Cochrane · systematic review · CD009161
Preoperative carbohydrate treatment for enhancing recovery after elective surgery
Smith, MD, McCall, J, Plank, L, et al. · Cochrane Database of Systematic Reviews · 2014 · 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 1 · 14.3%Low 2 · 28.6%Moderate 3 · 42.9%High 1 · 14.3%
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
Comparison
Population: adult patients undergoing elective surgery
| Outcome | Effect | Evidence | Status / GRADE |
|---|---|---|---|
Complication rate | RR 0.98 [0.86, 1.11] | 14 studies · 913 participants | Low Downgraded: risk of bias, imprecision, inconsistency, publication bias |
Length of hospital stay (days) | no estimate extracted | 19 studies · 1351 participants | Very low Downgraded: risk of bias, imprecision, inconsistency, publication bias |
Postoperative well‐being by visual analogue scale or by standardized questionnaire | no estimate extracted | 4 studies · 310 participants | Moderate Downgraded: risk of bias, imprecision, inconsistency, publication bias |
Postoperative nausea by visual analogue scale at 24 hours postop | no estimate extracted | 2 studies · 292 participants | Moderate Downgraded: risk of bias, imprecision, inconsistency, publication bias |
Postoperative vomiting | RR 1.25 [0.77, 2.04] | 4 studies · 407 participants | Low Downgraded: risk of bias, imprecision, inconsistency, publication bias |
Postoperative fatigue by visual analogue scale or by 10‐point ordinal scale | no estimate extracted | 6 studies · 576 participants | Moderate Downgraded: risk of bias, imprecision, inconsistency, publication bias |
Postop insulin sensitivity (clamp) measured as standardized glucose infusion rate (mg/kg/min)l | no estimate extracted | 3 studies · 41 participants | High |