Contact
Masayuki Kaku [email protected]
Organisational Affiliation
Funding Source
Other Selection Criteria
Final Publication
Same Topic Review
Published Protocol
Review Type
Language
English, Japanese
Country
Japan
Review Stage
Review Ongoing
First Submission Date
2023-04-23
Registration Date
2023-05-04
Anticipated Start Date
2023-04-29
Anticipated Completion Date
2025-04-29
Title Cn
精氨酸补充对危重症患者的影响:一项系统评价
Title En
Effects of arginine supplementation in critically ill patients: a systematic review
Bilingual Status
complete