Gap finder

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
Continuous outcomes automated vs non‐automated weaning
Weaning time (from randomization to extubation) based on ICU type: medical‐surgical or surgical only · patients with weaning time in invasively ventilated critically ill adults
Automated weaning and SBT systems versus non‐automated weaning strategies for weaning time in invasively… (2014) · Cochrane
no estimate extracted6 studies · 457 participantsLow
Continuous outcomes automated vs non‐automated weaning
Time to successful extubation · patients with weaning time in invasively ventilated critically ill adults
Automated weaning and SBT systems versus non‐automated weaning strategies for weaning time in invasively… (2014) · Cochrane
no estimate extracted7 studies · 516 participantsLow
Continuous outcomes automated vs non‐automated weaning
Time to first successful spontaneous breathing trial · patients with weaning time in invasively ventilated critically ill adults
Automated weaning and SBT systems versus non‐automated weaning strategies for weaning time in invasively… (2014) · Cochrane
no estimate extracted2 studies · 175 participantsModerate
Continuous outcomes automated vs non‐automated weaning
Total duration of mechanical ventilation · patients with weaning time in invasively ventilated critically ill adults
Automated weaning and SBT systems versus non‐automated weaning strategies for weaning time in invasively… (2014) · Cochrane
no estimate extracted7 studies · 521 participantsLow
Continuous outcomes automated vs non‐automated weaning
Intensive care unit length of stay (based on type of control arm): predominantly protocolized control strategy · patients with weaning time in invasively ventilated critically ill adults
Automated weaning and SBT systems versus non‐automated weaning strategies for weaning time in invasively… (2014) · Cochrane
no estimate extracted4 studies · 337 participantsLow
Continuous outcomes automated vs non‐automated weaning
Intensive care unit length of stay (based on type of control arm): predominantly non‐protocolized control strategy · patients with weaning time in invasively ventilated critically ill adults
Automated weaning and SBT systems versus non‐automated weaning strategies for weaning time in invasively… (2014) · Cochrane
no estimate extracted2 studies · 162 participantsModerate
Binary outcomes: automated vs non‐automated weaning
Most protracted measure of mortality · patients with weaning time in invasively ventilated critically ill adults
Automated weaning and SBT systems versus non‐automated weaning strategies for weaning time in invasively… (2014) · Cochrane
RR 1.15 [0.74, 1.79]6 studies · 470 participantsLow
Binary outcomes: automated vs non‐automated weaning
Adverse event: reintubation · patients with weaning time in invasively ventilated critically ill adults
Automated weaning and SBT systems versus non‐automated weaning strategies for weaning time in invasively… (2014) · Cochrane
RR 0.88 [0.64, 1.22]6 studies · 491 participantsLow
Daily sedation interruption vs usual care or protocolized sedation strategies that do not include daily sedation interruption
Total duration of mechanical ventilation (days) · critically ill adult patients requiring invasive mechanical ventilation
Daily sedation interruption versus no daily sedation interruption for critically ill adult patients… (2014) · Cochrane
no estimate extracted9 studies · 1282 participantsModerate
Daily sedation interruption vs usual care or protocolized sedation strategies that do not include daily sedation interruption
ICU length of stay (days) · critically ill adult patients requiring invasive mechanical ventilation
Daily sedation interruption versus no daily sedation interruption for critically ill adult patients… (2014) · Cochrane
no estimate extracted9 studies · 1282 participantsModerate
Daily sedation interruption vs usual care or protocolized sedation strategies that do not include daily sedation interruption
Hospital length of stay (days) · critically ill adult patients requiring invasive mechanical ventilation
Daily sedation interruption versus no daily sedation interruption for critically ill adult patients… (2014) · Cochrane
