Hemodynamics, fluids & transfusion

Comparison of clinical outcomes between aggressive and non-aggressive intravenous hydration for acute pancreatitis: a systematic review and meta-analysis

Crit CarePublished Systematic review and meta-analysis of randomised trials

Authors' conclusion

Aggressive intravenous hydration increased the mortality risk in severe AP, and fluid-related complication risk in both severe and non-severe AP.

Study context

Population
Patients with severe and non-severe acute pancreatitis (AP)
Participants
953 patients · 9 randomized controlled trials (RCTs)
Comparison
Aggressive vs non-aggressive intravenous hydration
Outcome
All-cause mortality
Methodological detailsrandom-effects model, sensitivity analyses
  • Random-effects model
  • Sensitivity analyses

Pooled result

As reported in the abstract

Aggressive vs Non-aggressivePooled relative risk (95% CI)
Severe AP
2.45(1.37–4.40)
Non-severe AP; inconclusive
2.26(0.54–9.44)

Safety

OutcomePooled RR (95% CI)
Fluid-related complicationsAggressive vs Non-aggressive · severe AP2.22 (1.36–3.63)
Fluid-related complicationsAggressive vs Non-aggressive · non-severe AP3.25 (1.53–6.93)

Parts of this Brief are withheld: the automatic checks could not confirm them against the abstract.

Original publication

Comparison of clinical outcomes between aggressive and non-aggressive intravenous hydration for acute pancreatitis: a systematic review and meta-analysis. Crit Care. Published 22 March 2023. doi:10.1186/s13054-023-04401-0

Composed by AI from the published abstract and checked against it. How Briefs are made →

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