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. 2017 Jul 31;2017(7):CD009377. doi: 10.1002/14651858.CD009377.pub3

Comparison 14. HALOPERIDOL vs BENZODIAZEPINE: b. LORAZEPAM.

Outcome or subgroup title No. of studies No. of participants Statistical method Effect size
1 Tranquillisation or asleep ‐ not asleep 2   Risk Ratio (M‐H, Fixed, 95% CI) Subtotals only
1.1 at 1 hour 1 60 Risk Ratio (M‐H, Fixed, 95% CI) 1.05 [0.76, 1.44]
1.2 by 3 hours 1 66 Risk Ratio (M‐H, Fixed, 95% CI) 1.93 [1.14, 3.27]
2 Repeated need for rapid tranquillisation 1   Risk Ratio (M‐H, Fixed, 95% CI) Subtotals only
2.1 more than 1 injection 1 66 Risk Ratio (M‐H, Fixed, 95% CI) 1.14 [0.91, 1.43]
2.2 more than 3 injections 1 66 Risk Ratio (M‐H, Fixed, 95% CI) 1.11 [0.50, 2.45]
3 Global outcome: 1. No overall improvement 1   Risk Ratio (M‐H, Fixed, 95% CI) Subtotals only
3.1 by 30 minutes 1 44 Risk Ratio (M‐H, Fixed, 95% CI) 1.10 [0.70, 1.71]
3.2 at 1 hour 1 44 Risk Ratio (M‐H, Fixed, 95% CI) 1.64 [0.54, 5.03]
3.3 at > 1 hour 1 44 Risk Ratio (M‐H, Fixed, 95% CI) 0.0 [0.0, 0.0]
4 Mental state: 1a. Average scores ‐ i. up to 2 hours 1   Mean Difference (IV, Fixed, 95% CI) Subtotals only
4.1 endpoint score at 1 hour (BPRS, high=worse) 1 37 Mean Difference (IV, Fixed, 95% CI) 3.26 [‐4.13, 10.65]
4.2 endpoint score at 2 hours (BPRS, high=worse) 1 37 Mean Difference (IV, Fixed, 95% CI) 4.07 [‐2.62, 10.76]
5 Mental state: 1b. Average scores ‐ ii. up to 4 hours 1   Mean Difference (IV, Fixed, 95% CI) Subtotals only
5.1 endpoint score at 3 hours (BPRS, high=worse) 1 37 Mean Difference (IV, Fixed, 95% CI) 5.03 [‐2.98, 13.04]
5.2 endpoint score at 4 hours (BPRS, high=worse) 1 37 Mean Difference (IV, Fixed, 95% CI) 1.73 [‐6.14, 9.60]
6 Adverse effects: 1a. General 1   Risk Ratio (M‐H, Fixed, 95% CI) Subtotals only
6.1 one or more drug‐related adverse effect up to 24 hours 1 66 Risk Ratio (M‐H, Fixed, 95% CI) 1.13 [0.60, 2.10]
7 Adverse effects: 1b. General ‐ serious 1   Risk Ratio (M‐H, Fixed, 95% CI) Subtotals only
8 Adverse effects: 2a. Specific ‐ anticholinergic 1 66 Risk Ratio (M‐H, Fixed, 95% CI) 0.53 [0.14, 2.04]
8.1 dry mouth up to 24 hours (only reported if occurred ≥9%) 1 66 Risk Ratio (M‐H, Fixed, 95% CI) 0.53 [0.14, 2.04]
9 Adverse effects: 2b. Specific ‐ arousal 1   Risk Ratio (M‐H, Fixed, 95% CI) Subtotals only
9.1 asleep ‐ at 1 hour 1 60 Risk Ratio (M‐H, Fixed, 95% CI) 0.89 [0.40, 1.99]
10 Adverse effects: 2c. Specific ‐ cardiovascular 1   Risk Ratio (M‐H, Fixed, 95% CI) Subtotals only
10.1 dizziness (only reported if occurred in ≧9%) ‐ during 24 hours 1 66 Risk Ratio (M‐H, Fixed, 95% CI) 0.89 [0.19, 4.07]
10.2 hypertension ‐ use of additional clonidine ‐ during 24 hours 1 66 Risk Ratio (M‐H, Fixed, 95% CI) 2.67 [0.11, 63.17]
11 Adverse effects: 2d. Specific ‐ movement disorder 2   Risk Ratio (M‐H, Fixed, 95% CI) Subtotals only
11.1 ataxia (only reported if occurred in ≧9%) ‐ during 24 hours 1 66 Risk Ratio (M‐H, Fixed, 95% CI) 0.44 [0.04, 4.65]
11.2 dystonia (only reported if occurred in ≧9%) ‐ during 24 hours 1 66 Risk Ratio (M‐H, Fixed, 95% CI) 3.54 [0.42, 30.03]
11.3 EPS 1 60 Risk Ratio (M‐H, Fixed, 95% CI) 15.0 [2.11, 106.49]
11.4 hypertonia/rigidity (only reported if occurred in ≧9%) ‐ during 24 hours 1 66 Risk Ratio (M‐H, Fixed, 95% CI) 6.22 [0.33, 115.91]
11.5 speech disorder (only reported if occurred in ≧9%) ‐ during 24 hours 1 66 Risk Ratio (M‐H, Fixed, 95% CI) 1.77 [0.35, 9.01]
11.6 tremor (only reported if occurred in ≧9%) ‐ during 24 hours 1 66 Risk Ratio (M‐H, Fixed, 95% CI) 1.77 [0.17, 18.60]
11.7 use of additional benztropine ‐ during 24 hours 1 66 Risk Ratio (M‐H, Fixed, 95% CI) 1.99 [0.68, 5.83]