Cardiac arrest & resuscitation

Drug therapy versus placebo or usual care for comatose survivors of cardiac arrest; a systematic review with meta-analysis

ResuscitationPublished Systematic review and meta-analysis of randomised trials

Authors' conclusion

In comatose survivors of cardiac arrest, the majority of trials of drug therapy reported no effect on mortality. Meta-analyses of steroids, coenzyme Q10 and thiamine demonstrated no evidence of an effect on mortality.

Study context

Population
Comatose survivors of cardiac arrest
Participants
5,800 survivors · 45 studies
Comparison
Drug therapy vs placebo or usual care
Outcome
Mortality
Follow-up
30 days/hospital discharge
Methodological detailsRisk of bias assessed using Cochrane Risk-Of-Bias Version 1, Last searched 20th October 2024
  • Risk of bias assessed using Cochrane Risk-Of-Bias Version 1
  • Last searched 20th October 2024

Pooled result

As reported in the abstract

Each group vs placebo or usual careRelative risk (95 % CI)P value
Steroidsn = 739; I2 = 60 %, low certainty
0.93(0.83–1.04)
P = 0.21
Coenzyme Q10n = 107; I2 = 0 %, low certainty
0.91(0.61–1.37)
P = 0.65
Thiaminen = 149; I2 = 0 %, very low certainty
1.11(0.88–1.40)
P = 0.39

Original publication

Drug therapy versus placebo or usual care for comatose survivors of cardiac arrest; a systematic review with meta-analysis. Resuscitation. Published 14 November 2024. doi:10.1016/j.resuscitation.2024.110431

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