Evidence map›Paper›PMID 33489240›Full record

ReviewAcute medicine & surgery

Comparison of diazepam and lorazepam for the emergency treatment of adult status epilepticus: a systemic review and meta-analysis.

Hitoshi Kobata, Toru Hifumi, Eisei Hoshiyama, Kazuma Yamakawa, Kentaro Nakamura, Mitsuhito Soh, Yutaka Kondo, Shoji Yokobori, Japan Resuscitation Council (JRC) Neuroresuscitation Task Force and the Guidelines Editorial Committee

Open access · goldAbstract readReview
In one paragraph

Review in Acute medicine & surgery. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
0.8field-weighted citation impact, top 29% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed, 8 citations in OpenAlex.

  1. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors at 7 institutions in 1 country.

Hitoshi KobataOsaka Mishima Emergency Critical Care Center Takatsuki Japan.ORCID https://orcid.org/0000-0002-7102-9594
Toru HifumiDepartment of Emergency and Critical Care Medicine St. Luke's International Hospital Tokyo Japan.ORCID https://orcid.org/0000-0003-3581-0890
Eisei HoshiyamaDepartment of Emergency and Critical Care Medicine and Neurology Dokkyo Medical University Mibu Japan.
Kazuma YamakawaDepartment of Emergency Medical Care Osaka Medical College Takatsuki Japan.ORCID https://orcid.org/0000-0003-2999-4021
Kentaro NakamuraEmergency Medical Center Kagawa University Hospital Miki Japan.ORCID https://orcid.org/0000-0002-4412-7738
Mitsuhito SohDepartment of Emergency and Critical Care Medicine St. Luke's International Hospital Tokyo Japan.
Yutaka KondoDepartment of Emergency and Disaster Medicine Juntendo University Urayasu Hospital Urayasu Japan.ORCID https://orcid.org/0000-0003-1072-7089
Shoji YokoboriDepartment of Emergency and Critical Care Medicine Nippon Medical School Tokyo Japan.ORCID https://orcid.org/0000-0002-7409-704X
Japan Resuscitation Council (JRC) Neuroresuscitation Task Force and the Guidelines Editorial Committee
St. Luke's International Hospital · JPDokkyo Medical University · JPJuntendo University Urayasu Hospital · JPKagawa University Hospital · JPNippon Medical School · JPOsaka Medical and Pharmaceutical University · JPOsaka Mishima Emergency and Critical Care Center · JP

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Status epilepticus (SE) is a life-threatening medical and neurological emergency. Prompt recognition and treatment are essential to stop the seizure and improve patient outcomes. To elucidate which benzodiazepine should be used as the first-line treatment, a systemic search of the PubMed, Cochrane Central Register of Controlled Trials, and Igaku Chuo Zasshi databases was carried out to identify randomized controlled trials (RCTs) comparing i.v. administration of lorazepam and diazepam used for adult SE. The certainty of evidence was assessed using the Grading of Recommendations, Assessment, Development, and Evaluation approach. Only two RCTs were finally analyzed among 2182 papers extracted. The SE definitions, inclusion criteria, and doses of the drugs differed in the two studies. Of 204 patients included, 103 and 101 patients were allocated to the lorazepam and diazepam groups, respectively. The pooled risk ratio (RR) and confidence interval (CI) for lorazepam treatment on seizure cessation (two RCTs,

Indexed as

Convulsiondiazepamlorazepamseizurestatus epilepticus

Identifiers

PMID33489240
PMCPMC7809602
OpenAlexW3097598282

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.