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

Comparison 18. HALOPERIDOL vs COMBINATIONS: c. HALOPERIDOL + MIDAZOLAM.

Outcome or subgroup title No. of studies No. of participants Statistical method Effect size
1 Repeated need for tranquillisation 1   Risk Ratio (M‐H, Fixed, 95% CI) Subtotals only
1.1 need for additional drugs for tranquillisation up to 2 hours 1 60 Risk Ratio (M‐H, Fixed, 95% CI) 0.27 [0.10, 0.71]
1.2 need for additional drugs for tranquillisation by 12 hours 1 60 Risk Ratio (M‐H, Fixed, 95% CI) 0.88 [0.69, 1.13]
2 Specific behaviour: 1a. Agitation ‐ average scores ‐ i. up to 2 hours 1   Mean Difference (IV, Fixed, 95% CI) Subtotals only
2.1 endpoint score at 1 hour (OASS, high=worse) 1 60 Mean Difference (IV, Fixed, 95% CI) ‐8.5 [‐9.93, ‐7.07]
2.2 endpoint score at 2 hours (OASS, high=worse) 1 60 Mean Difference (IV, Fixed, 95% CI) ‐6.7 [‐7.46, ‐5.94]
3 Specific behaviour: 1b. Agitation ‐ average scores ‐ ii. up to 4 hours 1   Mean Difference (IV, Fixed, 95% CI) Subtotals only
3.1 endpoint score at 4 hours (OASS, high=worse) 1 60 Mean Difference (IV, Fixed, 95% CI) ‐5.5 [‐6.48, ‐4.52]
4 Specific behaviour: 1c. Agitation ‐ average scores ‐ iii. up to 24 hours 1   Mean Difference (IV, Fixed, 95% CI) Subtotals only
4.1 endpoint score at 6 hours (OASS, high=worse) 1 60 Mean Difference (IV, Fixed, 95% CI) ‐3.70 [‐4.56, ‐2.84]
4.2 endpoint score at 12 hours (OASS, high=worse) 1 60 Mean Difference (IV, Fixed, 95% CI) ‐11.2 [‐12.24, ‐10.16]
5 Specific behaviour: 2a. Aggression ‐ average scores ‐ i. up to 2 hours 1   Mean Difference (IV, Fixed, 95% CI) Subtotals only
5.1 endpoint score at 1 hour (OAS, high=worse) 1 60 Mean Difference (IV, Fixed, 95% CI) ‐1.20 [‐2.44, 0.04]
5.2 endpoint score at 2 hours (OAS, high=worse) 1 60 Mean Difference (IV, Fixed, 95% CI) ‐2.40 [‐4.21, ‐0.59]
6 Specific behaviour: 2b. Aggression ‐ average scores ‐ ii. up to 4 hours 1   Mean Difference (IV, Fixed, 95% CI) Subtotals only
6.1 endpoint score at 4 hours (OAS, high=worse) 1 60 Mean Difference (IV, Fixed, 95% CI) ‐0.10 [‐0.68, 0.48]
7 Specific behaviour: 2c. Aggression ‐ average scores ‐ iii. up to 24 hours 1   Mean Difference (IV, Fixed, 95% CI) Subtotals only
7.1 endpoint score at 6 hours (OAS, high=worse) 1 60 Mean Difference (IV, Fixed, 95% CI) 0.40 [0.30, 0.50]
7.2 endpoint score at 12 hours (OAS, high=worse) 1 60 Mean Difference (IV, Fixed, 95% CI) ‐1.9 [‐2.58, ‐1.22]
8 Global outcomes: 1. General ‐ need for additional measures 1   Risk Ratio (M‐H, Fixed, 95% CI) Subtotals only
8.1 additional restraint, seclusion or special observation during 12 hours 1 60 Risk Ratio (M‐H, Fixed, 95% CI) 0.29 [0.13, 0.61]
9 Adverse effects: 1b. General ‐ one or more adverse events 1   Risk Ratio (M‐H, Fixed, 95% CI) Subtotals only
9.1 during 12 hours 1 60 Risk Ratio (M‐H, Fixed, 95% CI) 0.73 [0.41, 1.32]
10 Adverse effects: 1a. General ‐ serious 1   Risk Ratio (M‐H, Fixed, 95% CI) Subtotals only
10.1 death 1 60 Risk Ratio (M‐H, Fixed, 95% CI) 0.0 [0.0, 0.0]
11 Adverse effects: 2a. Specific ‐ arousal ‐ i. various 1   Risk Ratio (M‐H, Fixed, 95% CI) Subtotals only
11.1 excessive sedation by 12 hours 1 60 Risk Ratio (M‐H, Fixed, 95% CI) 0.25 [0.08, 0.80]
12 Adverse effects: 2b. Specific ‐ arousal ‐ ii. average scores ‐ i. up to 2 hours 1   Mean Difference (IV, Fixed, 95% CI) Subtotals only
12.1 endpoint score at 1 hour (RSS, high=worse) 1 60 Mean Difference (IV, Fixed, 95% CI) ‐0.5 [‐1.01, 0.01]
12.2 endpoint score at 2 hours (RSS, high=worse) 1 60 Mean Difference (IV, Fixed, 95% CI) ‐0.10 [‐0.56, 0.36]
13 Adverse effects: 2c. Specific ‐ arousal ‐ ii. average scores ‐ ii. up to 4 hours 1   Mean Difference (IV, Fixed, 95% CI) Subtotals only
13.1 endpoint score at 4 hours (RSS, high=worse) 1 60 Mean Difference (IV, Fixed, 95% CI) ‐0.30 [‐0.78, 0.18]
14 Adverse effects: 2d. Specific ‐ arousal ‐ iii. average scores ‐ iii. up to 24 hours 1   Mean Difference (IV, Fixed, 95% CI) Subtotals only
14.1 endpoint score at 6 hours (RSS, high=worse) 1 60 Mean Difference (IV, Fixed, 95% CI) ‐0.10 [‐0.40, 0.20]
14.2 endpoint score at 12 hours (RSS, high=worse) 1 60 Mean Difference (IV, Fixed, 95% CI) 0.10 [‐0.26, 0.46]
15 Adverse effects: 2e. Specific ‐ cardiovascular 1   Risk Ratio (M‐H, Fixed, 95% CI) Subtotals only
15.1 hypotension by 12 hours 1 60 Risk Ratio (M‐H, Fixed, 95% CI) 0.09 [0.01, 1.57]
16 Adverse effects: 2f. Specific ‐ movement disorders 1   Risk Ratio (M‐H, Fixed, 95% CI) Subtotals only
16.1 EPS by 12 hours 1 60 Risk Ratio (M‐H, Fixed, 95% CI) 1.67 [0.44, 6.36]