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Search review questions

Each row is one question a systematic review asked: who, what, compared with what, and which outcome, with the effect it found and how certain that is. Words match anywhere in the field.

Limit to evidence status or GRADE (optional)

915 questions in 93 reviews · Emergency and Critical Care

current versions
No studies 141 · 15.4%Ungraded 22 · 2.4%Very low 216 · 23.6%Low 272 · 29.7%Moderate 188 · 20.5%High 76 · 8.3%

Ungraded means an effect was reported without a GRADE rating; it is not a gap. No studies means the review found nothing to answer the question. The six categories are a display order, not a score.

QuestionEffectEvidenceStatus / GRADE
Right lateral position vs left lateral position
Global indicators of tissue oxygenation impairmentj Mixed venous saturation (SvO2) < 60% · critically ill adult patients
Lateral positioning for critically ill adult patients (2016) · Cochrane
no estimate extracted3 studies · 103 participantsLow
Bad lung down vs good lung down
Hypoxaemia PaO2 < 60 mmHg · critically ill adult patients with unilateral lung disease
Lateral positioning for critically ill adult patients (2016) · Cochrane
no estimate extracted2 studies · 19 participantsLow
Bad lung down vs good lung down
Global indicators of tissue oxygenation impairment Arterial‐venous oxygen content difference (C(a‐v)O2) ‐ not reported · critically ill adult patients with unilateral lung disease
Lateral positioning for critically ill adult patients (2016) · Cochrane
no estimate extracted1 study · 30 participantsUngraded
Thromboelastography (TEG) or thromboelastometry (ROTEM) vs any comparison
Mortality longest · adults or children with bleeding
Thromboelastography (TEG) or thromboelastometry (ROTEM) to monitor haemostatic treatment versus usual care… (2016) · Cochrane
RR 0.52 [0.28, 0.95]8 studies · 717 participantsLow
Thromboelastography (TEG) or thromboelastometry (ROTEM) vs clinical judgement or usual care
Proportion of patients receiving platelets · adults or children with bleeding
Thromboelastography (TEG) or thromboelastometry (ROTEM) to monitor haemostatic treatment versus usual care… (2016) · Cochrane
RR 0.59 [0.43, 0.8]6 studies · 486 participantsLow
Thromboelastography (TEG) or thromboelastometry (ROTEM) vs clinical judgement or usual care
Rate of surgical reintervention · adults or children with bleeding
Thromboelastography (TEG) or thromboelastometry (ROTEM) to monitor haemostatic treatment versus usual care… (2016) · Cochrane
RR 0.62 [0.32, 1.2]5 studies · 537 participantsLow
Thromboelastography (TEG) or thromboelastometry (ROTEM) vs standard laboratory test (SLT)‐guided transfusion
Mortality · adults or children with bleeding
Thromboelastography (TEG) or thromboelastometry (ROTEM) to monitor haemostatic treatment versus usual care… (2016) · Cochrane
RR 0.36 [0.16, 0.84]4 studies · 272 participantsLow
Thromboelastography (TEG) or thromboelastometry (ROTEM) vs standard laboratory test (SLT)‐guided transfusion
Proportion of patients receiving PRBCs · adults or children with bleeding
Thromboelastography (TEG) or thromboelastometry (ROTEM) to monitor haemostatic treatment versus usual care… (2016) · Cochrane
RR 0.91 [0.83, 1]3 studies · 244 participantsLow
Thromboelastography (TEG) or thromboelastometry (ROTEM) vs standard laboratory test (SLT)‐guided transfusion
Proportion of patients receiving FFP · adults or children with bleeding
Thromboelastography (TEG) or thromboelastometry (ROTEM) to monitor haemostatic treatment versus usual care… (2016) · Cochrane
RR 0.83 [0.49, 1.4]4 studies · 346 participantsLow
Thromboelastography (TEG) or thromboelastometry (ROTEM) vs standard laboratory test (SLT)‐guided transfusion
Proportion of patients receiving platelets · adults or children with bleeding
Thromboelastography (TEG) or thromboelastometry (ROTEM) to monitor haemostatic treatment versus usual care… (2016) · Cochrane
RR 0.87 [0.68, 1.11]3 studies · 244 participantsLow
Thromboelastography (TEG) or thromboelastometry (ROTEM) vs standard laboratory test (SLT)‐guided transfusion
