Respiratory failure & ventilation

Sample size estimation in clinical trials using ventilator-free days as the primary outcome: a systematic review

Crit CarePublished Systematic review

Study context

Population
RCTs in adults with ventilator-free days (VFDs) as the primary outcome, PubMed and Embase until December 2021, journals with 2021 impact factor >5
Participants
26 clinical trials
Methodological detailsmethodological review, Cochrane risk-of-bias tool
  • Methodological review
  • Cochrane risk-of-bias tool

Pooled result

As reported in the abstract

Trials unable to consider the unique distribution of VFDs and death as a competitive risk

96%

Trials using simple models (eg Mann-Whitney-Wilcoxon rank-sum test) for sample size estimation

14

54%

Sample sizes recalculated with alternative approaches varied by a factor of

1.6 to 17.4

Further pooled results

Risk of bias and trial characteristics

Trials with "some concerns" on risk of bias
19 (73%)
Two-arm superiority trials
24 (92%)
Multicentre trials
23 (89%)

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

Original publication

Sample size estimation in clinical trials using ventilator-free days as the primary outcome: a systematic review. Crit Care. Published 1 August 2023. doi:10.1186/s13054-023-04562-y

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

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