Cochrane · systematic review · CD012959

Continuous veno‐venous hemofiltration for severe acute pancreatitis

Lin, Y, He, S, Gong, J, et al. · Cochrane Database of Systematic Reviews · 2019 · Cochrane Library

GutAMSTAR 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
12
current version
GRADE rated
6
No studies
6
Included studies
NR
No studies 6 · 50%Ungraded 0 · 0%Very low 5 · 41.7%Low 1 · 8.3%Moderate 0 · 0%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

Continuous veno‐venous hemofiltration (CVVH) compared to no CVVH for severe acute pancreatitis

Population: adults with severe acute pancreatitis
6 questions
OutcomeEffectEvidenceStatus / GRADE
All‐cause mortality
Continuous veno‐venous hemofiltration (CVVH) vs no CVVH
0.62 [0.27, 1.4]2 studies · 189 participantsVery low
Downgraded: risk of bias
Adverse events
Continuous veno‐venous hemofiltration (CVVH) vs no CVVH
no estimate extractedNRNo studies
Length of ICU stay
Continuous veno‐venous hemofiltration (CVVH) vs no CVVH
no estimate extracted1 study · 125 participantsVery low
Downgraded: risk of bias, imprecision, indirectness
Length of hospital stay
Continuous veno‐venous hemofiltration (CVVH) vs no CVVH
no estimate extracted1 study · 125 participantsVery low
Downgraded: risk of bias, imprecision, indirectness
Total hospital cost
Continuous veno‐venous hemofiltration (CVVH) vs no CVVH
no estimate extracted1 study · 125 participantsVery low
Downgraded: risk of bias, imprecision, indirectness
Quality of life
Continuous veno‐venous hemofiltration (CVVH) vs no CVVH
no estimate extractedNRNo studies

High‐volume continuous veno‐venous hemofiltration (CVVH) compared to standard CVVH for severe acute pancreatitis

Population: adults with severe acute pancreatitis
6 questions
OutcomeEffectEvidenceStatus / GRADE
All‐cause mortality
High‐volume continuous veno‐venous hemofiltration (CVVH) vs standard CVVH
RR 0.6 [0.17, 2.07]1 study · 30 participantsLow
Downgraded: risk of bias, imprecision
Adverse events
High‐volume continuous veno‐venous hemofiltration (CVVH) vs standard CVVH
RR 1 [0.16, 6.2]1 study · 30 participantsVery low
Downgraded: risk of bias, imprecision
Length of ICU stay
High‐volume continuous veno‐venous hemofiltration (CVVH) vs standard CVVH
no estimate extractedNRNo studies
Length of hospital stay
High‐volume continuous veno‐venous hemofiltration (CVVH) vs standard CVVH
no estimate extractedNRNo studies
Total hospital cost
High‐volume continuous veno‐venous hemofiltration (CVVH) vs standard CVVH
no estimate extractedNRNo studies
Quality of life
High‐volume continuous veno‐venous hemofiltration (CVVH) vs standard CVVH
no estimate extractedNRNo studies