Cochrane · systematic review · CD003709

Vasopressors for hypotensive shock

Gamper, G, Havel, C, Arrich, 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
6
current version
GRADE rated
6
No studies
0
Included studies
NR
No studies 0 · 0%Ungraded 0 · 0%Very low 2 · 33.3%Low 1 · 16.7%Moderate 1 · 16.7%High 2 · 33.3%

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.

Questions and results

Show all 2 versions

Dopamine compared with norepinephrine for hypotensive shock

Population: hypotensive shock
2 questions
OutcomeEffectEvidenceStatus / GRADE
Total mortalitya
Dopamine vs norepinephrine
RR 1.07 [0.99, 1.16]6 studies · 1400 participantsHigh
Arrhythmia < BR/>
Dopamine vs norepinephrine
RR 2.33 [1.45, 3.85]2 studies · 1931 participantsHigh

Terlipressin compared with norepinephrine for hypotensive shock

Population: hypotensive shock
1 question
OutcomeEffectEvidenceStatus / GRADE
Total mortalitya
Terlipressin vs norepinephrine
RR 0.93 [0.69, 1.26]7 studies · 231 participantsVery low
Downgraded: risk of bias, imprecision, indirectness

Vasopressin compared with norepinephrine for hypotensive shock

Population: hypotensive shock
1 question
OutcomeEffectEvidenceStatus / GRADE
Total mortalitya
Vasopressin vs norepinephrine
RR 0.9 [0.78, 1.03]8 studies · 1108 participantsModerate
Downgraded: indirectness

Phenylephrine compared with norepinephrine for hypotensive shock

Population: hypotensive shock
1 question
OutcomeEffectEvidenceStatus / GRADE
Total mortalitya
Phenylephrine vs norepinephrine
RR 1.08 [0.76, 1.55]2 studies · 86 participantsVery low
Downgraded: risk of bias, imprecision, indirectness

Epinephrine compared with norepinephrine for hypotensive shock

Population: hypotensive shock
1 question
OutcomeEffectEvidenceStatus / GRADE
Total mortalitya
Epinephrine vs norepinephrine
RR 0.88 [0.63, 1.25]1 study · 269 participantsLow