Rate of surgical reintervention · adults or children with bleeding
Thromboelastography (TEG) or thromboelastometry (ROTEM) to monitor haemostatic treatment versus usual care… (2016) · Cochrane
RR 0.82 [0.46, 1.46]3 studies · 248 participantsLow
Thromboelastography (TEG) or thromboelastometry (ROTEM) in combination with SLT or other devices vs clinical judgement or usual care
Mortality · adults or children with bleeding
Thromboelastography (TEG) or thromboelastometry (ROTEM) to monitor haemostatic treatment versus usual care… (2016) · Cochrane
RR 0.2 [0.05, 0.75]2 studies · 205 participantsLow
Thromboelastography (TEG) or thromboelastometry (ROTEM) in combination with SLT or other devices vs clinical judgement or usual care
Proportion of patients receiving PRBCs · adults or children with bleeding
Thromboelastography (TEG) or thromboelastometry (ROTEM) to monitor haemostatic treatment versus usual care… (2016) · Cochrane
RR 0.85 [0.74, 0.98]3 studies · 307 participantsLow
Thromboelastography (TEG) or thromboelastometry (ROTEM) in combination with SLT or other devices vs clinical judgement or usual care
Proportion of patients receiving FFP · adults or children with bleeding
Thromboelastography (TEG) or thromboelastometry (ROTEM) to monitor haemostatic treatment versus usual care… (2016) · Cochrane
RR 0.46 [0.2, 1.08]3 studies · 307 participantsLow
Thromboelastography (TEG) or thromboelastometry (ROTEM) vs any comparison
Proportion of patients receiving PRBCs · adults or children with bleeding
Thromboelastography (TEG) or thromboelastometry (ROTEM) to monitor haemostatic treatment versus usual care… (2016) · Cochrane
RR 0.86 [0.79, 0.94]10 studies · 832 participantsLow
Thromboelastography (TEG) or thromboelastometry (ROTEM) in combination with SLT or other devices vs clinical judgement or usual care
Proportion of patients receiving platelets · adults or children with bleeding
Thromboelastography (TEG) or thromboelastometry (ROTEM) to monitor haemostatic treatment versus usual care… (2016) · Cochrane
RR 0.75 [0.47, 1.2]3 studies · 307 participantsLow
Thromboelastography (TEG) or thromboelastometry (ROTEM) in combination with SLT or other devices vs clinical judgement or usual care
Rate of surgical reintervention · adults or children with bleeding
Thromboelastography (TEG) or thromboelastometry (ROTEM) to monitor haemostatic treatment versus usual care… (2016) · Cochrane
RR 0.41 [0.17, 0.96]4 studies · 400 participantsLow
Thromboelastography (TEG) or thromboelastometry (ROTEM) vs any comparison
Proportion of patients receiving FFP · adults or children with bleeding
Thromboelastography (TEG) or thromboelastometry (ROTEM) to monitor haemostatic treatment versus usual care… (2016) · Cochrane
RR 0.57 [0.33, 0.96]8 studies · 761 participantsLow
Thromboelastography (TEG) or thromboelastometry (ROTEM) vs any comparison
Proportion of patients receiving platelets · adults or children with bleeding
Thromboelastography (TEG) or thromboelastometry (ROTEM) to monitor haemostatic treatment versus usual care… (2016) · Cochrane
RR 0.73 [0.6, 0.88]10 studies · 832 participantsLow
Thromboelastography (TEG) or thromboelastometry (ROTEM) vs any comparison
Rate of surgical reintervention · adults or children with bleeding
Thromboelastography (TEG) or thromboelastometry (ROTEM) to monitor haemostatic treatment versus usual care… (2016) · Cochrane
RR 0.75 [0.5, 1.1]9 studies · 887 participantsLow
Thromboelastography (TEG) or thromboelastometry (ROTEM) vs any comparison
Excessive bleeding events and massive transfusion · adults or children with bleeding
Thromboelastography (TEG) or thromboelastometry (ROTEM) to monitor haemostatic treatment versus usual care… (2016) · Cochrane
RR 0.82 [0.38, 1.77]2 studies · 280 participantsLow
Thromboelastography (TEG) or thromboelastometry (ROTEM) vs clinical judgement or usual care
Mortality · adults or children with bleeding
Thromboelastography (TEG) or thromboelastometry (ROTEM) to monitor haemostatic treatment versus usual care… (2016) · Cochrane
RR 0.81 [0.32, 2.01]4 studies · 445 participantsLow
Thromboelastography (TEG) or thromboelastometry (ROTEM) vs clinical judgement or usual care
