Aprotinin: Pharmacological Benefits and Safety


Meta-analysis

Year of publication

No. of patients

No. of studies

OR (CI 95 %)

OR (CI 95 %)

OR (CI 95 %)





Aprotinin vs. tranexamic acid

Aprotinin vs. aminocaproic acid

Aprotinin vs. placebo

Howell [13]a,b,c

2013

15,528

88

0.73 (0.45–1.12)

0.88 (0.50–2.13)

1.11 (0.75–1.53)

Hutton [15]a,c

2012

14,773

82

0.64 (0.41–0.99)

0.79 (0.47–1.55)

0.99 (0.72–1.36)

Hutton [15]a,b,c

2012

41,350

93

0.71 (0.50–0.98)

0.60 (0.43–0.87)

0.91 (0.71–1.16)

Henry [14]a,d

2011

17,136

85

1.35 (0.94–1.93)

1.51 (0.99–2.30)

0.81 (0.63–1.06)


OR odds ratio, CI confidence interval

aBART study included in meta-analysis

bObservational studies included in meta-analysis

cOR <1 favors second listed treatment

dOR >1 favors second listed treatment. Significant values in bold




Table 13.2
Meta-analyses of aprotinin-related studies – mortality with patient numbers

















































































Meta-analysis

No. of patients

No. of studies

No. of patients/deaths (%) (column 4–7)
     
RR 95 % CI




Aprotinin

TXA

EACA

Control


Howell [13]a,b,c

15,528

88

6284/177 (2.81 %)

3048/62 (2.03 %)

1309/44 (3.36 %)

4887/110 (2.25 %)

NS

Henry [14]d (Cochrane):








A vs. control

8876

63

4889/116 (2.37 %)



3987/104 (2.6 %)

0.81 (0.63–1.06)

TXA vs. control

2917

30


1478/15 (1.01 %)


1439/28 (1.94 %)

0.60 (0.33–1.10)

EACA vs. control

922

8



504/10 (1.98 %)

484/8 (1.65 %)

1.07 (0.44–2.57)

A vs. TXAa

4130

17

2060/67 (3.25 %)

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Oct 9, 2017 | Posted by in Uncategorized | Comments Off on Aprotinin: Pharmacological Benefits and Safety

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