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Table 3 Confidence in the relative risk of each comparison and outcome assessed by the GRADE system for short-term mortality, reintubation, and post-extubation respiratory failure

From: Post-extubation oxygenation strategies in acute respiratory failure: a systematic review and network meta-analysis

 

Risk of bias across studies

Imprecision

Heterogeneity

Indirectness

Publication bias

Incoherence

Confidence in relative risk of the event

Short-term mortality

NIV vs. COT

Undetected

Very seriousa

(95% CI 0.53–1.06)

No concern

(95% PI 0.51–1.11)

Low

Not suggested

No concern

(p = 0.33)

Low

HFNC vs. COT

Undetected

Seriousb

(95% CI 0.67–1.27)

No concern

(95% PI 0.64–1.33)

Low

Not suggested

No concern

(p = 0.33)

Moderate

HFNC vs. NIV

Undetected

Seriousb

(95% CI 0.61–1.08)

No concern

(95% PI 0.58–1.13)

Low

Not suggested

No concern

(p = 0.33)

Moderate

Reintubation

NIV vs. COT

Undetected

Seriousb

(95% CI 0.30–1.00)

Some concernc

(95% PI 0.16–1.84)

Low

Not suggested

No concern

(p = 0.58)

Moderate

HFNC vs. COT

Undetected

Not serious

(95% CI 0.32–0.89)

Major concernd

(95% PI 0.17–1.70)

Low

Not suggested

No concern

(p = 0.58)

High

HFNC vs. NIV

Undetected

Very seriousa

(95% CI 0.53–1.97)

No concern

(95% PI 0.29–3.55)

Low

Not suggested

No concern

(p = 0.58)

Low

Post-extubation respiratory failure

NIV vs. COT

Undetected

Very seriousa

(95% CI 0.54–1.38)

No concern

(95% PI 0.29–2.58)

Low

Not suggested

No concern

(p = 0.56)

Low

HFNC vs. COT

Undetected

Seriousb

(95% CI 0.43–1.02)

Some concernc

(95% PI 0.23–1.92)

Low

Not suggested

No concern

(p = 0.56)

Moderate

HFNC vs. NIV

Undetected

Very seriousa

(95% CI 0.79–2.14)

No concern

(95% PI 0.42–3.98)

Low

Not suggested

No concern

(p = 0.56)

Low

  1. CI confidence interval, COT conventional oxygen therapy, HFNC high-flow nasal therapy, NIV noninvasive ventilation, PI prediction interval
  2. aConfidence interval extends into clinically important effects in both directions
  3. bConfidence interval extends into clinically important effects
  4. cPrediction interval extends into clinically important or unimportant effects
  5. dPrediction interval extends into clinically important effects in both directions