no estimate extracted8 studies · 1232 participantsModerate
Daily sedation interruption vs usual care or protocolized sedation strategies that do not include daily sedation interruption
Tracheostomy · critically ill adult patients requiring invasive mechanical ventilation
Daily sedation interruption versus no daily sedation interruption for critically ill adult patients… (2014) · Cochrane
RR 0.73 [0.57, 0.92]6 studies · 1061 participantsModerate
Daily sedation interruption vs usual care or protocolized sedation strategies that do not include daily sedation interruption
Accidental removal of ETT · critically ill adult patients requiring invasive mechanical ventilation
Daily sedation interruption versus no daily sedation interruption for critically ill adult patients… (2014) · Cochrane
RR 1.07 [0.55, 2.12]6 studies · 1108 participantsModerate
Daily sedation interruption vs usual care or protocolized sedation strategies that do not include daily sedation interruption
ICU mortality · critically ill adult patients requiring invasive mechanical ventilation
Daily sedation interruption versus no daily sedation interruption for critically ill adult patients… (2014) · Cochrane
RR 0.96 [0.77, 1.21]7 studies · 815 participantsModerate
Intervention NR
Total duration of weaning defined as study randomization to successful extubation (hours) · critically ill adults and children requiring weaning from mechanical ventilation
Automated versus non‐automated weaning for reducing the duration of mechanical ventilation for critically… (2014) · Cochrane
no estimate extracted16 studies · 1246 participantsLow
Intervention NR
Total duration of ventilation defined as intubation or commencement of ventilation in ICU to successful extubation (hours) · critically ill adults and children requiring weaning from mechanical ventilation
Automated versus non‐automated weaning for reducing the duration of mechanical ventilation for critically… (2014) · Cochrane
no estimate extracted14 studies · 1248 participantsHigh
Intervention NR
ICU length of stay (days) · critically ill adults and children requiring weaning from mechanical ventilation
Automated versus non‐automated weaning for reducing the duration of mechanical ventilation for critically… (2014) · Cochrane
no estimate extracted13 studies · 1339 participantsModerate
Intervention NR
Hospital length of stay (days) · critically ill adults and children requiring weaning from mechanical ventilation
Automated versus non‐automated weaning for reducing the duration of mechanical ventilation for critically… (2014) · Cochrane
no estimate extracted7 studies · 749 participantsHigh
Intervention NR
Mortality (ICU, hospital) (days) · critically ill adults and children requiring weaning from mechanical ventilation
Automated versus non‐automated weaning for reducing the duration of mechanical ventilation for critically… (2014) · Cochrane
no estimate extracted12 studies · 1128 participantsHigh
Intervention NR
Reintubation rate · critically ill adults and children requiring weaning from mechanical ventilation
Automated versus non‐automated weaning for reducing the duration of mechanical ventilation for critically… (2014) · Cochrane
Risk ratio 0.8 [0.61, 1.05]13 studies · 1081 participantsHigh
CPR plus delayed defibrillation vs immediate defibrillation: overall analysis
Survival to hospital discharge rate · patients with out‐of‐hospital cardiac arrest
Cardiopulmonary resuscitation (CPR) plus delayed defibrillation versus immediate defibrillation for… (2014) · Cochrane
RR 1.09 [0.54, 2.2]3 studies · 658 participantsLow
CPR plus delayed defibrillation vs immediate defibrillation: overall analysis
Neurological outcome at hospital discharge rate of good recovery · patients with out‐of‐hospital cardiac arrest
Cardiopulmonary resuscitation (CPR) plus delayed defibrillation versus immediate defibrillation for… (2014) · Cochrane
RR 1.12 [0.65, 1.93]3 studies · 2834 participantsLow
CPR plus delayed defibrillation vs immediate defibrillation: overall analysis
ROSC rate · patients with out‐of‐hospital cardiac arrest
Cardiopulmonary resuscitation (CPR) plus delayed defibrillation versus immediate defibrillation for… (2014) · Cochrane
