Cochrane · systematic review · CD005059
Epidural pain relief versus systemic opioid‐based pain relief for abdominal aortic surgery
Guay, J, Kopp, S · Cochrane Database of Systematic Reviews · 2016 · Cochrane Library
AnaesthesiaAMSTAR 2: not assessed
SoF tableOnly the outcomes this review put in its Summary of Findings table are listed (the Cochrane Handbook caps them at about seven per comparison). Its other analyses are not shown here.
Questions
7
current version
GRADE rated
7
No studies
0
Included studies
NR
No studies 0 · 0%Ungraded 0 · 0%Very low 0 · 0%Low 2 · 28.6%Moderate 3 · 42.9%High 2 · 28.6%
Ungraded means an effect was reported without a GRADE rating; it is not a gap. No studies means the review found nothing to answer the question. The six categories are a display order, not a score.
Questions and results
Epidural pain relief compared to systemic opioid‐based pain relief for abdominal aortic surgery
Population: people undergoing abdominal aortic surgery
| Outcome | Effect | Evidence | Status / GRADE |
|---|---|---|---|
Mortality in hospital or up to 30 days Epidural pain relief vs systemic opioid‐based pain relief | RR 1.06 [0.6, 1.86] | 14 studies · 1383 participants | Low Downgraded: risk of bias, imprecision, indirectness, publication bias |
Myocardial infarction Epidural pain relief vs systemic opioid‐based pain relief | RR 0.54 [0.3, 0.97] | 7 studies · 851 participants | Moderate Downgraded: risk of bias, imprecision, indirectness, publication bias |
Tracheal intubation duration Epidural pain relief vs systemic opioid‐based pain relief | no estimate extracted | 8 studies · 975 participants | Low Downgraded: risk of bias, imprecision, indirectness, publication bias |
Respiratory failure Epidural pain relief vs systemic opioid‐based pain relief | RR 0.69 [0.56, 0.85] | 6 studies · 861 participants | Moderate Downgraded: risk of bias, imprecision, indirectness, publication bias |
Gastrointestinal bleeding Epidural pain relief vs systemic opioid‐based pain relief | OR 0.2 [0.06, 0.65] | 4 studies · 487 participants | High |
Pain (VAS scores) on movement at postoperative day 1 Scale from: 0 to 10. Epidural pain relief vs systemic opioid‐based pain relief | no estimate extracted | 3 studies · 162 participants | High |
Intensive care unit length of stay Epidural pain relief vs systemic opioid‐based pain relief | no estimate extracted | 3 studies · 523 participants | Moderate Downgraded: risk of bias, imprecision, indirectness, publication bias |