Systematic review on the risk-benefit ratio of morphine for acute heart failure  

作　　者：Rushikesh S.Haridas Sheetal Shelke Girish Patrike Deepak Patil Sainath Dhumal 

机构地区：[1]Department of General Medicine,Vilasrao Deshmukh Government Medical College,Latur,India [2]Department of Otorhinolaryngology,MIMSR Medical College,Latur,India [3]Department of General Medicine,Dr.Balasaheb Vikhe Patil Rural Medical College,Loni,India [4]Department of General Medicine,MIMSR Medical College,Latur,India

出　　处：《Journal of Acute Disease》2023年第3期89-95,共7页急性病杂志（英文版）

摘　　要：Objective:To evaluate morphine's risk-benefit profile in the treatment of acute heart failure.Method:Different electronic databases,including PubMed,MEDLINE,Cochrane Library,and Google Scholar,as well as clinicaltrails.gov,were searched for articles published between 2012 and 2022.The risk of bias in the present study was evaluated by employing randomized controlled trials(RCTs)checklist that assesses the effectiveness of new interventions through random assignment of participants to different treatment groups.The two-part tool was used to address the five specific domains such as selection bias,performance bias,detection bias,attrition bias,and selective reporting bias.Evaluation of the quality of diagnostic accuracy studies was conducted using the RevMan software(version 5.4),a quality assessment tool.Results:A total of 13 studies were included in the present review,in which there were 5 retrospective studies,3 randomized-control studies,2 prospective studies,1 multicenter pharmacodynamics study,1 multicenter cardiac magnetic resonance imaging study,and 1 open-label,cross-over study.The mortality of acute heart failure patients treated with morphine was higher compared to those without morphine.Conclusions:Acute heart failure patients who do not receive morphine have a lower mortality rate compared to those who receive morphine.Considering the adverse effects,including mortality associated with morphine,there is a pressing need for further research to explore alternative and effective treatment options in acute heart failure.

关 键 词：Acute heart failure Hospital mortality MORPHINE SIDE-EFFECTS Invasive ventilation 

分 类 号：R541.6[医药卫生—心血管疾病]