• Shunsuke Taito, Yusuke Kawai, Keibun Liu, Takashi Ariie, Yasushi Tsujimoto, Masahiro Banno, and Yuki Kataoka.
• Division of Rehabilitation, Department of Clinical Practice and Support, Hiroshima University Hospital, Hiroshima, Japan. Electronic address: shutaitou@hiroshima-u.ac.jp.
• J Crit Care. 2019 Oct 1; 53: 142-148.

PurposeWe aimed to determine whether diarrhea experienced by patients in the intensive care unit (ICU) is related to their clinical outcomes.Material And MethodsWe performed a systematic review and meta-analysis. We searched the Cochrane Central Register of Controlled Trials, MEDLINE, EMBASE, CINAHL, and the World Health Organization International Clinical Trials Registry Platform between inception and August 2018. The primary outcome was ICU mortality, and secondary outcomes included hospital mortality, ICU length of stay, hospital length of stay. The quality of evidence was determined using the Grading of Recommendations Assessment, Development, and Evaluation (GRADE) approach.ResultsTwelve studies (enrolling 13,140 patients) compared patients with diarrhea to patients without diarrhea in the ICU. Diarrhea was related to ICU mortality (relative risk [RR]: 1.43; 95% confidence interval [CI]: 1.03 to 1.98). The mean difference (MD) in ICU length of stay between patients with and without diarrhea was 8.08 days (95% CI: 5.85 to 10.32), while the MD in hospital length of stay was 9.67 (95% CI: 2.17 to 17.16). The certainty of evidence for these outcomes was low.ConclusionsThe diarrhea experienced by patients may be associated with higher mortality and prolonged length of stay in the ICU and hospital.Copyright © 2019 Elsevier Inc. All rights reserved.

15 keywords...

hide…