Cochrane · systematic review · CD008472
Remote ischaemic preconditioning versus no remote ischaemic preconditioning for vascular and endovascular surgical procedures
Liang, F, Liu, S, Liu, G, et al. · Cochrane Database of Systematic Reviews · 2023 · Cochrane Library
VascularAMSTAR 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 1 · 14.3%Moderate 6 · 85.7%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
Remote ischaemic preconditioning (RIPC) versus no RIPC in people undergoing elective major vascular surgery
Population: people undergoing elective major vascular surgery
| Outcome | Effect | Evidence | Status / GRADE |
|---|---|---|---|
Perioperative mortality (within 1 month after operation) Remote ischaemic preconditioning (RIPC) vs no RIPC | RR 1.41 [0.59, 3.4] | 10 studies · 965 participants | Moderate Downgraded: imprecision |
Myocardial infarction (within 1 month after operation) Remote ischaemic preconditioning (RIPC) vs no RIPC | RR 0.82 [0.49, 1.4] | 11 studies · 1001 participants | Moderate Downgraded: publication bias |
Renal impairment (within 1 month after operation) Remote ischaemic preconditioning (RIPC) vs no RIPC | RR 1.07 [0.62, 1.86] | 12 studies · 1054 participants | Moderate Downgraded: inconsistency |
Stroke (within 1 month after operation) Remote ischaemic preconditioning (RIPC) vs no RIPC | RR 0.33 [0.04, 3.15] | 4 studies · 392 participants | Moderate Downgraded: imprecision |
Hospital stay Remote ischaemic preconditioning (RIPC) vs no RIPC | no estimate extracted | 7 studies · 569 participants | Moderate Downgraded: imprecision |
Limb loss (within 1 month after operation) Remote ischaemic preconditioning (RIPC) vs no RIPC | RR 0.74 [0.05, 10.61] | 3 studies · 322 participants | Low Downgraded: imprecision |
Operating time or total anaesthetic time Remote ischaemic preconditioning (RIPC) vs no RIPC | no estimate extracted | 10 studies · 803 participants | Moderate Downgraded: imprecision |