Hemodynamics, fluids & transfusion

Mean Arterial Pressure Targets and Patient-Important Outcomes in Critically Ill Adults: A Systematic Review and Meta-Analysis of Randomized Trials*

Crit Care MedPublished Systematic review and meta-analysis of randomised trials

Pooled result · MortalityResult — go to the resultRelative risk 1.06 95% CI 0.98–1.15

Authors' conclusion

In conclusion, our systematic review and meta-analysis demonstrated with moderate certainty that there is no difference in mortality when a higher MAP is targeted in critically ill adult patients with shock.

Study context

Population
Adults with shock requiring vasoactive medications
Participants
3,690 adults · 6 RCTs
Comparison
Higher mean arterial pressure (MAP) vs lower MAP target
Outcome
Mortality

Pooled result

As reported in the abstract

Relative risk

1.06

95% CI 0.98–1.15

P = 0.12

Higher MAP vs Lower MAP
RR 1.06 (95% CI 0.98–1.15); P = 0.12

Further pooled results

OutcomeRR (95% CI)P value
RRTI2 = 24% · moderate certainty0.96 (0.83–1.11)P = 0.57
RRT (subgroup analysis, patients with vs without chronic hypertension)I2 = 0%0.83 (0.71–0.98)P = 0.02

Original publication

Mean Arterial Pressure Targets and Patient-Important Outcomes in Critically Ill Adults: A Systematic Review and Meta-Analysis of Randomized Trials*. Crit Care Med. Published 18 November 2022. doi:10.1097/ccm.0000000000005726

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