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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.
915 questions in 93 reviews · Emergency and Critical Care
current versionsNo 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.
| Question | Effect | Evidence | Status / GRADE |
|---|---|---|---|
HFNC vs standard oxygen therapy Comfort (long‐term effect) Measured at more than 24 hours, scales were standardized to allow comparison; higher numbers indicate more comfort · adults in the ICU, requiring respiratory support High‐flow nasal cannulae for respiratory support in adult intensive care patients (2021) · Cochrane | no estimate extracted | 2 studies · 445 participants | Very low |
HFNC vs NIPPV or NIV Treatment failure (escalation of respiratory therapy to NIV, NIPPV or invasive ventilation) Measured up to 28 days · adults in the ICU, requiring respiratory support High‐flow nasal cannulae for respiratory support in adult intensive care patients (2021) · Cochrane | RR 0.98 [0.78, 1.22] | 5 studies · 1758 participants | Low |
HFNC vs NIPPV or NIV In‐hospital mortality (up to 90 days; included studies reported in‐hospital mortality, and mortality up to 28 days and up to ICU discharge) · adults in the ICU, requiring respiratory support High‐flow nasal cannulae for respiratory support in adult intensive care patients (2021) · Cochrane | RR 0.92 [0.64, 1.31] | 5 studies · 1758 participants | Low |
Intervention NR Mortality at longest · adult (≥ 18 years of age) patients receiving mechanical ventilation (via either an endotracheal tube or a… Oxygen targets in the intensive care unit during mechanical ventilation for acute respiratory distress… (2020) · Cochrane | OR 1.83 [1.03, 3.27] | 1 study · 201 participants | Very low |
Intervention NR Number of days ventilated · adult (≥ 18 years of age) patients receiving mechanical ventilation (via either an endotracheal tube or a… Oxygen targets in the intensive care unit during mechanical ventilation for acute respiratory distress… (2020) · Cochrane | no estimate extracted | 1 study · 201 participants | Very low |
Intervention NR Requirement for inotropic support (scale from 0 to 28, days of catecholamine use) · adult (≥ 18 years of age) patients receiving mechanical ventilation (via either an endotracheal tube or a… Oxygen targets in the intensive care unit during mechanical ventilation for acute respiratory distress… (2020) · Cochrane | no estimate extracted | 1 study · 201 participants | Very low |
Intervention NR Requirement for renal replacement therapy ( · adult (≥ 18 years of age) patients receiving mechanical ventilation (via either an endotracheal tube or a… Oxygen targets in the intensive care unit during mechanical ventilation for acute respiratory distress… (2020) · Cochrane | OR 1.03 [0.41, 2.6] | 1 study · 201 participants | Very low |
Intervention NR Quality of life · adult (≥ 18 years of age) patients receiving mechanical ventilation (via either an endotracheal tube or a… Oxygen targets in the intensive care unit during mechanical ventilation for acute respiratory distress… (2020) · Cochrane | no estimate extracted | 0 participants | Ungraded |
Corticosteroids vs placebo or usual care 28‐Day all‐cause mortalitya · children and adults with sepsis Corticosteroids for treating sepsis in children and adults (2019) · Cochrane | RR 0.91 [0.84, 0.99] | 50 studies · 11233 participants | Moderate |
Corticosteroids vs placebo or usual care Long‐term mortalityc · children and adults with sepsis Corticosteroids for treating sepsis in children and adults (2019) · Cochrane | RR 0.97 [0.91, 1.03] | 7 studies · 6236 participants | Low |
Corticosteroids vs placebo or usual care Hospital mortality · children and adults with sepsis Corticosteroids for treating sepsis in children and adults (2019) · Cochrane | RR 0.9 [0.82, 0.99] | 26 studies · 8183 participants | Moderate |
Corticosteroids vs placebo or usual care Length of intensive care unit stay for all participants in days · children and adults with sepsis Corticosteroids for treating sepsis in children and adults (2019) · Cochrane | no estimate extracted | 21 studies · 7612 participants | High |
Corticosteroids vs placebo or usual care Length of hospital stay for all participants in days · children and adults with sepsis Corticosteroids for treating sepsis in children and adults (2019) · Cochrane | no estimate extracted | 22 studies · 8795 participants | High |
Corticosteroids vs placebo or usual care Number of participants with adverse events ‐ superinfection (up to longest · children and adults with sepsis Corticosteroids for treating sepsis in children and adults (2019) · Cochrane | RR 1.06 [0.95, 1.19] | 25 studies · 5356 participants | Moderate |
Corticosteroids vs placebo or usual care Number of participants with adverse events ‐ muscle weakness (up to longest · children and adults with sepsis Corticosteroids for treating sepsis in children and adults (2019) · Cochrane | RR 1.21 [1.01, 1.44] | 6 studies · 6145 participants | High |
