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. 2020 Nov 5;2020(11):CD009669. doi: 10.1002/14651858.CD009669.pub4

Summary of findings 7. Enoximone compared to dobutamine for low cardiac output syndrome.

Enoximone compared with dobutamine for low cardiac output syndrome
Patient or population: adults with low cardiac output syndrome
Setting: hospital
Intervention: enoximone
Comparison: dobutamine
Outcomes Anticipated absolute effects (95% CI) Relative effect
(95% CI) No of participants
(studies) Quality of the evidence
(GRADE) Comments
Risk with dobutamine Risk with enoximone
All‐cause short‐term mortality: 1 month 500 per 10001 Not estimable2 RR 0.21 (0.01 to 4.11) 37
(1 study) ⊕⊕⊝⊝
very low3
Study included participants with LCOS after mitral valve surgery.
All‐cause long‐term mortality Outcome not reported in any of the included studies.
*The basis for the assumed risk (e.g. the median control group risk across studies) is provided in footnotes. The corresponding risk (and its 95% confidence interval) is based on the assumed risk in the comparison group and the relative effect of the intervention (and its 95% CI).
CI: confidence interval; LCOS: low cardiac output syndrome; RR: risk ratio
GRADE Working Group grades of evidence
High quality: we are very confident that the true effect lies close to that of the estimate of the effect.
Moderate quality: we are moderately confident in the effect estimate; the true effect is likely to be close to the estimate of effect, but there is a possibility that it is substantially different.
Low quality: we are moderately confident in the effect estimate; the true effect is likely to be close to the estimate of effect, but there is a possibility that it is substantially different.
Very low quality: we have very little confidence in the effect estimate; the true effect is likely to be substantially different from the estimate of effect.

1Control group risk estimate comes from a large observational study due to the small size of included studies in this population (Singh 2007).

2No in‐hospital deaths were observed in the study.
3Downgraded 2 levels for imprecision due to optimal information size criterion not being met and confidence interval crossing line of null effect and 1 level for study limitation due to methodological limitations from lack of blinding.