Xourgia, Eleni; Exadaktylos, Aristomenis K; Chalkias, Athanasios; Ziaka, Mairi (2024). Angiotensin II in the treatment of distributive shock: a systematic-review and meta-analysis. (In Press). Shock Shock Society 10.1097/SHK.0000000000002384
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BACKGROUND
While non-norepinephrine vasopressors are increasingly used as a rescue therapy in cases of norepinephrine-refractory shock, data on their efficacy are limited. This systematic review and meta-analysis aims to synthesize existing literature on the efficacy of Angiotensin II (ATII) in distributive shock.
METHODS
We pre-registered our meta-analysis with PROSPERO (CRD42023456136). We searched PubMed, Scopus, and gray literature for studies presenting outcomes on ATII use in distributive shock. The primary outcome of the meta-analysis was all-cause mortality. We used a random effects model to calculate pooled risk ratio (RR) and 95% confidence intervals (CI).
RESULTS
By incorporating data from 1555 patients included in 10 studies, we found that however all-cause mortality was similar among patients receiving ATII and controls (RR 1.02, 95% CI 0.89 to 1.16, p = 0.81), the reduction in norepinephrine or norepinephrine-equivalent dose at 3 h after treatment initiation was greater among patients receiving ATII (MD -0.06, 95% CI -0.11 to -0.02, p = 0.008), while there were no higher rates of adverse events reported among ATII patients.
CONCLUSIONS
While ATII did not reduce mortality among distributive shock patients, it allowed for significant adjunctive vasopressor reduction at 3 h without an increase in reported adverse events, deeming it a viable alternative for the increasingly adopted multimodal vasopressor for minimizing catecholamine exposure and its adverse events.
Item Type: |
Journal Article (Original Article) |
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Division/Institute: |
04 Faculty of Medicine > Department of Intensive Care, Emergency Medicine and Anaesthesiology (DINA) > University Emergency Center |
UniBE Contributor: |
Exadaktylos, Aristomenis, Ziaka, Mairi |
Subjects: |
600 Technology > 610 Medicine & health |
ISSN: |
1540-0514 |
Publisher: |
Shock Society |
Language: |
English |
Submitter: |
Pubmed Import |
Date Deposited: |
20 Jun 2024 12:13 |
Last Modified: |
22 Jun 2024 03:07 |
Publisher DOI: |
10.1097/SHK.0000000000002384 |
PubMed ID: |
38888542 |
BORIS DOI: |
10.48350/197960 |
URI: |
https://boris.unibe.ch/id/eprint/197960 |
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