Proportion of patients receiving PRBCs · adults or children with bleeding
Thromboelastography (TEG) or thromboelastometry (ROTEM) to monitor haemostatic treatment versus usual care… (2016) · Cochrane
RR 0.85 [0.73, 1]6 studies · 486 participantsLow
Thromboelastography (TEG) or thromboelastometry (ROTEM) vs clinical judgement or usual care
Proportion of patients receiving FFP · adults or children with bleeding
Thromboelastography (TEG) or thromboelastometry (ROTEM) to monitor haemostatic treatment versus usual care… (2016) · Cochrane
RR 0.38 [0.21, 0.68]4 studies · 415 participantsLow
Impregnated catheters vs non‐impregnated catheters
Clinically‐diagnosed sepsis Identified by clinical, biochemical and/or microbiological methods · adult patients who required central venous catheters
Catheter impregnation, coating or bonding for reducing central venous catheter‐related infections in adults (2016) · Cochrane
RR 1 [0.88, 1.13]12 studies · 3686 participantsModerate
Impregnated catheters vs non‐impregnated catheters
Catheter‐related blood stream infection (CRBSI) Identified by catheter culture and clinical features +/‐ haematological and biochemical parameters · adult patients who required central venous catheters
Catheter impregnation, coating or bonding for reducing central venous catheter‐related infections in adults (2016) · Cochrane
RR 0.62 [0.52, 0.74]42 studies · 10405 participantsHigh
Impregnated catheters vs non‐impregnated catheters
All‐cause mortality · adult patients who required central venous catheters
Catheter impregnation, coating or bonding for reducing central venous catheter‐related infections in adults (2016) · Cochrane
RR 0.92 [0.8, 1.07]10 studies · 2643 participantsHigh
Impregnated catheters vs non‐impregnated catheters
Catheter colonization Identified by catheter culture (microbiological methods) · adult patients who required central venous catheters
Catheter impregnation, coating or bonding for reducing central venous catheter‐related infections in adults (2016) · Cochrane
RR 0.67 [0.59, 0.76]43 studies · 9910 participantsModerate
Impregnated catheters vs non‐impregnated catheters
Catheter‐related local infection Identified by catheter culture (microbiological methods) and clinical features · adult patients who required central venous catheters
Catheter impregnation, coating or bonding for reducing central venous catheter‐related infections in adults (2016) · Cochrane
RR 0.84 [0.66, 1.07]12 studies · 2688 participantsModerate
Impregnated catheters vs non‐impregnated catheters
Adverse effects (combined) Identified by clinical assessment · adult patients who required central venous catheters
Catheter impregnation, coating or bonding for reducing central venous catheter‐related infections in adults (2016) · Cochrane
RR 1.09 [0.94, 1.27]10 studies · 3003 participantsHigh
Percutaneous techniques vs surgical techniques
Mortality directly related to the procedure (Total mortality) · patients with tracheostomy
Percutaneous techniques versus surgical techniques for tracheostomy (2016) · Cochrane
0.52 [0.1, 2.6]4 studies · 257 participantsLow
Percutaneous techniques vs surgical techniques
Intraoperative serious, life‐threatening adverse events · patients with tracheostomy
Percutaneous techniques versus surgical techniques for tracheostomy (2016) · Cochrane
RR 0.93 [0.57, 1.53]12 studies · 1211 participantsLow
Percutaneous techniques vs surgical techniques
Direct postoperative serious, life‐threatening adverse events · patients with tracheostomy
Percutaneous techniques versus surgical techniques for tracheostomy (2016) · Cochrane
RR 0.72 [0.41, 1.25]10 studies · 984 participantsLow
Percutaneous techniques vs surgical techniques
Wound infection/stomatitis · patients with tracheostomy
Percutaneous techniques versus surgical techniques for tracheostomy (2016) · Cochrane
RR 0.24 [0.15, 0.37]12 studies · 936 participantsModerate
Percutaneous techniques vs surgical techniques
Unfavourable scarring · patients with tracheostomy
Percutaneous techniques versus surgical techniques for tracheostomy (2016) · Cochrane
