Meta AnalysisID 938

自动注射器给予肾上腺素用于过敏反应的药代动力学和药效学证据:系统评价

CRD42019119926

What is the pharmacokinetic and pharmacodynamic evidence underlying the dosing administration recommendations for adrenaline, using an auto-injector, for anaphylactic reactions?

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Record Fields

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Meta Analysis Id
938
Evidence Id
9496
Core Evidence Id
9496
Source Meta Analysis Id
911
Herb2 Meta Analysis Id
HBMA000911
Crd Id
CRD42019119926
Title
Pharmacokinetic and pharmacodynamic evidence of adrenaline administered via auto-injector for anaphylactic reactions: a systematic review
Review Question
What is the pharmacokinetic and pharmacodynamic evidence underlying the dosing administration recommendations for adrenaline, using an auto-injector, for anaphylactic reactions?
Study Type Included
All types of study design will be eligible for inclusion in the review. However, review articles, letters, editorials, conference abstracts and opinion articles will be excluded. Our inclusion criteria are: - Report the use of adrenaline intramuscularly for the treatment of anaphylaxis - Detail the injection method or device, - Specify the needle length Our exclusion criteria are: - Non-human studies - Adrenaline given by other routes - Not given for anaphylaxis - Review articles, letter, editorials, conference abstracts and opinion articles - Articles not in English
Condition Being Studied
Treatment of anaphylaxis using an adrenaline auto-injector.
Participant
The review will focus on all humans given adrenaline by intramuscular injection for the treatment of anaphylaxis. There will be no age restriction placed. All non-human studies will be excluded.
Animal
Human Disease Modelled
Intervention
The intervention being reviewed is the use of adrenaline for anaphylaxis which is delivered via an auto-injector device.
Comparator Control
Not applicable.
Main Outcome
- Effective treatment of anaphylaxis - Treatment failure (anaphylaxis not treated) There is no specified definition that we will use for what is considered 'effective treatment of anaphylaxis' or 'treatment failure'. This is usually made by the clinician seeing the patient and we will have to consider this during the review. Measures of effect Not applicable.
Outcome Measure
Additional Outcome
- Needle length associated with treatment failure - Adverse events. Measures of effect Not applicable.
Study Method
Narrative synthesis, Systematic review
Keyword
Anaphylaxis; Diagnostic Tests, Routine; Epinephrine; Humans
Contact
James Moss [email protected]
Organisational Affiliation
Alder Hey Children's NHS Foundation Trust, Liverpool Guy's and St Thomas' NHS Foundation Trust, London Kings College London University College London Hospitals NHS Foundation Trust
Funding Source
None.
Other Selection Criteria
Final Publication
Moss, J, Jani, Y, Edwards, B, Tomlin, S, Rashed, AN. Pharmacokinetic and pharmacodynamic evidence of adrenaline administered via auto‐injector for anaphylactic reactions: A review of literature. Br J Clin Pharmacol. 2020; 1– 9. https://doi.org/10.1111/bcp.14438 https://bpspubs.onlinelibrary.wiley.com/doi/full/10.1111/bcp.14438
Same Topic Review
Published Protocol
Review Type
Language
English
Country
England
Review Stage
Review Completed published
First Submission Date
2019-03-05
Registration Date
2019-04-15
Anticipated Start Date
2018-12-05
Anticipated Completion Date
2019-04-24
Title Cn
自动注射器给予肾上腺素用于过敏反应的药代动力学和药效学证据:系统评价
Title En
Pharmacokinetic and pharmacodynamic evidence of adrenaline administered via auto-injector for anaphylactic reactions: a systematic review
Bilingual Status
complete