Fluid Resuscitation With Lactated Ringer's Solution Versus Normal Saline in Acute Pancreatitis : A Systematic Review and Meta-Analysis of Randomized Trials

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OBJECTIVES: We aimed to perform a systematic review and meta-analysis of randomized controlled trials to summarize the overall association between the choice of fluid (lactated Ringer's [LR] or normal saline [NS]) and clinical outcomes in patients with acute pancreatitis.

METHODS: A systematic literature search was performed in electronic databases to identify eligible randomized controlled trials. Meta-analyses with the random-effects and IVhet models were used to estimate the pooled odds ratio (OR) for outcomes of interest with the administration of LR relative to NS, at 95% confidence intervals (CIs).

RESULTS: There was a significant reduction in the odds of intensive care unit admission and development of local complications, respectively, with the administration of LR among hospitalized patients with acute pancreatitis relative to administration of NS (pooled ORs, 0.33 [95% CI, 0.13-0.81] and 0.43 [95% CI, 0.21-0.89], respectively).

CONCLUSIONS: Our findings are able to assist clinicians in the navigation of the proper choice of fluid in patients with acute pancreatitis.

Medienart:

E-Artikel

Erscheinungsjahr:

2022

Erschienen:

2022

Enthalten in:

Zur Gesamtaufnahme - volume:51

Enthalten in:

Pancreas - 51(2022), 7 vom: 01. Aug., Seite 752-755

Sprache:

Englisch

Beteiligte Personen:

Kow, Chia Siang [VerfasserIn]
Burud, Ismail Abdul Sattar [VerfasserIn]
Hasan, Syed Shahzad [VerfasserIn]

Links:

Volltext

Themen:

Isotonic Solutions
Journal Article
Meta-Analysis
Ringer's Lactate
Saline Solution
Systematic Review

Anmerkungen:

Date Completed 21.11.2022

Date Revised 03.02.2023

published: Print

Citation Status MEDLINE

doi:

10.1097/MPA.0000000000002112

funding:

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

NLM349086893