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. 2018 Jan 10;2018(1):CD001905. doi: 10.1002/14651858.CD001905.pub3

Comparison 1. Lorazepam versus diazepam.

Outcome or subgroup title No. of studies No. of participants Statistical method Effect size
1 Seizure cessation 3 439 Risk Ratio (M‐H, Fixed, 95% CI) 1.08 [0.98, 1.20]
1.1 Intravenous 3 414 Risk Ratio (M‐H, Fixed, 95% CI) 1.04 [0.94, 1.16]
1.2 Rectal 1 25 Risk Ratio (M‐H, Fixed, 95% CI) 2.86 [1.47, 5.55]
2 Time from drug administration to stopping of seizures 1   Mean Difference (IV, Fixed, 95% CI) Subtotals only
2.1 Intravenous 1 80 Mean Difference (IV, Fixed, 95% CI) 6.18 [‐7.83, 20.19]
3 Incidence of respiratory depression 3 439 Risk Ratio (M‐H, Fixed, 95% CI) 0.72 [0.55, 0.93]
3.1 Intravenous 3 414 Risk Ratio (M‐H, Fixed, 95% CI) 0.71 [0.55, 0.92]
3.2 Rectal 1 25 Risk Ratio (M‐H, Fixed, 95% CI) 0.95 [0.04, 20.78]
4 Additional dose of the trial drug required to stop seizures 3 439 Risk Ratio (M‐H, Fixed, 95% CI) 0.88 [0.64, 1.20]
4.1 Intravenous 3 414 Risk Ratio (M‐H, Fixed, 95% CI) 0.97 [0.71, 1.33]
4.2 Rectal 1 25 Risk Ratio (M‐H, Fixed, 95% CI) 0.11 [0.01, 1.56]
5 Additional drugs required to stop seizures 2 359 Risk Ratio (M‐H, Fixed, 95% CI) 0.75 [0.45, 1.24]
5.1 Intravenous 2 334 Risk Ratio (M‐H, Fixed, 95% CI) 0.91 [0.54, 1.55]
5.2 Rectal 1 25 Risk Ratio (M‐H, Fixed, 95% CI) 0.11 [0.01, 1.69]
6 Seizure recurrence within 24 hours 3 439 Risk Ratio (M‐H, Fixed, 95% CI) 0.86 [0.61, 1.20]
6.1 Intravenous 3 414 Risk Ratio (M‐H, Fixed, 95% CI) 0.91 [0.65, 1.27]
6.2 Rectal 1 25 Risk Ratio (M‐H, Fixed, 95% CI) 0.19 [0.01, 2.92]
7 Incidence of admissions to the intensive care unit (ICU) 1 86 Risk Ratio (M‐H, Fixed, 95% CI) 0.15 [0.02, 0.98]
7.1 Intravenous 1 61 Risk Ratio (M‐H, Fixed, 95% CI) 0.07 [0.00, 1.22]
7.2 Rectal 1 25 Risk Ratio (M‐H, Fixed, 95% CI) 0.57 [0.03, 10.51]