Cochrane · systematic review · CD009634

Intranasal or transdermal nicotine for the treatment of postoperative pain

Matthews, AM, Fu, R, Dana, T, et al. · 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
9
current version
GRADE rated
9
No studies
0
Included studies
NR
No studies 0 · 0%Ungraded 0 · 0%Very low 4 · 44.4%Low 4 · 44.4%Moderate 1 · 11.1%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

Transdermal or intranasal nicotine versus placebo for the treatment of postoperative pain

Population: people being treated for postoperative pain
9 questions
OutcomeEffectEvidenceStatus / GRADE
Pain at 60 minutes
Transdermal or intranasal nicotine vs placebo
no estimate extracted6 studies · 442 participantsVery low
Downgraded: risk of bias, imprecision, inconsistency
Pain at 12 hours
Transdermal or intranasal nicotine vs placebo
no estimate extracted2 studies · 175 participantsVery low
Downgraded: risk of bias, imprecision
Pain at 24 hours
Transdermal or intranasal nicotine vs placebo
no estimate extracted8 studies · 562 participantsLow
Downgraded: risk of bias
Hourly morphine equivalents at 60 minutes
Transdermal or intranasal nicotine vs placebo
no estimate extracted4 studies · 168 participantsLow
Downgraded: risk of bias, imprecision
Hourly morphine equivalents at 24 hours
Transdermal or intranasal nicotine vs placebo
no estimate extracted4 studies · 168 participantsLow
Downgraded: risk of bias, imprecision
Sedation score
Transdermal or intranasal nicotine vs placebo
no estimate extracted3 studies · 148 participantsVery low
Downgraded: risk of bias, imprecision, inconsistency
Nausea
Transdermal or intranasal nicotine vs placebo
RR 1.24 [1.03, 1.5]7 studies · 592 participantsModerate
Downgraded: risk of bias
Vomiting
Transdermal or intranasal nicotine vs placebo
RD 0.037 studies · 602 participantsLow
Downgraded: risk of bias, imprecision
Time to hospital discharge
Transdermal or intranasal nicotine vs placebo
MD 1.21 study · 90 participantsVery low
Downgraded: risk of bias