Aggressive versus controlled fluid resuscitation in acute pancreatitis: A systematic review and meta-analysis of randomized controlled trials-临床诊疗知识库

Aggressive versus controlled fluid resuscitation in acute pancreatitis: A systematic review and meta-analysis of randomized controlled trials

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作者：

He Kun；Gao Lin；Yang Zihan；Zhang Yuelun；Hua Tianrui；Hu Wenmo；Wu Dong；Ke Lu

来源：

中华医学杂志英文版 2023 年 136卷 10期

标签：

Acute pancreatitis Aggressive fluid resuscitation Controlled fluid resuscitation Efficacy Safety Systemic review Acute pancreatitis Aggressive fluid resuscitation Controlled fluid resuscitation Efficacy Safety Systemic review

Background::Early fluid resuscitation is one of the fundamental treatments for acute pancreatitis (AP), but there is no consensus on the optimal fluid rate. This systematic review and meta-analysis aimed to compare the efficacy and safety of aggressive vs. controlled fluid resuscitation (CFR) in AP. Methods::The Cochrane Central Register of Controlled Trials (CENTRAL), MEDLINE, Embase, and Web of Science databases were searched up to September 30, 2022, for randomized controlled trials (RCTs) comparing aggressive with controlled rates of early fluid resuscitation in AP patients without organ failure on admission. The following keywords were used in the search strategy: "pancreatitis," "fluid therapy," "fluid resuscitation," and "randomized controlled trial." There was no language restriction. The Grading of Recommendations Assessment, Development and Evaluation (GRADE) framework was used to assess the certainty of evidence. Trial sequential analysis (TSA) was used to control the risk of random err

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