Positive single-center randomized trials and subsequent multicenter randomized trials in critically ill patients: a systematic review.

ABSTRACT:

Background

It is unclear how often survival benefits observed in single-center randomized controlled trials (sRCTs) involving critically ill patients are confirmed by subsequent multicenter randomized controlled trials (mRCTs). We aimed to perform a systemic literature review of sRCTs with a statistically significant mortality reduction and to evaluate whether subsequent mRCTs confirmed such reduction.

Methods

We searched PubMed for sRCTs published in the New England Journal of Medicine, JAMA, or Lancet, from inception until December 31, 2016. We selected studies reporting a statistically significant mortality decrease using any intervention (drug, technique, or strategy) in adult critically ill patients. We then searched for subsequent mRCTs addressing the same research que

SUBMITTER: Kotani Y 

PROVIDER: S-EPMC10685543 | biostudies-literature | 2023 Nov

REPOSITORIES: biostudies-literature