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Table 2 GRADE evidence profile of outcomes, tight glucose control vs usual glucose control

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

  1. GRADE Grading of Recommendations Assessment, Development and Evaluation, OR odds ratio, CI confidence interval
  2. aHigh quality, further research is very unlikely to change our confidence in the estimate of effect; moderate quality, further research is likely to have an important impact on our confidence in the estimate of effect and may change the estimate; low quality, further research is very likely to have an important impact on our confidence in the estimate of effect and is likely to change the estimate; very low quality, we are very uncertain about the estimate
  3. bWide confidence
  4. cHigh heterogeneity