RR 0.25 [0.07, 0.91]6 studies · 789 participantsLow
Percutaneous techniques vs surgical techniques
Major bleeding · patients with tracheostomy
Percutaneous techniques versus surgical techniques for tracheostomy (2016) · Cochrane
RR 0.7 [0.45, 1.09]10 studies · 984 participantsVery low
Percutaneous techniques vs surgical techniques
Tracheostomy tube occlusion/obstruction, accidental decannulation, difficult tube change · patients with tracheostomy
Percutaneous techniques versus surgical techniques for tracheostomy (2016) · Cochrane
RR 1.36 [0.65, 2.82]6 studies · 538 participantsLow
Intravenous midazolam vs diazepam
Level of sedation on a sedation assessment scale · adults and children requiring sedation before gastrointestinal endoscopy and bronchoscopy
Midazolam for sedation before procedures (2016) · Cochrane
no estimate extracted1 study · 75 participantsVery low
Intravenous midazolam vs placebo
Incomplete procedures · adults requiring sedation before gastrointestinal endoscopy and bronchoscopy
Midazolam for sedation before procedures (2016) · Cochrane
no estimate extractedNRNo studies
Intravenous midazolam vs placebo
Anterograde amnesia (defined by number of participants who recalled the procedure) · adults requiring sedation before gastrointestinal endoscopy and bronchoscopy
Midazolam for sedation before procedures (2016) · Cochrane
no estimate extractedNRNo studies
Intravenous midazolam vs placebo
Disinhibition or excitation · adults requiring sedation before gastrointestinal endoscopy and bronchoscopy
Midazolam for sedation before procedures (2016) · Cochrane
no estimate extractedNRNo studies
Intravenous midazolam vs placebo
Discomfort/pain · adults requiring sedation before gastrointestinal endoscopy and bronchoscopy
Midazolam for sedation before procedures (2016) · Cochrane
no estimate extracted1 study · 167 participantsVery low
Intravenous midazolam vs placebo
Allergic or anaphylactoid reaction · adults requiring sedation before gastrointestinal endoscopy and bronchoscopy
Midazolam for sedation before procedures (2016) · Cochrane
no estimate extractedNRNo studies
Oral midazolam vs chloral hydrate
Level of sedation on sedation assessment scale · children requiring sedation before procedures that require motion control, including echocardiography, lumbar…
Midazolam for sedation before procedures (2016) · Cochrane
no estimate extracted1 study · 160 participantsModerate
Oral midazolam vs chloral hydrate
Numeric rating of anxiety or rated as anxious · children requiring sedation before procedures that require motion control, including echocardiography, lumbar…
Midazolam for sedation before procedures (2016) · Cochrane
no estimate extracted2 studies · 88 participantsVery low
Oral midazolam vs chloral hydrate
Incomplete procedures · children requiring sedation before procedures that require motion control, including echocardiography, lumbar…
Midazolam for sedation before procedures (2016) · Cochrane
RR 4.01 [1.92, 8.4]4 studies · 268 participantsModerate
Oral midazolam vs chloral hydrate
Anterograde amnesia (defined by number of participants who recalled the procedure) · children requiring sedation before procedures that require motion control, including echocardiography, lumbar…
Midazolam for sedation before procedures (2016) · Cochrane
no estimate extractedNRNo studies
Oral midazolam vs chloral hydrate
Disinhibition or excitation · children requiring sedation before procedures that require motion control, including echocardiography, lumbar…
Midazolam for sedation before procedures (2016) · Cochrane
no estimate extractedNRNo studies
Intravenous midazolam vs diazepam
Numeric rating of anxiety or rated as anxious · adults and children requiring sedation before gastrointestinal endoscopy and bronchoscopy
Midazolam for sedation before procedures (2016) · Cochrane
RR 0.8 [0.39, 1.62]2 studies · 175 participantsLow
Oral midazolam vs chloral hydrate
Discomfort · children requiring sedation before procedures that require motion control, including echocardiography, lumbar…
Midazolam for sedation before procedures (2016) · Cochrane
no estimate extractedNRNo studies