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Table 3 Confidence in the relative risk of each comparison and outcome assessed by the GRADE system for short-term mortality and intubation

From: Association of noninvasive respiratory support with mortality and intubation rates in acute respiratory failure: a systematic review and network meta-analysis

 

Risk of bias across studies

Imprecision

Heterogeneity

Indirectness

Publication bias

Incoherence

Confidence in relative risk of the event

Short-term mortality

 NPPV vs. COT

Undetected

Not serious

(95% CI 0.76-1.01)

Major concern a)

(95% PI 0.49-1.45)

Low

Not suggested

Major concernb

(p = 0.005)

Low

 HFNC vs. COT

Undetected

Not serious

(95% CI 0.80-1.08)

Major concern a)

(95% PI 0.45-1.47)

Low

Not suggested

Major concernb

(p = 0.031)

Low

 HFNC vs. NPPV

Undetected

Not serious

(95% CI 0.78-1.15)

Major concern a)

(95% PI 0.56-1.91)

Low

Not suggested

Major concernb

(p < 0.001)

Low

Intubation

 NPPV vs. COT

Undetected

Not serious

(95% CI 0.72-0.91)

Major concern a)

(95% PI 0.29-1.46)

Low

Not suggested

Major concernb

(p = 0.0035)

Low

 HFNC vs. COT

Undetected

Not serious

(95% CI 0.68-0.89)

Major concern a)

(95% PI 0.26-1.44)

Low

Not suggested

Major concernb

(p = 0.001)

Low

 HFNC vs. NPPV

Undetected

Not serious

(95% CI 0.88-1.22)

Major concern a)

(95% PI 0.45-2.49)

Low

Not suggested

Major concernb

(p < 0.001)

Low

  1. CI Confidence interval; COT Conventional oxygen therapy; HFNC High-flow nasal therapy; NPPV noninvasive positive pressure ventilation; PI Prediction interval
  2. a Prediction interval extends into clinically important effects in both directions.
  3. b P value of inconsistency was below 0.05.