Cochrane · systematic review · CD009199
Posture and fluids for preventing post‐dural puncture headache
Arevalo-Rodriguez, I, Ciapponi, A, Roqué-Figuls, M, et al. · Cochrane Database of Systematic Reviews · 2016 · Cochrane Library
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 onlyBed rest versus ambulation for preventing post‐dural puncture headache
Population: Participants undergoing lumbar puncture
| Outcome | Effect | Evidence | Status / GRADE |
|---|---|---|---|
Post‐dural puncture headacheReported by participant Bed rest vs ambulation | RR 1.24 [1.04, 1.48] | 12 studies · 1519 participants | Moderate Downgraded: risk of bias |
Severe post‐dural puncture headacheReported by participant Bed rest vs ambulation | RR 0.98 [0.68, 1.41] | 9 studies · 1568 participants | Low Downgraded: risk of bias, imprecision |
Any headacheReported by participant Bed rest vs ambulation | RR 1.16 [1.02, 1.32] | 18 studies · 2477 participants | Moderate Downgraded: risk of bias |
Bed rest compared with ambulation for preventing post‐dural puncture headache
Population: participants undergoing lumbar puncture
| Outcome | Effect | Evidence | Status / GRADE |
|---|---|---|---|
Post‐dural puncture headache participant's report Bed rest vs ambulation | RR 1.3 [1.09, 1.55] | 12 studies · 1519 participants | Moderate Downgraded: risk of bias |
Severe post‐dural puncture headache participant's report Bed rest vs ambulation | RR 1 [0.76, 1.33] | 9 studies · 1568 participants | Moderate Downgraded: risk of bias |
Any cephalea participant's report Bed rest vs ambulation | RR 1.18 [1.05, 1.32] | 18 studies · 2477 participants | Moderate Downgraded: risk of bias |
Fluids compared with less or no fluids for preventing post‐dural puncture headache
Population: participants undergoing lumbar puncture
| Outcome | Effect | Evidence | Status / GRADE |
|---|---|---|---|
Post‐dural puncture headache participant's report Fluids vs less or no fluids | RR 1 [0.59, 1.69] | 1 study · 100 participants | Moderate Downgraded: risk of bias |
Severe post‐dural puncture headache participant's report Fluids vs less or no fluids | RR 0.67 [0.26, 1.73] | 1 study · 100 participants | Moderate Downgraded: risk of bias |
Any cephalea participant's report Fluids vs less or no fluids | RR 0.94 [0.67, 1.34] | 2 studies · 200 participants | Moderate Downgraded: risk of bias, imprecision |