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Table 4 GRADE evidence certainty

From: The effect of hyperbaric oxygen therapy on the clinical outcomes of necrotizing soft tissue infections: a systematic review and meta-analysis

No. of studies

Study design

Risk of bias

Certainty assessment

No. of patients

Effect

Certainty

Importance

Inconsistency

Indirectness

Imprecision

Other considerations

Relative

(95% CI)

Absolute

(95% CI)

Mortality rate

23

Observational studies

Not serious

Not serious

Not serious

Not serious

None

149/1448 (10.3%)

4665/47704 (9.8%)

0.522 –

(0.403 to 0.677)

Low

CRITICAL

Number of debridement

8

Observational studies

Not serious

Serious a

Not serious

Not serious

None

523

325

0.611 0

(0.012 higher to 1.211 higher)

Very low

IMPORTANT

Amputation rate

6

Observational studies

Not serious

Not serious

Not serious

Not serious

None

105/836 (12.6%)

6729/45762 (14.7%)

0.836 –

(0.619 to 1.129)

Low

IMPORTANT

  1. arepresents the high heterogeneity and the cause of the downgrade
  2. CI, Confidence interval