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. 2020 Apr 23;7(1):e000557. doi: 10.1136/bmjresp-2020-000557

Table 3.

Results from subgroup analysis. These pre-specified analyses were only performed for the four primary outcomes. The only significant effect modification was query type for dysgeusia (ie, the odds of dysgeusia were higher in trials querying actively vs unclear/passively for symptoms)

Study characteristics Paraesthesias Dysgeusia Polyuria Fatigue
Beta (95% CI) N P Beta (95% CI) N P Beta (95% CI) N P Beta (95% CI) N P
Outcome characteristics
 Query type
 (active vs unclear/no)
2.1 (0.9 to 5.3) 39 0.10 4.0 (1.1 to 14) 22 0.04 1.5 (0.5 to 4.6) 22 0.46 2.2 (0.5 to 11) 14 0.29
 Overall risk of bias
 (low vs unclear vs high)
0.8 (0.5 to 1.4) 39 0.46 1.2 (0.5 to 2.6) 22 0.70 1.7 (0.9 to 3.5) 22 0.11 0.6 (0.2 to 1.7) 14 0.31
Intervention characteristics
 Days of administration
 (per 10 day increase)
1.0 (0.93 to 1.1) 39 0.87 1.1 (0.9 to 1.3) 22 0.20 1.1 (0.97 to 1.3) 22 0.12 1.1 (0.98 to 1.28) 14 0.10
 Total daily dose/kg
 (per 1 mg/kg increase)
1.03 (0.97 to 1.1) 15 0.31 1.16 (0.86 to 1.6) 7 0.25 1.07 (0.88 to 1.3) 9 0.43 1.09 (0.78 to 1.5) 4 0.39
 Cumulative dose
 (per 10 000 mg X days increase)
1.01 (0.97 to 1.04) 39 0.71 1.05 (0.98 to 1.13) 22 0.15 1.04 (0.97 to 1.12) 22 0.30 1.04 (0.98 to 1.1) 14 0.15
 Diuretic use
 (yes vs unclear/no)
0.9 (0.2 to 4.4) 39 0.85 2.9 (0.6 to 15) 22 0.19 0.7 (0.2 to 2.7) 22 0.55 Insufficient n
 Renal adjustment
 (yes vs unclear/no)
1.0 (0.4 to 2.2) 39 0.95 1.4 (0.4 to 5) 22 0.63 0.6 (0.2 to 1.6) 22 0.32 0.9 (0.2 to 5.1) 14 0.91
 High altitude
 (yes vs no)
0.8 (0.4 to 1.7) 39 0.54 0.4 (0.1 to 1.3) 22 0.12 0.9 (0.3 to 2.5) 22 0.77 0.2 (0 to 4.6) 14 0.26
Participant characteristics
Mean age
(per 10 year increase)
0.9 (0.6 to 1.2) 34 0.36 1.1 (0.7 to 1.9) 19 0.59 1.0 (0.6 to 1.5) 21 0.86 0.8 (0.4 to 1.5) 13 0.42
% female
(per 10% increase)
1.1 (0.98 to 1.2) 37 0.10 1.1 (0.9 to 1.4) 21 0.47 1.0 (0.8 to 1.2) 22 0.96 1.4 (0.9 to 2.1) 14 0.10
BMI
(per 5-point increase)
1.2 (0.8 to 1.6) 11 0.34 2.4 (0.1 to 90) 4 0.40 1.1 (0.3 to 4.7) 6 0.87 Insufficient n
Race 4 0.49 Insufficient n 4 0.82 4 0.59
 White
 Black
 Other
Condition 39 0.91 22 0.32 22 0.87 Insufficient n
 AMS/CMS
 OSA/CSA
 Ophthalmic (medical)
 Ophthalmic (surgical)
 Other
Laboratory changes (acetazolamide−placebo)
 pH
 (per 0.01 increase)
1.04 (0.8 to 1.4) 10 0.81 1.8 (0.5 to 7) 5 0.26 1.1 (0.6 to 2) 4 0.64 Insufficient n
 pCO2
 (per 1 mm Hg increase)
1.1 (0.8 to 1.6) 12 0.47 1.02 (0.5 to 2.3) 7 0.95 0.7 (0.3 to 1.5) 6 0.26 Insufficient n
 pO2
 (per 1 mm Hg increase)
1.0 (0.7 to 1.5) 8 0.96 1.3 (0.7 to 2.6) 5 0.28 0.99 (0.4 to 2.6) 4 0.96 Insufficient n
 Bicarbonate
 (per 1 mmol/L increase)
1.5 (0.7 to 3.4) 7 0.25 0.8 (0 to 6846) 3 0.77 1.3 (0.3 to 7) 4 0.53 Insufficient n
 Chloride Insufficient n Insufficient n Insufficient n Insufficient n

AMS, acute mountain sickness; BMI, body mass index; CMS, chronic mountain sickness; CSA, central sleep apnea; OSA, obstructive sleep apnea.