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.jpg): Failed to open stream: No such file or directory in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 117 PLoS+One
2015 ; 10
(10
): e0140624
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gab.com Text
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Progesterone for Acute Traumatic Brain Injury: A Systematic Review of Randomized
Controlled Trials
#MMPMID26473361
Zeng Y
; Zhang Y
; Ma J
; Xu J
PLoS One
2015[]; 10
(10
): e0140624
PMID26473361
show ga
OBJECTIVE: To evaluate the efficacy and safety of progesterone administrated in
patients with acute traumatic brain injury (TBI). METHODS: PubMed/MEDLINE,
EMBASE, Cochrane Database of Systematic Reviews, Cochrane Central Register of
Controlled Trials (CENTRAL), Clinicaltrials.gov, ISRCTN registry and WHO
International Clinical Trials Registry Platform (ICTRP) were searched for
randomized controlled trials (RCTs) comparing progesterone and placebo
administrated in acute TBI patients. The primary outcome was mortality and the
secondary outcomes were unfavorable outcomes and adverse events. A meta-analysis
was conducted to evaluate the efficacy and safety of progesterone administrated
in patients with acute TBI. RESULTS: A total of 6 studies met inclusion criteria,
involving 2,476 patients. The risk of bias was considered to be low in 4 studies
but high in the other 2 studies. The results of meta-analysis indicated
progesterone did not reduce the mortality (RR = 0.83, 95% CI = 0.57-1.20) or
unfavorable outcomes (RR = 0.89, 95% CI = 0.78-1.02) of acute TBI patients in
comparison with placebo. Sensitivity analysis yielded consistent results.
Progesterone was basically safe and well tolerated in TBI patients with the
exception of increased risk of phlebitis or thrombophlebitis (RR = 3.03, 95% CI =
1.96-4.66). CONCLUSIONS: Despite some modest bias, present evidence demonstrated
that progesterone was well tolerated but did not reduce the mortality or
unfavorable outcomes of adult patients with acute TBI.