RR 0.94 [0.77, 1.15]3 studies · 658 participantsLow
CPR plus delayed defibrillation vs immediate defibrillation: overall analysis
Survival at 1 year rate · patients with out‐of‐hospital cardiac arrest
Cardiopulmonary resuscitation (CPR) plus delayed defibrillation versus immediate defibrillation for… (2014) · Cochrane
RR 0.77 [0.24, 2.49]2 studies · 456 participantsLow
Glutamine‐supplemented nutrition vs non‐supplemented nutrition
Infectious complications · critically ill patients or receiving major surgery
Glutamine supplementation for critically ill adults (2014) · Cochrane
RR 0.79 [0.71, 0.87]33 studies · 2303 participantsModerate
Glutamine‐supplemented nutrition vs non‐supplemented nutrition
Short‐term mortality (within hospital stay or closest to one month) · critically ill patients or receiving major surgery
Glutamine supplementation for critically ill adults (2014) · Cochrane
RR 0.89 [0.78, 1.02]36 studies · 3454 participantsLow
Glutamine‐supplemented nutrition vs non‐supplemented nutrition
Long‐term mortality (closest to six month) · critically ill patients or receiving major surgery
Glutamine supplementation for critically ill adults (2014) · Cochrane
RR 1 [0.89, 1.12]11 studies · 2277 participantsModerate
Glutamine‐supplemented nutrition vs non‐supplemented nutrition
Length of hospital stay · critically ill patients or receiving major surgery
Glutamine supplementation for critically ill adults (2014) · Cochrane
no estimate extracted36 studies · 2963 participantsLow
Glutamine‐supplemented nutrition vs non‐supplemented nutrition
Length of ICU stay · critically ill patients or receiving major surgery
Glutamine supplementation for critically ill adults (2014) · Cochrane
no estimate extracted22 studies · 2284 participantsModerate
Glutamine‐supplemented nutrition vs non‐supplemented nutrition
Days on mechanical ventilation · critically ill patients or receiving major surgery
Glutamine supplementation for critically ill adults (2014) · Cochrane
no estimate extracted14 studies · 1297 participantsModerate
Glutamine‐supplemented nutrition vs non‐supplemented nutrition
Serious adverse events · critically ill patients or receiving major surgery
Glutamine supplementation for critically ill adults (2014) · Cochrane
RR 1.4 [0.77, 2.57]2 studies · 856 participantsModerate
Polyclonal intravenous immunoglobulin (IVIG) vs placebo or no intervention
All‐cause mortality, neonates, standard polyclonal IVIG · neonates with sepsis, severe sepsis and septic shock
Intravenous immunoglobulin for treating sepsis, severe sepsis and septic shock (2013) · Cochrane
RR 1 [0.92, 1.08]5 studies · 3667 participantsModerate
Monoclonal antibodies vs placebo
Anti‐endotoxin E5 versus placebo, all‐ cause mortality · patients with sepsis, severe sepsis, septic shock
Intravenous immunoglobulin for treating sepsis, severe sepsis and septic shock (2013) · Cochrane
RR 0.98 [0.88, 1.1]4 studies · 1975 participantsModerate
Monoclonal antibodies vs placebo
Anti‐endotoxin ‐ HA‐1A versus placebo, all‐cause mortality · patients with sepsis, severe sepsis, septic shock
Intravenous immunoglobulin for treating sepsis, severe sepsis and septic shock (2013) · Cochrane
RR 0.8 [0.54, 1.2]3 studies · 2668 participantsVery low
Monoclonal antibodies vs placebo
Anti‐endotoxins Anti‐LPS versus placebo, all‐cause mortality · patients with sepsis, severe sepsis, septic shock
Intravenous immunoglobulin for treating sepsis, severe sepsis and septic shock (2013) · Cochrane
RR 0.15 [0.02, 1.06]1 study · 33 participantsLow
Monoclonal antibodies vs placebo
Sensitivity analysis by quality, anti‐endotoxin, all‐cause mortality · patients with sepsis, severe sepsis, septic shock
Intravenous immunoglobulin for treating sepsis, severe sepsis and septic shock (2013) · Cochrane
RR 1.01 [0.94, 1.09]6 studies · 4443 participantsModerate
Monoclonal antibodies vs placebo
Anti‐endotoxin, all‐cause mortality ‐ low risk of bias studies · patients with sepsis, severe sepsis, septic shock
Intravenous immunoglobulin for treating sepsis, severe sepsis and septic shock (2013) · Cochrane
RR 0.67 [0.42, 1.05]1 study · 269 participantsModerate
Monoclonal antibodies vs placebo
