From: Tight glycemic control in critically ill pediatric patients: a systematic review and meta-analysis
Outcome | Number of children (studies) | Effect | Qualitya | Importance | |
---|---|---|---|---|---|
Relative effect, OR (95% CI) | Absolute risk (95% CI) | ||||
Hospital mortality | 4021 (6 studies) | 0.95 (0.62–1.45) | 3 fewer per 1000 (from 20 fewer to 23 more) | ⊕ ⊕ ⊕⊝ moderateb | Critical |
Severe hypoglycemia (glucose < 40 ml/dl) | 3835 (5 studies) | 4.11 (2.67–6.32) | 42 more per 1000 (from 23 more to 69 more)b | ⊕ ⊕ ⊕ ⊕ high | Critical |
Any hypoglycemia (glucose < 60 mg/dl) | 3747 (4 studies) | 4.57 (2.24–9.33) | 157 more per 1000 (from 61 more to 299 more) | ⊕ ⊕ ⊕ ⊕ highb | Critical |
Dialysis | 3049 (3 studies) | 0.63 (0.45–0.86) | 24 fewer per 1000 (from 9 fewer to 36 fewer) | ⊕ ⊕ ⊕ ⊕ highb | Important |
Seizures | 3047 (3 studies) | 0.98 (0.59–1.63) | 0 fewer per 1000 (from 8 fewer to 12 more) | ⊕ ⊕ ⊝⊝ lowb,c | Important |
Sepsis | 4021 (6 studies) | 0.83 (0.63–1.08) | 20 fewer per 1000 (from 45 fewer to 9 more) | ⊕ ⊕ ⊕ ⊕ high | Important |