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Table 2 Summary of findings table

From: Prolonged vs intermittent intravenous infusion of β-lactam antibiotics for patients with sepsis: a systematic review of randomized clinical trials with meta-analysis and trial sequential analysis

Outcomes

Anticipated absolute effects* (95% CI)

Relative effect (95% CI)

No. of participants (studies)

Certainty of the evidence (GRADE)

Risk with intermittent infusion

Risk with Prolonged infusion

All-cause mortality within 30 days

287 per 1,000

235 per 1000 (201 to 276)

RR 0.82 (0.70 to 0.96)

1762 (9 RCTs)

Low a,b

Hospital mortality

249 per 1,000

189 per 1000 (149 to 239)

RR 0.76 (0.60 to 0.96)

965 (6 RCTs)

Moderate a

ICU mortality

216 per 1,000

160 per 1000 (123 to 205)

RR 0.74 (0.57 to 0.95)

1058 (6 RCTs)

Moderate a

90-day mortality

361 per 1,000

353 per 1000 (303 to 415)

RR 0.98 (0.84 to 1.15)

1039 (2 RCTs)

Moderate a

Clinical cure

396 per 1,000

499 per 1000(439 to 566)

RR 1.26 (1.11 to 1.43)

1115 (7 RCTs)

Moderate a

Emergence of resistance

194 per 1,000

178 per 1000 (134 to 238)

RR 0.92 (0.69 to 1.23)

766 (2 RCTs)

Moderate a

Duration of treatment

 

MD 0.39 lower (1.04 lower to 0.27 higher)

 

1505 (6 RCTs)

Low a,c

Length of ICU stay

 

MD 0.01 lower (0.85 lower to 0.82 higher)

 

1582 (7 RCTs)

Low a,c

Length of hospital stay

 

MD 1.05 higher (0.65 lower to 2.76 higher)

 

1472 (5 RCTs)

Low a,c

  1. GRADE Working Group grades of evidence
  2. High certainty: we are very confident that the true effect lies close to that of the estimate of the effect
  3. Moderate certainty: we are moderately confident in the effect estimate: the true effect is likely to be close to the estimate of the effect, but there is a possibility that it is substantially different
  4. Low certainty: our confidence in the effect estimate is limited: the true effect may be substantially different from the estimate of the effect
  5. Very low certainty: we have very little confidence in the effect estimate: the true effect is likely to be substantially different from the estimate of effect
  6. *The risk in the intervention group (and its 95% confidence interval) is based on the assumed risk in the comparison group and the relative effect of the intervention (and its 95% CI)
  7. CI confidence interval; RR risk ratio; MD mean difference; ICU intensive care unit
  8. aDowngraded the quality of evidence one level for inconsistency
  9. bDowngraded the quality of evidence one level for indirectness
  10. cDowngraded the quality of evidence one level for imprecision