Anti‐endotoxin, all‐cause mortality ‐ unclear risk of bias · patients with sepsis, severe sepsis, septic shock
Intravenous immunoglobulin for treating sepsis, severe sepsis and septic shock (2013) · Cochrane
RR 1.03 [0.95, 1.11]5 studies · 4174 participantsModerate
Monoclonal antibodies vs placebo
Anti‐cytokines versus placebo, all‐cause mortality · patients with sepsis, severe sepsis, septic shock
Intravenous immunoglobulin for treating sepsis, severe sepsis and septic shock (2013) · Cochrane
RR 0.92 [0.86, 0.97]9 studies · 7893 participantsModerate
Monoclonal antibodies vs placebo
Anticytokine ‐ anti‐TNF‐alpha versus placebo, all‐cause mortality · patients with sepsis, severe sepsis, septic shock
Intravenous immunoglobulin for treating sepsis, severe sepsis and septic shock (2013) · Cochrane
RR 0.92 [0.87, 0.99]6 studies · 6200 participantsModerate
Monoclonal antibodies vs placebo
Anti‐cytokines ‐ human interleukin‐1receptor antagonist versus placebo, all‐cause mortality · patients with sepsis, severe sepsis, septic shock
Intravenous immunoglobulin for treating sepsis, severe sepsis and septic shock (2013) · Cochrane
RR 0.88 [0.76, 1.01]3 studies · 1693 participantsModerate
Monoclonal antibodies vs placebo
Sensitivity analysis by quality, anti‐cytokine, all‐cause mortality · patients with sepsis, severe sepsis, septic shock
Intravenous immunoglobulin for treating sepsis, severe sepsis and septic shock (2013) · Cochrane
RR 0.91 [0.86, 0.97]7 studies · 7752 participantsModerate
Polyclonal intravenous immunoglobulin (IVIG) vs placebo or no intervention
All‐cause mortality, neonates, IgM‐enriched polyclonal IVIG · neonates with sepsis, severe sepsis and septic shock
Intravenous immunoglobulin for treating sepsis, severe sepsis and septic shock (2013) · Cochrane
RR 0.57 [0.31, 1.04]3 studies · 164 participantsLow
Monoclonal antibodies vs placebo
Anti‐cytokine, all‐cause mortality ‐ low risk of bias studies · patients with sepsis, severe sepsis, septic shock
Intravenous immunoglobulin for treating sepsis, severe sepsis and septic shock (2013) · Cochrane
RR 0.92 [0.86, 0.99]3 studies · 5065 participantsHigh
Monoclonal antibodies vs placebo
Anti‐cytokine, all‐cause mortality ‐ uncertain risk of bias · patients with sepsis, severe sepsis, septic shock
Intravenous immunoglobulin for treating sepsis, severe sepsis and septic shock (2013) · Cochrane
RR 0.89 [0.8, 1]4 studies · 2687 participantsModerate
Polyclonal intravenous immunoglobulin (IVIG) vs placebo or no intervention
Low risk of bias neonate studies, mortality all‐cause ‐ standard IVIG · neonates with sepsis, severe sepsis and septic shock
Intravenous immunoglobulin for treating sepsis, severe sepsis and septic shock (2013) · Cochrane
RR 1.01 [0.93, 1.09]3 studies · 3561 participantsHigh
Polyclonal intravenous immunoglobulin (IVIG) vs placebo or no intervention
All‐cause mortality, adults, standard polyclonal IVIG · adult patients with sepsis, severe sepsis and septic shock
Intravenous immunoglobulin for treating sepsis, severe sepsis and septic shock (2013) · Cochrane
RR 0.81 [0.7, 0.93]10 studies · 1430 participantsModerate
Polyclonal intravenous immunoglobulin (IVIG) vs placebo or no intervention
All‐cause mortality, adults, IgM‐enriched polyclonal IVIG · adult patients with sepsis, severe sepsis and septic shock
Intravenous immunoglobulin for treating sepsis, severe sepsis and septic shock (2013) · Cochrane
RR 0.66 [0.51, 0.85]7 studies · 528 participantsModerate
Polyclonal intravenous immunoglobulin (IVIG) vs placebo or no intervention
Low risk of bias adult studies, by type of polyclonal IVIG, mortality all‐cause · adult patients with sepsis, severe sepsis and septic shock
Intravenous immunoglobulin for treating sepsis, severe sepsis and septic shock (2013) · Cochrane
RR 0.97 [0.81, 1.15]5 studies · 945 participantsHigh
Polyclonal intravenous immunoglobulin (IVIG) vs placebo or no intervention
Low risk of bias adult studies, mortality all‐cause ‐ standard IVIG · adult patients with sepsis, severe sepsis and septic shock
Intravenous immunoglobulin for treating sepsis, severe sepsis and septic shock (2013) · Cochrane
RR 1.02 [0.84, 1.24]3 studies · 683 participantsHigh