Cochrane · systematic review · CD004896

Antifibrinolytic drugs for acute traumatic injury

Ker, K, Roberts, I, Shakur, H, et al. · Cochrane Database of Systematic Reviews · 2015 · Cochrane Library

InjuriesAMSTAR 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
14
current version
GRADE rated
14
No studies
0
Included studies
NR
No studies 0 · 0%Ungraded 0 · 0%Very low 0 · 0%Low 5 · 35.7%Moderate 5 · 35.7%High 4 · 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

Antifibrinolytic drugs for bleeding trauma patients

Population: Treating bleeding trauma patients
7 questions
OutcomeEffectEvidenceStatus / GRADE
Mortality
RR 0.9 [0.85, 0.96]3 studies · 20437 participantsHigh
Surgical intervention
RR 1 [0.97, 1.03]3 studies · 20437 participantsHigh
Blood transfusion
RR 0.98 [0.96, 1.01]2 studies · 20367 participantsHigh
Myocardial infarction
RR 0.61 [0.4, 0.92]2 studies · 20367 participantsModerate
Downgraded: imprecision
Deep vein thrombosis
RR 0.95 [0.62, 1.47]2 studies · 20367 participantsModerate
Downgraded: imprecision
Stroke
RR 0.86 [0.61, 1.23]2 studies · 20367 participantsModerate
Downgraded: imprecision
Pulmonary embolism
RR 1.01 [0.73, 1.41]2 studies · 20367 participantsModerate
Downgraded: imprecision

Antifibrinolytic drugs for patients with traumatic brain injury

Population: Treating patients with traumatic brain injury
7 questions
OutcomeEffectEvidenceStatus / GRADE
Mortality
RR 0.63 [0.4, 0.99]2 studies · 510 participantsLow
Downgraded: indirectness
Surgical intervention
RR 1.12 [0.65, 1.93]2 studies · 510 participantsLow
Downgraded: indirectness
Progressive intracranial haemorrhage
RR 0.75 [0.58, 0.98]2 studies · 478 participantsHigh
New brain lesions
RR 0.51 [0.2, 1.32]1 study · 249 participantsModerate
Downgraded: imprecision, indirectness
Myocardial infarction
RR 0.51 [0.09, 2.73]2 studies · 510 participantsLow
Downgraded: indirectness
Stroke
RR 0.34 [0.01, 8.35]2 studies · 510 participantsLow
Downgraded: indirectness
Deep vein thrombosis
RR 0.25 [0.03, 2.26]2 studies · 510 participantsLow
Downgraded: indirectness