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Table 1 Core characteristics of the included studies

From: Probiotic in the prevention of ventilator-associated pneumonia in critically ill patients: evidence from meta-analysis and trial sequential analysis of randomized clinical trials

Study ID

Country origin

Sample size

Mean age (years)

Female (%)

APACHE II score

Follow-up time (day)

Treatment intervention

Control intervention

Center

Setting

Disease types

Adult

Spindler-Vesel 2007 [50]

Slovenia

26/87

41.00

22.12

13.00

ICU stay

Synbiotic, qd

Control

S

SICU

Multiple injures

Forestier 2008 [17]

France

102/106

58.47

29.81

44.40b

78.00

Probiotic, bid

Placebo

S

ICU

Multi-disease

Knight 2009 [38]

England

130/129

49.75

37.84

17.00

Hospital stay

Synbiotic, bid

Placebo

S

ICU

Multi-disease

Giamarellos-Bourboulis 2009 [51]

Greece

36/36

54.40

18.46

19.36

28.00

Synbiotic, qd

Placebo

M

SICUs

Multiple injures

Morrow 2010 [20]

America

73/73

53.55

41.10

23.20

25.00

Probiotic, bid

Placebo

S

ICU

Multi-disease

Barraud 2010 [37]

France

87/80

60.70

59.28

59.80b

90.00

Probiotic, qd

Placebo

S

ICU

Multi-disease

Tan 2011 [34]

China

26/26

40.65

23.08

14.55

28.00

Probiotic, tid

Control

S

ICU

Severe traumatic brain-injured

Oudhuis 2011 [35]

Netherlands

130/124

62.72

38.19

22.02

75.00

Probiotic, bid

Control

M

ICUs

Multi-disease

Rongrungruang 2015 [39]

Thailand

75/75

71.02

58.67

19.65

90.00

Probiotic, qd

Control

S

ICU

Multi-disease

Zeng 2016 [36]

China

118/117

52.39

41.28

15.65

14.00

Probiotic, tid

Control

M

ICUs

Multi-disease

Zarinfar 2016 [41]

Iran

33/33

47.80

31.67

–

–

Probiotic, tid

Control

S

ICU

Multi-disease

Shimizu 2018 [19]

Japan

35/37

74.00

34.72

19.51

28.00

Synbiotic, qd

Control

M

ICUs

Sepsis

Klarin 2018 [52]

Sweden

69/68

65.75

44.53

22.99

180.00

Probiotic,bid

Control

M

ICUs

Multi-disease

Kooshki 2018 [53]

Iran

30/30

56.95

–

23.20

84.00

Prebiotic, bidc

Control

M

ICUs

Multi-disease

Anandaraj 2019 [54]

India

72/74

42.51

41.78

19.49

Hospital stay

Probiotic, bid

Placebo

S

ICU, HDU

Multi-disease

Mahmoodpoor 2019 [30]

Iran

48/54

58.25

46.08

23.41

14.00

Probiotic, bid

Placebo

M

SICUs

Multi-disease

Tsaousi 2019 [55]

Greece

28/30

–

–

–

30.00

Probiotic, qd

Placebo

S

ICU

Multiple injures

Habib 2020 [56]

Egypt

32/33

39.48

20.00

–

ICU stay

Probiotic, tid

Placebo

S

ICU

Multiple injures

Nazari 2020 [57]

Iran

73/74

52.60

31.29

–

Hospital stay

Probiotic,bid

Placebo

M

NICU

Multitrauma

Johnstone 2021 [18]

multicountry

1318/1332

59.85

40.11

22.00

60

Probiotic,bid

Placebo

M

ICUs

Multi-disease

Neonates/children

Li 2012 [58]

China

82/83

0.61

44.24

–

–

Probiotic,qd

Control

S

PICU

Multi-disease

Banupriya 2015 [59]

India

75/75

2.92

39.33

11.43a

Hospital stay

Probiotic,bid

Control

S

PICU

Multi-disease

Angurana 2018 [40]

India

50/50

3.65

40.00

16.00

ICU stay

Probiotic, bid

Placebo

S

PICU

Severe Sepsis

  1. APACHE II score, Acute Physiology and Chronic Health Evaluation II score; HDU, high dependency unit; ICU, intensive care unit; M multi-center study; NICU neurosurgical intensive care unit; PICU, pediatric intensive care unit
  2. aPRISM score, Pediatric risk of mortality score; SICU, surgical ICU; S single-center study
  3. bSAPS II score, Simplified acute physiology score II score
  4. cFenugreek seeds act as a prebiotic