PMID- 35044560 OWN - NLM STAT- MEDLINE DCOM- 20220523 LR - 20230131 IS - 1590-3478 (Electronic) IS - 1590-1874 (Linking) VI - 43 IP - 6 DP - 2022 Jun TI - Does erythropoietin affect the outcome and complication rates of patient with traumatic brain injury? A pooled-analysis. PG - 3783-3793 LID - 10.1007/s10072-022-05877-4 [doi] AB - OBJECTIVE: The aim of this meta-analysis was to review the scientific literature published until April 18, 2021, to summarize existing knowledge on the efficacy and safety of erythropoietin (EPO) for traumatic brain injury (TBI). METHODS: This systematic review followed PRISMA guidelines. Randomized controlled trials (RCTs) reporting on the efficacy and safety of EPO in the treatment of TBI were systematically searched in relevant electronic databases according to a pre-designed search strategy. The primary outcomes are the mortality; and secondary outcomes are the good functional outcome (GFO) and adverse events (AEs). RESULTS: A total of 10 RCTs involving 2,402 participants fulfilled the inclusion criteria. The results showed that there is a significant difference in terms of the mortality (RR = 0.67, 95% CI = 0.54-0.84, P = 0.0003) and seizure rate (RR = 0.52, 95% CI = 0.29-0.96, P = 0.04) between the EPO groups compared to those in the control groups. However, compared with the control groups, the GFO in the EPO groups was not statistically significant (RR = 1.18, 95% CI = 0.93-1.48, P = 0.17). CONCLUSIONS: Findings of the present meta-analysis suggest that the use of EPO could reduce mortality rate in patients with TBI, without increasing the incidence of AEs. EPO has potential research and application value in the treatment of TBI. CI - (c) 2022. Fondazione Societa Italiana di Neurologia. FAU - Li, Yuping AU - Li Y AD - Neuro Intensive Care Unit, Department of Neurosurgery, Clinical Medical College, Yangzhou University, Yangzhou, China. AD - Department of Neurosurgery, Yangzhou Clinical Medical College of Xuzhou Medical University, Xuzhou, China. FAU - Zhang, Jun AU - Zhang J AD - Department of Neurosurgery, Huashan Hospital, Fudan University, Shanghai, China. FAU - Wang, Haili AU - Wang H AD - Department of Clinical Medicine, Dalian Medical University, Dalian Liaoning, China. FAU - Zhu, Lei AU - Zhu L AD - Neuro Intensive Care Unit, Department of Neurosurgery, Clinical Medical College, Yangzhou University, Yangzhou, China. FAU - Zhang, Hengzhu AU - Zhang H AD - Department of Neurosurgery, Yangzhou Clinical Medical College of Xuzhou Medical University, Xuzhou, China. FAU - Ma, Qiang AU - Ma Q AD - Neuro Intensive Care Unit, Department of Neurosurgery, Clinical Medical College, Yangzhou University, Yangzhou, China. FAU - Liu, Xiaoguang AU - Liu X AD - Neuro Intensive Care Unit, Department of Neurosurgery, Clinical Medical College, Yangzhou University, Yangzhou, China. FAU - Dong, Lun AU - Dong L AD - Neuro Intensive Care Unit, Department of Neurosurgery, Clinical Medical College, Yangzhou University, Yangzhou, China. AD - Department of Neurosurgery, Yangzhou Clinical Medical College of Xuzhou Medical University, Xuzhou, China. FAU - Lu, Guangyu AU - Lu G AUID- ORCID: 0000-0003-2568-7091 AD - Institute of Public Health, Medical College, Yangzhou University, Yangzhou, China. Guangyu.lu@yzu.edu.cn. LA - eng GR - BK20190241/Basic Research Program of Jiangsu Province/ GR - QNRC2016326/Jiangsu Provincial Key Medical Talents Program/ GR - 201902/Jiangsu Province Key Experiments of Basic and Clinical Translation of Non-coding RNA/ GR - 82172603/China Natural Science Foundation/ PT - Journal Article PT - Meta-Analysis PT - Systematic Review DEP - 20220119 PL - Italy TA - Neurol Sci JT - Neurological sciences : official journal of the Italian Neurological Society and of the Italian Society of Clinical Neurophysiology JID - 100959175 RN - 11096-26-7 (Erythropoietin) SB - IM CIN - Neurol Sci. 2023 Jan;44(1):355-356. PMID: 36030463 MH - *Brain Injuries, Traumatic/complications/drug therapy MH - *Erythropoietin/adverse effects MH - Humans MH - Incidence MH - Seizures/drug therapy OTO - NOTNLM OT - Erythropoietin OT - Good functional outcome OT - Meta-analysis OT - Mortality OT - Traumatic brain injury EDAT- 2022/01/20 06:00 MHDA- 2022/05/24 06:00 CRDT- 2022/01/19 12:30 PHST- 2021/05/31 00:00 [received] PHST- 2022/01/08 00:00 [accepted] PHST- 2022/01/20 06:00 [pubmed] PHST- 2022/05/24 06:00 [medline] PHST- 2022/01/19 12:30 [entrez] AID - 10.1007/s10072-022-05877-4 [pii] AID - 10.1007/s10072-022-05877-4 [doi] PST - ppublish SO - Neurol Sci. 2022 Jun;43(6):3783-3793. doi: 10.1007/s10072-022-05877-4. Epub 2022 Jan 19.