Comparison of continuous infusion and intermittent boluses of furosemide in acute heart failure: A protocol for systematic review and meta-analysis

Medicine (Baltimore). 2021 Sep 17;100(37):e27108. doi: 10.1097/MD.0000000000027108.

Abstract

Background: Acute heart failure (HF) is a common cause of hospital admission. This study aims to compare continuous infusion and intermittent boluses of furosemide in treating acute HF.

Methods: This protocol of systematic review and meta-analysis has been drafted under the guidance of the preferred reporting items for systematic reviews and meta-analyses protocols. Electronic databases including Web of Science, Embase, PubMed, Wanfang, Data, Scopus, Science Direct, and Cochrane Library will be searched in June 2021 by 2 independent reviewers. The main outcomes are post-treatment daily urine output, weight, length of stay, serum sodium, potassium, and creatinine. Two researchers conducted a quality assessment in strict accordance with the risk bias assessment tool recommended by the Cochrane Handbook Version5.3. We performed the meta-analysis by Stata version 10.0 software.

Results: The results of this systematic review and meta-analysis will be published in a peer-reviewed journal.

Conclusion: The choice of furosemide regime in acute HF remains physician preference. Both bolus and continuous infusion yields satisfactory outcomes.

MeSH terms

  • Clinical Protocols*
  • Diuretics / administration & dosage
  • Diuretics / therapeutic use
  • Furosemide / administration & dosage*
  • Furosemide / therapeutic use
  • Heart Failure / drug therapy*
  • Heart Failure / physiopathology
  • Humans
  • Infusion Pumps / standards*
  • Infusion Pumps / statistics & numerical data
  • Meta-Analysis as Topic
  • Systematic Reviews as Topic

Substances

  • Diuretics
  • Furosemide