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Meta-analysis: GLP-1 RAs & MACE outcomes (2024).pdf
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GLP-1 RAs & MACE outcomesHigh relevance
Figure 3: Forest plot — major adverse cardiovascular events

Question: Do GLP‑1 receptor agonists reduce MACE in adults with type 2 diabetes?

Methods

Random‑effects meta‑analysis across CVOTs; primary endpoint: 3‑point MACE. Secondary: HbA1c, weight, safety.

Key result

Across pooled trials, GLP‑1 RAs show a consistent reduction in MACE with low heterogeneity.

Highlighted evidence
Takeaway: strongest benefit appears in patients with established ASCVD; monitor GI AEs and titrate dose.
Notes
Synced
Draft summary (for manuscript)
GLP‑1 RAs are associated with a clinically meaningful reduction in MACE in T2D, with benefits most pronounced in higher‑risk cohorts.
To extract
Population: T2D ± ASCVD
Endpoint: 3‑point MACE (HR + CI)
Safety: GI AEs, pancreatitis signal
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Modern research methodologies emphasize the value of comprehensive data analysis1. Scholars utilize advanced analytical frameworks2 to examine complex research questions systematically3. This methodology facilitates thorough investigation of multiple variables simultaneously, enhancing research quality and reliability4.

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Empirical research methods and statistical analysis

Sarah J. Martinez

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Sepsis-3: Consensus Definitions for Sepsis and Septic Shock
Singer et al. · JAMA 2016
Clinical criteria
Surviving Sepsis Campaign: International Guidelines
Evans et al. · Intensive Care Med 2021
Guidelines
Lactate Clearance as a Target in Septic Shock
Jones et al. · JAMA 2010
Outcomes
Paper
Saved · 3 highlights
Sepsis-3: Definitions for Sepsis and Septic Shock
Citations: 12k+
Abstract

Sepsis is defined as life‑threatening organ dysfunction caused by a dysregulated host response to infection [1].

Operationally, organ dysfunction is captured by an acute change in SOFA score, and bedside screening can leverage qSOFA in out‑of‑ICU settings [1] [2].

Key idea: standardize detection (SOFA/qSOFA) and pair with timely resuscitation + lactate monitoring for better outcomes.

In‑text citations
[1] Singer et al., 2016JAMA
[2] Evans et al., 2021SSC
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Working notes
Use Sepsis‑3 criteria (SOFA ≥ 2) for diagnosis; qSOFA is a fast screen outside ICU. Track lactate trends during resuscitation and document rationale for escalation.
[1][2]
Citations used
[1] Singer, M. et al. (2016) — Sepsis‑3 definitions.
[2] Evans, L. et al. (2021) — Surviving Sepsis Campaign.
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