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Fig 1.

Study identification, screening and selection process [45].

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Table 1.

Sample of key study characteristics (n = 20).

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Fig 2.

“Traffic light” plot of the domain-level risk of bias judgements for RCTs.

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Fig 2 Expand

Fig 3.

Weighted bar plots of the distribution of risk of bias judgements within each bias domain for RCTs.

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Table 2.

Quality assessment of the included studies (n = 20) using the Mixed Method Appraisal Tool [32].

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Table 2 Expand

Fig 4.

Forest plot of the effect of exogenous melatonin or ramelteon on ICU length of stay with disease-specific subgroups.

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Fig 4 Expand

Fig 5.

Baujat plot for ICU length of stay illustrating the influence of each study on the pooled results and their contribution to overall heterogeneity.

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Fig 6.

Contour-enhanced funnel plot of the effect of exogenous melatonin or ramelteon on ICU length of stay with disease-specific subgroups.

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Fig 6 Expand

Fig 7.

Forest plot of the effect of exogenous melatonin or ramelteon on hospital length of stay.

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Fig 7 Expand

Fig 8.

Baujat plot for hospital length of stay illustrating the influence of each study on the pooled results and their contribution to overall heterogeneity.

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Fig 8 Expand

Fig 9.

Contour-enhanced funnel plot of the effect of exogenous melatonin or ramelteon on hospital length of stay.

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Fig 9 Expand

Table 3.

Level of evidence assessment per review outcome.

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Table 3 Expand