Evidence map›Paper›PMID 37811089›Full record

ReviewAnnals of medicine and surgery (2012)2023

Continuous vs. intermittent terlipressin infusion for portal hypertension: a systematic review and meta-analysis.

Mona Hassan, Nooraldin Merza, Yusuf Nawras, Eshak I Bahbah, Alsadiq Al-Hillan, Zohaib Ahmed, Saad El D M ElSheref, Dushyant S Dahiya, Sophia Dar, Mohammed Al Azzawi and 1 more

Open access · diamondAbstract readReview
In one paragraph

Review in Annals of medicine and surgery (2012), 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
1.8field-weighted citation impact, top 14% 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

4 citing papers in PubMed, 9 citations in OpenAlex.

  1. Article
  2. Article
  3. Review
  4. Article
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

11 authors at 5 institutions in 2 countries.

Mona HassanDepartment of Gastroenterology.
Nooraldin MerzaDepartment of Internal Medicine.
Yusuf NawrasThe University of Toledo, College of Medicine and Life Sciences, Toledo, Ohio.
Eshak I BahbahDepartment of Internal Medicine, Al Azhar University, New Damietta, Egypt.
Alsadiq Al-HillanGastroenterology Department, Corewell health/Willam Beaumont University Hospital, Michigan.
Zohaib AhmedDepartment of Gastroenterology.
Saad El D M ElSherefDepartment of Internal Medicine, Al Azhar University, New Damietta, Egypt.
Dushyant S DahiyaDivision of Gastroenterology, University of Kansas School of Medicine, Kansas City.
Sophia DarGastroenterology Department, Southern Illinois University, Springfield, Illinois, USA.
Mohammed Al AzzawiPulmonary and Critical Care Department, The University of Toledo.
Abdallah KobeissyDepartment of Gastroenterology.
University of Toledo · USAl-Azhar University · EGBeaumont Hospital, Troy · USSouthern Illinois University School of Medicine · USThe University of Kansas Health System · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Portal hypertension, a major complication of chronic liver disease, often leads to life-threatening variceal bleeding, managed effectively with vasoactive drugs like terlipressin. However, the most optimal method of terlipressin administration, continuous versus intermittent infusion, remains a subject of debate, necessitating this systematic review and meta-analysis for evidence-based decision-making in managing this critical condition. Methods: This systematic review and meta-analysis adhered to the PRISMA standards and explored multiple databases until 6 April 2023, such as MEDLINE through PubMed, Scopus, Web of Science, and CENTRAL. Independent reviewers selected randomized controlled trials (RCTs) that met specific inclusion criteria. After assessing study quality and extracting necessary data, statistical analysis was performed using Review Manager (RevMan), with results presented as risk ratios (RR) or mean differences. Results: Five RCTs ( Conclusion: This study provides robust evidence suggesting that continuous terlipressin infusion may be superior to intermittent infusions in reducing the risk of rebleeding, treatment failure, and adverse effects in patients with portal hypertension. However, further large-scale, high-quality RCTs are required to confirm these findings and to investigate the potential benefits of continuous terlipressin infusion on mortality and hospital stays.

Indexed as

continuous infusionintermittent infusionsportal hypertensionrebleedingterlipressin

Identifiers

PMID37811089
PMCPMC10553058
OpenAlexW4386636245

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-SA
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.