Corticosteroids vs control Early all‐cause mortality (≤ 3 months) Reported at: day 14; day 28; day 60; and in hospital · adults with acute respiratory distress syndrome Pharmacological agents for adults with acute respiratory distress syndrome (2019) · Cochrane | RR 0.77 [0.57, 1.05] | 6 studies · 574 participants | Low |
Surfactants vs control Ventilator‐free days up to day 28 · adults with acute respiratory distress syndrome Pharmacological agents for adults with acute respiratory distress syndrome (2019) · Cochrane | no estimate extracted | 2 studies · 344 participants | Very low |
Surfactants vs control Adverse events Defined as leading to discontinuation of study medication; data collected during study period · adults with acute respiratory distress syndrome Pharmacological agents for adults with acute respiratory distress syndrome (2019) · Cochrane | RR 0.5 [0.17, 1.44] | 2 studies · 88 participants | Very low |
Surfactants vs control Fitness to return to work at 12 months · adults with acute respiratory distress syndrome Pharmacological agents for adults with acute respiratory distress syndrome (2019) · Cochrane | no estimate extracted | NR | No studies |
N‐acetylcysteine vs control Early all‐cause mortality (≤ 3 months) Reported at: 30 days · adults with acute respiratory distress syndrome Pharmacological agents for adults with acute respiratory distress syndrome (2019) · Cochrane | RR 0.64 [0.32, 1.3] | 1 study · 36 participants | Very low |
N‐acetylcysteine vs control Late all‐cause mortality ( > 3 months · adults with acute respiratory distress syndrome Pharmacological agents for adults with acute respiratory distress syndrome (2019) · Cochrane | no estimate extracted | NR | No studies |
N‐acetylcysteine vs control Duration of mechanical ventilation · adults with acute respiratory distress syndrome Pharmacological agents for adults with acute respiratory distress syndrome (2019) · Cochrane | no estimate extracted | NR | No studies |
N‐acetylcysteine vs control Ventilator‐free days up to day 28 · adults with acute respiratory distress syndrome Pharmacological agents for adults with acute respiratory distress syndrome (2019) · Cochrane | no estimate extracted | NR | No studies |
N‐acetylcysteine vs control Adverse events Defined as leading to discontinuation of study medication · adults with acute respiratory distress syndrome Pharmacological agents for adults with acute respiratory distress syndrome (2019) · Cochrane | no estimate extracted | NR | No studies |
N‐acetylcysteine vs control Fitness to return to work at 12 months · adults with acute respiratory distress syndrome Pharmacological agents for adults with acute respiratory distress syndrome (2019) · Cochrane | no estimate extracted | NR | No studies |
Statins vs control Early all‐cause mortality (≤ 3 months) Reported at: 60 days; and during hospital stay · adults with acute respiratory distress syndrome Pharmacological agents for adults with acute respiratory distress syndrome (2019) · Cochrane | RR 0.99 [0.78, 1.26] | 3 studies · 1344 participants | Moderate |
Corticosteroids vs control Late all‐cause mortality ( > 3 months) Reported at: 180 days · adults with acute respiratory distress syndrome Pharmacological agents for adults with acute respiratory distress syndrome (2019) · Cochrane | RR 0.99 [0.64, 1.52] | 1 study · 180 participants | Very low |
Statins vs control Late all‐cause mortality ( > 3 months · adults with acute respiratory distress syndrome Pharmacological agents for adults with acute respiratory distress syndrome (2019) · Cochrane | no estimate extracted | NR | No studies |
Statins vs control Duration of mechanical ventilation Measured in days · adults with acute respiratory distress syndrome Pharmacological agents for adults with acute respiratory distress syndrome (2019) · Cochrane | no estimate extracted | 1 study · 60 participants | Low |
Statins vs control Ventilator‐free days up to day 28 · adults with acute respiratory distress syndrome Pharmacological agents for adults with acute respiratory distress syndrome (2019) · Cochrane | no estimate extracted | 3 studies · 1342 participants | Moderate |
Statins vs control Adverse events Defined as leading to discontinuation of study medication · adults with acute respiratory distress syndrome Pharmacological agents for adults with acute respiratory distress syndrome (2019) · Cochrane | no estimate extracted | NR | No studies |
Statins vs control Fitness to return to work at 12 months · adults with acute respiratory distress syndrome Pharmacological agents for adults with acute respiratory distress syndrome (2019) · Cochrane | no estimate extracted | NR | No studies |
Beta‐agonist vs control Early all‐cause mortality (≤ 3 months) Reported at: 28 days; 60 days; and during hospital stay · adults with acute respiratory distress syndrome Pharmacological agents for adults with acute respiratory distress syndrome (2019) · Cochrane | RR 1.14 [0.91, 1.42] | 3 studies · 646 participants | Moderate |
