Cochrane · systematic review · CD008343

Perioperative alcohol cessation intervention for postoperative complications

Egholm, JWM, Pedersen, B, Møller, AM, et al. · Cochrane Database of Systematic Reviews · 2018 · Cochrane Library

Anaesthesia2 versionsAMSTAR 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
3
current version
GRADE rated
3
No studies
0
Included studies
NR
No studies 0 · 0%Ungraded 0 · 0%Very low 0 · 0%Low 1 · 33.3%Moderate 2 · 66.7%High 0 · 0%

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

Current version only

Perioperative alcohol cessation intervention compared with treatment as usual in patients undergoing surgery

Population: adult surgical patients consuming 3 or more units of alcohol per day
CD008343.PUB3 (current) · 3 questions
OutcomeEffectEvidenceStatus / GRADE
Postoperative complications after perioperative intervention (e.g. wound‐related complications, secondary surgery, cardiopulmonary complications, admission to intensive care) defined by need for treatment
Perioperative alcohol cessation intervention vs treatment
RR 0.62 [0.4, 0.96]3 studies · 122 participantsModerate
Downgraded: imprecision
In‐hospital and 30‐day mortality
Perioperative alcohol cessation intervention vs treatment
RR 0.47 [0.07, 2.96]3 studies · 122 participantsLow
Downgraded: imprecision, inconsistency, indirectness
Successful quitters (number of abstainers) at the end of the programme (with or without validation by interview, breath test, or alcohol markers)
Perioperative alcohol cessation intervention vs treatment
RR 8.22 [1.67, 40.44]3 studies · 140 participantsModerate
Downgraded: imprecision, inconsistency, indirectness

Preoperative alcohol cessation intervention versus treatment as usual for hazardous drinking

Population: patients with hazardous drinking
CD008343.PUB2 · 1 question
OutcomeEffectEvidenceStatus / GRADE
Postoperative complications number of complications
Preoperative alcohol cessation intervention vs treatment
OR 0.22 [0.08, 0.61]2 studies · 69 participantsModerate
Downgraded: risk of bias