2021年11月23日
Effect of Premorbid Beta-Blockers on Mortality in Patients With Sepsis: A Systematic Review and Meta-Analysis
Journal of Intensive Care Medicine
- ,
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- 巻
- 37
- 号
- 7
- 開始ページ
- 088506662110529
- 終了ページ
- 088506662110529
- 記述言語
- 英語
- 掲載種別
- 研究論文(学術雑誌)
- DOI
- 10.1177/08850666211052926
- 出版者・発行元
- {SAGE} Publications
<jats:sec><jats:title>Objective</jats:title><jats:p> The aim of this study was to conduct a systematic review and meta-analysis to investigate the impact of premorbid beta-blockers on mortality in patients with sepsis. </jats:p></jats:sec><jats:sec><jats:title>Data Sources</jats:title><jats:p> We searched EMBASE, the Cochrane Central Register of Controlled Trials, and MEDLINE for eligible studies. The protocol was registered at the PROSPERO (CRD42021256813). </jats:p></jats:sec><jats:sec><jats:title>Study Selection</jats:title><jats:p> Two authors independently evaluated the following inclusion criteria: (1) randomized controlled trials, cohort studies, cross-sectional studies; (2) patients with sepsis aged ≥18 years, and (3) premorbid beta-blocker use. </jats:p></jats:sec><jats:sec><jats:title>Data Extraction</jats:title><jats:p> Two authors extracted the patients’ characteristics and outcomes independently. All analyses were performed using the random-effects models. The primary outcome was short-term mortality, defined as mortality within 30 days, in-hospital or intensive care unit mortality. </jats:p></jats:sec><jats:sec><jats:title>Data Synthesis</jats:title><jats:p> Ten studies (n = 24 748 patients) were included. The pooled odds ratio (OR) of short-term mortality associated with the premorbid use of beta-blockers was 0.85 (95% confidence interval [CI], 0.69-1.04; P = .12; I<jats:sup>2</jats:sup> = 50%). Five studies reported an adjusted OR of short-term mortality. The pooled adjusted OR of short-term mortality associated with the premorbid use of beta-blockers was 0.73 (95% CI, 0.65-0.83; P < .001; I<jats:sup>2</jats:sup> = 0%). </jats:p></jats:sec><jats:sec><jats:title>Conclusion</jats:title><jats:p> Premorbid beta-blockers were associated with a lower short-term mortality in patients with sepsis. </jats:p></jats:sec>
- リンク情報
- ID情報
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- DOI : 10.1177/08850666211052926
- ISSN : 0885-0666
- ISSN : 1525-1489
- ORCIDのPut Code : 103626330
- PubMed ID : 34812680