Beta‐agonist vs control Late all‐cause mortality (> 3 months · adults with acute respiratory distress syndrome Pharmacological agents for adults with acute respiratory distress syndrome (2019) · Cochrane | no estimate extracted | NR | No studies |
Beta‐agonist vs control Duration of mechanical ventilation · adults with acute respiratory distress syndrome Pharmacological agents for adults with acute respiratory distress syndrome (2019) · Cochrane | no estimate extracted | NR | No studies |
Beta‐agonist vs control Ventilator‐free days up to day 28 · adults with acute respiratory distress syndrome Pharmacological agents for adults with acute respiratory distress syndrome (2019) · Cochrane | no estimate extracted | 3 studies · 646 participants | Very low |
Beta‐agonist vs control Adverse events Defined as leading to discontinuation of study medication; data collected during study period · adults with acute respiratory distress syndrome Pharmacological agents for adults with acute respiratory distress syndrome (2019) · Cochrane | no estimate extracted | 2 studies · 606 participants | Very low |
Corticosteroids vs control Duration of mechanical ventilation Measured in days · adults with acute respiratory distress syndrome Pharmacological agents for adults with acute respiratory distress syndrome (2019) · Cochrane | no estimate extracted | 3 studies · 277 participants | Very low |
Beta‐agonist vs control Fitness to return to work at 12 months · adults with acute respiratory distress syndrome Pharmacological agents for adults with acute respiratory distress syndrome (2019) · Cochrane | no estimate extracted | NR | No studies |
Corticosteroids vs control Ventilator‐free days up to day 28 · adults with acute respiratory distress syndrome Pharmacological agents for adults with acute respiratory distress syndrome (2019) · Cochrane | no estimate extracted | 4 studies · 494 participants | Low |
Corticosteroids vs control Adverse events Defined as leading to discontinuation of study medication; or for studies with standard care control, defined by study authors as "serious adverse events" · adults with acute respiratory distress syndrome Pharmacological agents for adults with acute respiratory distress syndrome (2019) · Cochrane | no estimate extracted | NR | No studies |
Corticosteroids vs control Fitness to return to work at 12 months · adults with acute respiratory distress syndrome Pharmacological agents for adults with acute respiratory distress syndrome (2019) · Cochrane | no estimate extracted | NR | No studies |
Surfactants vs control Early all‐cause mortality (≤ 3 months) Reported at: 28 days; and 90 days. Time point not reported in 4 studies · adults with acute respiratory distress syndrome Pharmacological agents for adults with acute respiratory distress syndrome (2019) · Cochrane | RR 1.08 [0.91, 1.29] | 9 studies · 1338 participants | Very low |
Surfactants vs control Late all‐cause mortality ( > 3 months) Reported at: 180 days · adults with acute respiratory distress syndrome Pharmacological agents for adults with acute respiratory distress syndrome (2019) · Cochrane | RR 1.28 [1.01, 1.61] | 1 study · 418 participants | Very low |
Surfactants vs control Duration of mechanical ventilation Measured in days · adults with acute respiratory distress syndrome Pharmacological agents for adults with acute respiratory distress syndrome (2019) · Cochrane | no estimate extracted | 1 study · 16 participants | Very low |
Intervention NR Typical antipsychotic vs placebo · critically ill adults with confirmed or at high risk of delirium Pharmacological interventions for the treatment of delirium in critically ill adults (2019) · Cochrane | no estimate extracted | 4 studies · 608 participants | High |
Intervention NR Typical antipsychotics vs placebo · critically ill adult with confirmed or at high risk of delirium Pharmacological interventions for the treatment of delirium in critically ill adults (2019) · Cochrane | no estimate extracted | 3 studies · 515 participants | Moderate |
Intervention NR Atypical antipsychotics vs placebo · critically ill adult with confirmed or at high risk of delirium Pharmacological interventions for the treatment of delirium in critically ill adults (2019) · Cochrane | no estimate extracted | 3 studies · 476 participants | Moderate |
Intervention NR Statin (HMG‐CoA)vs placebo · critically ill adult with confirmed or at high risk of delirium Pharmacological interventions for the treatment of delirium in critically ill adults (2019) · Cochrane | no estimate extracted | 1 study · 272 participants | Moderate |
Intervention NR Alpha2 agonist vs placebo · critically ill adult with confirmed or at high risk of delirium Pharmacological interventions for the treatment of delirium in critically ill adults (2019) · Cochrane | no estimate extracted | 1 study · 71 participants | Moderate |