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. 2021 Sep 14;2021(9):CD013330. doi: 10.1002/14651858.CD013330.pub2

Summary of findings 8. Flat plate versus hollow fibre filter of the same membrane type for preventing clotting of extracorporeal circuits during CKRT.

Flat plate versus hollow fibre filter of the same membrane type for preventing clotting of extracorporeal circuits during CKRT
Patient or population: people with AKI receiving CKRT
Setting: ICU
Intervention: flat plate filter
Comparison: hollow fibre filter (of the same membrane type)
Outcomes Anticipated absolute effects* (95% CI) Relative effect
(95% CI) No. of participants
(studies) Certainty of the evidence
(GRADE)
Risk with hollow fibre filter of the same membrane type Risk with flat plate filter
Circuit lifespan The mean circuit lifespan with hollow fibre filters was 17.1 hours The mean circuit lifespan with flat plate filters was 1.4 hours lower (12.12 lower to 9.32 higher) than hollow fibre filters ‐‐ 38 (1) ⊕⊝⊝⊝
Very low 1,2
Death from any cause at day 28 of follow‐up Not reported Not reported ‐‐ ‐‐ ‐‐
Recovery of kidney function Not reported Not reported ‐‐ ‐‐ ‐‐
Vascular access complications Not reported Not reported ‐‐ ‐‐ ‐‐
*The risk in the intervention group (and its 95% CI) is based on the assumed risk in the comparison group and the relative effect of the intervention (and its 95% CI).

CKRT: continuous kidney replacement therapy; AKI: acute kidney injury; ICU: intensive care unit; CI: confidence interval; RR: risk ratio
GRADE Working Group grades of evidenceHigh certainty: We are very confident that the true effect lies close to that of the estimate of the effect
Moderate certainty: We are moderately confident in the effect estimate: The true effect is likely to be close to the estimate of the effect, but there is a possibility that it is substantially different
Low certainty: Our confidence in the effect estimate is limited: The true effect may be substantially different from the estimate of the effect
Very low certainty: We have very little confidence in the effect estimate: The true effect is likely to be substantially different from the estimate of effect

1 Downgraded one level due to serious risk of bias

2 Downgraded two levels due to very serious imprecision