Cochrane · systematic review · CD001939

Branched‐chain amino acids for people with hepatic encephalopathy

Gluud, LL, Dam, G, Les, I, et al. · Cochrane Database of Systematic Reviews · 2017 · Cochrane Library

Hepato-Biliary3 versionsAMSTAR 2: not assessed
SoF tableOnly the outcomes this review put in its Summary of Findings table are listed (the Cochrane Handbook caps them at about seven per comparison). Its other analyses are not shown here.
Questions
5
current version
GRADE rated
5
No studies
0
Included studies
NR
No studies 0 · 0%Ungraded 0 · 0%Very low 0 · 0%Low 3 · 60%Moderate 1 · 20%High 1 · 20%

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.

Questions and results

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Branched‐chain amino acids (BCAA) versus control for hepatic encephalopathy

Population: people with hepatic encephalopathy.
5 questions
OutcomeEffectEvidenceStatus / GRADE
Mortality Clinically
Branched‐chain amino acids (BCAA) vs control
RR 0.88 [0.69, 1.11]15 studies · 760 participantsModerate
Hepatic encephalopathy Psychometric and clinical assessments
Branched‐chain amino acids (BCAA) vs control
RR 0.73 [0.61, 0.88]16 studies · 827 participantsHigh
Nausea and diarrhoea Clinically
Branched‐chain amino acids (BCAA) vs control
RR 3.39 [0.7, 16.46]5 studies · 945 participantsLow
Downgraded: imprecision, indirectness, publication bias
Albumin Laboratory assessment
Branched‐chain amino acids (BCAA) vs control
no estimate extracted3 studies · 176 participantsLow
Downgraded: imprecision, indirectness, publication bias
Nitrogen balance Laboratory assessment
Branched‐chain amino acids (BCAA) vs control
no estimate extracted3 studies · 108 participantsLow
Downgraded: imprecision, indirectness, publication bias