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. 2018 Jan 8;2018(1):CD008074. doi: 10.1002/14651858.CD008074.pub2

Comparison 3. ARIPIPRAZOLE (intramuscular) vs OTHER ANTIPSYCHOTIC: b. OLANZAPINE (intramuscular).

Outcome or subgroup title No. of studies No. of participants Statistical method Effect size
1 Specific behaviour: 1a. Agitation ‐ clinically important change (PANSS‐ EC reduction ≥ 40% from baseline) 1   Risk Ratio (M‐H, Fixed, 95% CI) Subtotals only
1.1 up to 2 hours 1 80 Risk Ratio (M‐H, Fixed, 95% CI) 0.77 [0.60, 0.99]
2 Specific behaviour: 1b. Agitation ‐ average scores ‐ i. up to 2 hours 1   Mean Difference (IV, Fixed, 95% CI) Subtotals only
2.1 change score (ACES, low=agitated, high=sedated) 1 80 Mean Difference (IV, Fixed, 95% CI) 0.58 [0.10, 1.06]
2.2 change score (PANSS‐EC, high=worse) 1 80 Mean Difference (IV, Fixed, 95% CI) 3.30 [1.25, 5.35]
3 Global state: 1. Average scores ‐ i. up to 2 hours 1   Mean Difference (IV, Fixed, 95% CI) Subtotals only
3.1 change score (CGI‐S, high=worse) 1 80 Mean Difference (IV, Fixed, 95% CI) 0.58 [0.01, 1.15]
4 Adverse effects: 1a. General 1   Risk Ratio (M‐H, Fixed, 95% CI) Subtotals only
4.1 one or more drug related adverse events during 24 hours 1 80 Risk Ratio (M‐H, Fixed, 95% CI) 0.75 [0.45, 1.24]
5 Adverse effects: 1b. General ‐ serious 1   Risk Ratio (M‐H, Fixed, 95% CI) Subtotals only
5.1 rated as serious 1 80 Risk Ratio (M‐H, Fixed, 95% CI) 0.0 [0.0, 0.0]
6 Adverse effects: 2a. Specific ‐ arousal 1   Risk Ratio (M‐H, Fixed, 95% CI) Subtotals only
6.1 somnolence during 24 hours 1 80 Risk Ratio (M‐H, Fixed, 95% CI) 0.25 [0.08, 0.82]
7 Adverse effects: 2b. Specific ‐ cardiovascular 1   Mean Difference (IV, Fixed, 95% CI) Subtotals only
7.1 systolic blood pressure change up to 2 hours 1 80 Mean Difference (IV, Fixed, 95% CI) 2.85 [‐6.77, 12.47]
7.2 diastolic blood pressure change up to 2 hours 1 80 Mean Difference (IV, Fixed, 95% CI) ‐1.05 [‐8.09, 5.99]
7.3 pulse rate change up to 2 hours 1 80 Mean Difference (IV, Fixed, 95% CI) ‐0.67 [‐6.80, 5.46]
7.4 systolic blood pressure change up to 24 hours 1 80 Mean Difference (IV, Fixed, 95% CI) 3.37 [‐5.43, 12.17]
7.5 diastolic blood pressure change up to 24 hours 1 80 Mean Difference (IV, Fixed, 95% CI) ‐1.30 [‐8.55, 5.95]
7.6 pulse rate change up to 24 hours 1 80 Mean Difference (IV, Fixed, 95% CI) ‐6.05 [‐13.43, 1.33]
8 Adverse effects: 2c. Specific ‐ movement disorders ‐ i. dichotomous 1   Risk Ratio (M‐H, Fixed, 95% CI) Subtotals only
8.1 akathisia up to 24 hours 1 80 Risk Ratio (M‐H, Fixed, 95% CI) 0.0 [0.0, 0.0]
8.2 dystonia up to 24 hours 1 80 Risk Ratio (M‐H, Fixed, 95% CI) 0.0 [0.0, 0.0]
8.3 rigidity up to 24 hours 1 80 Risk Ratio (M‐H, Fixed, 95% CI) 1.33 [0.32, 5.58]
8.4 tremor up to 24 hours 1 80 Risk Ratio (M‐H, Fixed, 95% CI) 1.5 [0.26, 8.50]
9 Adverse effects: 2d. Specific ‐ movement disorders ‐ ii. average scores 1   Mean Difference (IV, Fixed, 95% CI) Subtotals only
9.1 SAS change score up to 2 hours (high=worse) 1 80 Mean Difference (IV, Fixed, 95% CI) ‐0.05 [‐0.26, 0.16]
9.2 SAS change score up to 24 hours (high=worse) 1 80 Mean Difference (IV, Fixed, 95% CI) ‐0.03 [‐0.29, 0.23]
10 Adverse effects: 2e. Specific ‐ miscellaneous 1   Risk Ratio (M‐H, Fixed, 95% CI) Subtotals only
10.1 headache during 24 hours 1 80 Risk Ratio (M‐H, Fixed, 95% CI) 2.0 [0.19, 21.18]
10.2 pain at injection site during 24 hours 1 80 Risk Ratio (M‐H, Fixed, 95% CI) 2.67 [0.76, 9.33]
10.3 nausea during 24 hours 1 80 Risk Ratio (M‐H, Fixed, 95% CI) 3.0 [0.13, 71.51]
11 Leaving the study early 1   Risk Ratio (M‐H, Fixed, 95% CI) Subtotals only