Cochrane · systematic review · CD010965

Interventions for chronic non‐hypovolaemic hypotonic hyponatraemia

Nagler, EV, Haller, MC, Van Biesen, W, et al. · Cochrane Database of Systematic Reviews · 2018 · Cochrane Library

Kidney and TransplantAMSTAR 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 2 · 28.6%Low 2 · 28.6%Moderate 3 · 42.9%High 0 · 0%

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

Vasopressin receptor antagonists versus placebo or no treatment for chronic non‐hypovolaemic hypotonic hyponatraemia

Population: chronic non‐hypovolaemic hypotonic hyponatraemia
7 questions
OutcomeEffectEvidenceStatus / GRADE
Death
Vasopressin receptor antagonists vs placebo or no treatment
RR 1.11 [0.92, 1.33]15 studies · 2330 participantsVery low
Downgraded: risk of bias, imprecision, indirectness
Health‐related quality of life (
Vasopressin receptor antagonists vs placebo or no treatment
no estimate extracted2 studies · 297 participantsVery low
Downgraded: risk of bias, imprecision, indirectness
Length of hospital stay
Vasopressin receptor antagonists vs placebo or no treatment
no estimate extracted2 studies · 580 participantsLow
Downgraded: risk of bias, imprecision, indirectness
Cognitive function (
Vasopressin receptor antagonists vs placebo or no treatment
no estimate extracted5 studies · 1169 participantsLow
Downgraded: risk of bias, imprecision, indirectness
Change from baseline in serum sodium concentration
Vasopressin receptor antagonists vs placebo or no treatment
no estimate extracted21 studies · 2641 participantsModerate
Downgraded: risk of bias, imprecision, indirectness
Serum sodium concentration (response)
Vasopressin receptor antagonists vs placebo or no treatment
RR 2.49 [1.95, 3.18]18 studies · 2104 participantsModerate
Downgraded: risk of bias, imprecision, indirectness
Rapid sodium increase
Vasopressin receptor antagonists vs placebo or no treatment
RR 1.67 [1.16, 2.4]14 studies · 2058 participantsModerate
Downgraded: risk of bias, imprecision, indirectness