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SUPPLEMENTAL DIGITAL CONTENT 8

This table also appears in the Supplemental Digital Content 2 in the complete set of evidence tools.

Table 10. Dopamine versus Norepinephrine for the Treatment of Septic Shock Author(s): Alhazzani W

Bibliography: Avni T, Lador A, Lev S, Leibovici L, Paul M, Grossman A. Vasopressors for the Treatment of Septic Shock: Systematic Review and Meta-Analysis. PLoS One 2015;10:e0129305.

Quality assessment № of patients Effect Quality Importance

№ of studies

Study design

Risk of bias

Inconsistency Indirectness Imprecision Other considerations

NE Dopamine Relative (95%

CI)

Absolute (95% CI)

Mortality

11 randomized trials

not serious

not serious not serious not serious none 376/832 (45.2%)

450/886 (50.8%)

RR 0.89 (0.81 to 0.98)

56 fewer per 1000 (from 10 fewer to

97 fewer)

⨁⨁⨁⨁

HIGH

CRITICAL

40.0% 1 44 fewer

per 1000 (from 8 fewer to

76 fewer) Arrhythmias

4 randomized trials

not serious

not serious not serious not serious none 120/669 (17.9%)

272/721 (37.7%)

RR 0.48 (0.40 to 0.58)

196 fewer per 1000

(from 158 fewer to

226 fewer)

⨁⨁⨁⨁

HIGH

CRITICAL

CI: Confidence interval; RR: Risk ratio, NE: Norepinephrine

(2)

Mortality in septic shock assumed to be 40% in the control arm data from Sepsis-3.

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