Evaluation of the role of sex as a prognostic factor in critically ill adults with sepsis: Systematic review protocol
Por:
Lopez-Alcalde J., Antequera Martín A., Stallings E., Muriel A., Fernández-Félix B., Solà I., Del Campo R., Ponce-Alonso M., Gordo F., Fidalgo P., Halperin A.V., Álvarez-Díaz N., Madrid-Pascual O., Urrutia G., Zamora J.
Publicada:
1 ene 2020
Resumen:
Introduction Sepsis is a leading cause of mortality in critically ill patients. Recently, it has been recognised that sex may contribute to a differential risk for developing sepsis and it remains uncertain if the prognosis of sepsis varies between the sexes. The aim of this systematic review is to summarise the available evidence to assess the role of sex as a prognostic factor in patients with sepsis managed in the intensive care unit (ICU). Methods and analysis This is a systematic review protocol of prognostic studies of sex in patients with sepsis managed in the ICU. The primary outcomes include all-cause hospital mortality and all-cause hospital mortality during the first 28 days. The secondary outcomes include all-cause hospital mortality during the first 7 days and all-cause mortality at 1 year. We will conduct a search strategy based on the population (sepsis), the prognostic factor (sex), the outcome of interest (mortality) and prognostic study methods. We will search in the following databases up to December 2019: MEDLINE Ovid (from 1976), Embase Elsevier (from 1974), Web of Science and two trial registries. We will impose no language restrictions. Two authors will independently screen titles, abstracts and full-text articles for eligibility of studies, and subsequently extract data. Two authors will independently assess the risk of bias of each study using the Quality in Prognostic Studies (QUIPS) tool. If possible, we will carry out a meta-analysis to provide a pooled prognostic effect estimate for each outcome. We will use the Grading of Recommendations Assessment, Development and Evaluation system to assess the quality of evidence. Ethics and dissemination Ethical approval will not be required. Findings from this review will be reported in a peer-reviewed scientific journal. Additionally, the results will be disseminated at conferences and in the mass media. PROSPERO registration number CRD42019145054. © Author(s) (or their employer(s)) 2020. Re-use permitted under CC BY-NC. No commercial re-use. See rights and permissions. Published by BMJ.
Filiaciones:
Lopez-Alcalde J.:
Faculty of Health Sciences, Universidad Francisco de Vitoria, Pozuelo de Alarcón, Spain
Clinical Biostatistics Unit, Instituto Ramón y Cajal de Investigación Sanitaria, Madrid, Spain
Epidemiology and Public Health Networking Biomedical Research Centre (CIBERESP), Madrid, Spain
Antequera Martín A.:
Autonomous University of Barcelona, Barcelona, Spain
Biomedical Research Institute Sant Pau, Hospital Santa Cruz y San Pablo, Barcelona, Spain
Stallings E.:
Clinical Biostatistics Unit, Instituto Ramón y Cajal de Investigación Sanitaria, Madrid, Spain
Muriel A.:
Clinical Biostatistics Unit, Instituto Ramón y Cajal de Investigación Sanitaria, Madrid, Spain
Epidemiology and Public Health Networking Biomedical Research Centre (CIBERESP), Madrid, Spain
Department of Nursing and Physiotherapy, Universidad de Alcalá, Madrid, Spain
Fernández-Félix B.:
Clinical Biostatistics Unit, Instituto Ramón y Cajal de Investigación Sanitaria, Madrid, Spain
Epidemiology and Public Health Networking Biomedical Research Centre (CIBERESP), Madrid, Spain
Solà I.:
Biomedical Research Institute Sant Pau, Hospital Santa Cruz y San Pablo, Barcelona, Spain
Epidemiology and Public Health Networking Biomedical Research Centre (CIBERESP), Barcelona, Spain
Iberoamerican Cochrane Centre, Barcelona, Spain
Del Campo R.:
Department of Microbiology, Hospital Universitario Ramón y Cajal, Madrid, Spain
Ponce-Alonso M.:
Department of Microbiology, Hospital Universitario Ramón y Cajal, Madrid, Spain
Gordo F.:
Faculty of Health Sciences, Universidad Francisco de Vitoria, Pozuelo de Alarcón, Spain
Department of Intensive Care, Hospital Universitario Del Henares, Coslada, Madrid, Spain
Fidalgo P.:
Faculty of Health Sciences, Universidad Francisco de Vitoria, Pozuelo de Alarcón, Spain
Department of Internal Medicine, Hospital Universitario Del Henares, Coslada, Madrid, Spain
Halperin A.V.:
Department of Microbiology, Hospital Universitario Ramón y Cajal, Madrid, Spain
Álvarez-Díaz N.:
Medical Library Hospital, Universitario Ramón y Cajal, Madrid, Madrid, Spain
Madrid-Pascual O.:
Arztpraxis Kalkbreite, Zurich, Switzerland
Urrutia G.:
Biomedical Research Institute Sant Pau, Hospital Santa Cruz y San Pablo, Barcelona, Spain
Epidemiology and Public Health Networking Biomedical Research Centre (CIBERESP), Barcelona, Spain
Iberoamerican Cochrane Centre, Barcelona, Spain
Zamora J.:
Clinical Biostatistics Unit, Instituto Ramón y Cajal de Investigación Sanitaria, Madrid, Spain
Epidemiology and Public Health Networking Biomedical Research Centre (CIBERESP), Madrid, Spain
Green Published, gold, Gold, Green
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