Cochrane · systematic review · CD013494

High versus low blood pressure targets for cardiac surgery while on cardiopulmonary bypass

Kotani, Y, Kataoka, Y, Izawa, J, et al. · Cochrane Database of Systematic Reviews · 2022 · Cochrane Library

HeartAMSTAR 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 6 · 85.7%Low 1 · 14.3%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

High versus low blood pressure target for cardiac surgery with cardiopulmonary bypass

Population: adults undergoing cardiac surgery with cardiopulmonary bypass
7 questions
OutcomeEffectEvidenceStatus / GRADE
Acute kidney injury
High vs low blood pressure target
RR 1.3 [0.81, 2.08]2 studies · 487 participantsVery low
Downgraded: risk of bias, imprecision, inconsistency, indirectness
Cognitive deterioration
High vs low blood pressure target
RR 0.82 [0.45, 1.5]2 studies · 389 participantsLow
Downgraded: risk of bias, imprecision
All‐cause mortality
High vs low blood pressure target
RR 1.33 [0.3, 5.9]3 studies · 737 participantsVery low
Downgraded: risk of bias, imprecision, inconsistency
Quality of life
High vs low blood pressure target
RR 0.78 [0.3, 2.01]1 study · 218 participantsVery low
Downgraded: risk of bias, imprecision
Acute ischaemic stroke
High vs low blood pressure target
RR 1.29 [0.07, 23.63]2 studies · 426 participantsVery low
Downgraded: risk of bias, imprecision, inconsistency
Length of hospital stay
High vs low blood pressure target
no estimate extracted2 studies · 540 participantsVery low
Downgraded: risk of bias, imprecision, inconsistency
Perioperative transfusion of blood products
High vs low blood pressure target
no estimate extracted2 studies · 540 participantsVery low
Downgraded: risk of bias, imprecision