Cochrane · systematic review · CD002787

Inhaled nitric oxide for acute respiratory distress syndrome (ARDS) in children and adults

Gebistorf, F, Karam, O, Wetterslev, J, et al. · Cochrane Database of Systematic Reviews · 2016 · Cochrane Library

Emergency and Critical Care2 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
7
current version
GRADE rated
7
No studies
0
Included studies
NR
No studies 0 · 0%Ungraded 0 · 0%Very low 0 · 0%Low 0 · 0%Moderate 5 · 71.4%High 2 · 28.6%

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

Show all 2 versions

INO compared with control group for acute respiratory distress syndrome (ARDS) and acute lung injury (ALI) in children and adults

Population: critically ill participants with ALI and ARDS
7 questions
OutcomeEffectEvidenceStatus / GRADE
Overall mortality
INO vs control group
RR 1.04 [0.9, 1.19]13 studies · 1243 participantsModerate
Overall mortality at 28 days
INO vs control group
RR 1.08 [0.92, 1.27]9 studies · 1105 participantsModerate
Downgraded: risk of bias
Mortality in paediatric population (subgroup)
INO vs control group
RR 0.78 [0.51, 1.18]185 participantsModerate
Downgraded: risk of bias
PaO2/FiO2 up to 24 hours
INO vs control group
MD 15.91 [8.25, 23.56]11 studies · 614 participantsModerate
Downgraded: risk of bias
Oxygenation index, 24 hours
INO vs control group
no estimate extracted5 studies · 368 participantsModerate
Downgraded: risk of bias
Ventilation‐free days, up to 30 days
INO vs control group
no estimate extracted5 studies · 804 participantsHigh
Renal impairment
INO vs control group
RR 1.59 [1.17, 2.16]4 studies · 945 participantsHigh