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Table 3 Mortality data for included studies. Premorbid beta blocker exposure vs no premorbid beta blocker exposure

From: The association between premorbid beta blocker exposure and mortality in sepsis—a systematic review

First author

Select cohort

No. of patients with no premorbid beta blocker use

No. of patients with premorbid beta blocker use

Mortality census day

Mortality

90-day mortality

28-day mortality

ICU mortality

Hospital mortality

Survival analysis

Outcome

Adjustment method

Adjusted variables

Singer et al. [11]

6839

4001

2838

Hospital mortality

aOR = 0.69 (CI 0.62–0.77)

Premorbid beta blocker usage is significantly associated with decreased mortality

Multivariate logistic regression

Age, class of beta blocker, congestive heart failure, cancer, surgical procedures

Macchia et al. [10]

9465

8404

1061

28-day mortality

aOR = 0.81 (CI 0.68–0.97), p = 0.025

Premorbid beta blocker usage is significantly associated with decreased mortality

Multivariate logistic regression

Age, sex, history of hypertension, dyslipidaemia, diabetes mellitus, myocardial infarction, congestive heart failure, atrial fibrillation, chronic obstructive pulmonary disease, depression, and malignancy

Hsieh et al. [27]

33,213

32,173

1040

Hospital mortality

aOR = 0.89 (CI 0.76–1.04), p = 0.1484

Premorbid beta blocker usage is not significantly associated with decreased mortality

Multivariate logistic regression

Age, sex, insurance premium, urbanization level, and comorbidities

Fuchs et al.a [26]

296

0

296

ICU, hospital, 28 days, 90 days

40.7% vs. 52.7%, p = 0.046a

28.7% vs. 41.1%, p = 0.04a

27.5% vs. 38%, p = 0.06a

35.3% vs. 48.1%, p = 0.03a

HR = 0.67 (CI 0.48, 0.95), p = 0.03a

Continuation of beta-blockade is associated with decreased 28-day, 90-day, and hospital mortality.

Multivariate cox regression

Sex, known nosocomial pathogen, chronic diseases, body temperature (< 36.0 °C), APACHE II score first 24 h, lactate first 24 h (> 3 mmol/L)

Contenti et al. [21]

260

195

65

28-day mortality

35% vs 49%, p = 0.08

Premorbid beta blocker usage is not significantly associated with decreased mortality

Sharma et al. [25]

123

75

48

Hospital mortality

35.4% vs 32%, p = 0.70

Premorbid beta blocker usage is not significantly associated with decreased mortality

de Roquetaillade et al. [23]

938

708

230

ICU mortality

35.7% vs. 37%, p = 0.75

Premorbid beta blocker usage is not significantly associated with decreased mortality

Alsolamy et al. [22]

4629

4006

623

ICU mortality

RR = 0.94 (CI 0.82–1.08), p = 0.39

Premorbid beta blocker usage is not significantly associated with decreased mortality

Al-Qadi et al. [24]

651

276

375

Not specified

21.3% vs 27.2%, p = 0.09; aOR 0.62, p = 0.023

Premorbid beta blocker usage is not significantly associated with decreased mortality

Age, gender, and severity of illness using SOFA and APACHE III scores

  1. aContinued beta blocker usage during sepsis vs discontinued beta blocker usage during sepsis