Sepsis & infection

Mortality in septic patients treated with short-acting betablockers: a comprehensive meta-analysis of randomized controlled trials

Crit CarePublished Systematic review and meta-analysis of randomised controlled trials

Pooled result · Short-term mortality and pooled mortality (longest period of data)Result — go to the resultRisk difference - 0.10 95% CI - 0.22 to 0.02

Authors' conclusion

Administration of short-acting betablockers did not reduce short-term mortality in septic patients with persistent tachycardia.

Study context

Population
Adult septic patients
Participants
854 patients · 7 RCTs
Comparison
Short-acting betablockers vs reference treatment
Outcome
Short-term mortality
Methodological detailsPRISMA
  • PRISMA

Pooled result

As reported in the abstract

Short-term mortality and pooled mortality (longest period of data)

Risk difference

- 0.10

95% CI - 0.22 to 0.02

P = 0.11

Further pooled results

Short-term mortality by age (< 65 vs ≥ 65 years) (subgroup)

No difference between patients aged < 65 vs ≥ 65 years
P = 0.11

Short-term mortality by cardiac rhythm (sinus tachycardia vs AF) (subgroup)

No difference between sinus tachycardia and AF
P = 0.27

Publication bias

No significant publication bias despite statistical heterogeneity

Original publication

Mortality in septic patients treated with short-acting betablockers: a comprehensive meta-analysis of randomized controlled trials. Crit Care. Published 27 November 2024. doi:10.1186/s13054-024-05174-w

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