证据

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BMJ Best Practice 临床实践证据表单

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对于特定临床问题,通过 GRADE 和 BMJ Best Practice 临床实践有效性评级,证据表提供了导航简单的分层证据。通过表单底部链接,可获取专题正文相关证据评分,为临床问题提供更多参考。查阅证据表单,获取更多信息。

该表单为 Cochrane Clinical Answer 针对上述重要临床问题所报道的分析总结。


Confidence in the evidence is moderate or low to moderate where GRADE has been performed and there may be no difference in effectiveness between the intervention and comparison for key outcomes.


人群: Children or adults with acute bacterial meningitis ᵃ

干预: Glycerol with or without corticosteroids ᵇ

比较: Placebo with or without corticosteroids ᵇ

结局效能(BMJ 评价)?证据可信度(GRADE)?

Mortality (follow‐up up to 6 months)

No statistically significant difference

Moderate

Neurological disability (follow‐up 40 days to 6 months)

No statistically significant difference

Low

Seizures (follow‐up 40 days to 6 months)

No statistically significant difference

Low

Hearing loss (follow‐up 40 days to 6 months)

Favors intervention ᶜ

Moderate

Adverse effects: nausea, vomiting, diarrhea

No statistically significant difference

Very Low

Adverse effects: gastrointestinal bleeding

No statistically significant difference

Moderate

注意

The Cochrane Review which underpins this Cochrane Clinical Answer (CCA) notes that glycerol may provide a small beneficial effect for deafness in children. However, further research is required.

ᵃ Of the five included studies, four were in children (age range 2 months to 16 years) and one in adults (age range not reported). See CCA for more details.

ᵇ All participants received broad-spectrum antibiotics.

ᶜ Subgroup analysis found no statistically significant difference between groups for participants who received corticosteroids. See CCA for more details.

该证据表单关联以下章节:

Cochrane Clinical Answers

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Cochrane Clinical Answers(CCAs)来自 Cochrane 系统评价,注重临床,通俗易懂,实操性强,可为即时诊疗决策提供参考信息,收录于 BMJ Best Practice 临床实践。

  • How does glycerol compare with placebo for people with acute bacterial meningitis treated with antibiotics?
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