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Table 5 GRADE evidence profile for impact of NMBA in acute ARDS from systematic review and meta-analysis of randomized controlled trials

From: Neuromuscular blocking agents in patients with acute respiratory distress syndrome: a summary of the current evidence from three randomized controlled trials

No of studies (No of participants)

 

Quality assessment

Summary of findings

  

Study limitations

Consistency

Directness

Precision

Publication bias

Relative effect (95% CI)

Best estimate of intervention group

Quality

    

NMBA vs. Control

     

ICU Mortality:

3 (431)

Moderate limitations*

No important inconsistency

Direct

Not important imprecision

Unlikely

 

0.71 (0.55 – 0.90)

27%

+++, moderate

Mortality at Day 28:

2 (395)

Moderate limitations*

No important inconsistency

Direct

Not important imprecision

Unlikely

 

0.68 (0.51 – 0.92)

23.7%

+++, moderate

Barotrauma:

3 (431)

Moderate limitations*

No important inconsistency

Direct

Not important imprecision

Unlikely

 

0.45 (0.22 – 0.92)

0%

+++, moderate

Critical illness neuromyopathy:

3 (293)

Moderate limitations*

No important inconsistency

Direct

Not important imprecision

Unlikely

 

1.13 (0.76 – 1.67)

0%

+++, moderate

  1. *Unclear allocation concealment in two studies, not analyzed using intention-to-treat in one studies.