Cochrane · systematic review · CD009984

Psychological interventions for acute pain after open heart surgery

Ziehm, S, Rosendahl, J, Barth, J, et al. · Cochrane Database of Systematic Reviews · 2017 · Cochrane Library

Pain, Palliative and Supportive Care2 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
21
current version
GRADE rated
12
No studies
9
Included studies
NR
No studies 9 · 42.9%Ungraded 0 · 0%Very low 1 · 4.8%Low 6 · 28.6%Moderate 5 · 23.8%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

Show all 2 versions

Summary of findings (short‐term)

Population: adults undergoing open heart surgery
7 questions
OutcomeEffectEvidenceStatus / GRADE
Number of participants with self‐reported pain intensity reduction of at least 50% from baseline
no estimate extractedNRNo studies
Number of participants below 30/100 mm on the visual analogue scale (VAS) in self‐reported postoperative pain intensity
RR 1.2 [0.68, 2.12]1 study · 73 participantsVery low
Downgraded: imprecision
Participant‐reported postoperative pain intensity measured on continuous scales
no estimate extracted2 studies · 104 participantsLow
Downgraded: imprecision
Analgesic use measured via PCA
no estimate extracted2 studies · 104 participantsLow
Downgraded: imprecision
Mental distress
no estimate extracted1 study · 74 participantsLow
Downgraded: imprecision
Mobility
no estimate extractedNRNo studies
Time to extubation
no estimate extracted2 studies · 154 participantsLow
Downgraded: imprecision

Summary of findings (medium‐term)

Population: adults undergoing open heart surgery
7 questions
OutcomeEffectEvidenceStatus / GRADE
Number of participants with self‐reported pain intensity reduction of at least 50% from baseline
no estimate extractedNRNo studies
Number of participants below 30/100 mm on the visual analogue scale (VAS) in self‐reported postoperative pain intensity
no estimate extractedNRNo studies
Pain intensity
no estimate extracted4 studies · 413 participantsModerate
Downgraded: imprecision, inconsistency, indirectness
Analgesic use measured via PCA
no estimate extracted2 studies · 104 participantsLow
Downgraded: imprecision
Mental distress
no estimate extracted13 studies · 1388 participantsModerate
Downgraded: imprecision, inconsistency, indirectness
Mobility
no estimate extracted3 studies · 444 participantsLow
Downgraded: imprecision
Time to extubation
no estimate extractedNRNo studies

Summary of findings (long‐term)

Population: adults undergoing open heart surgery
7 questions
OutcomeEffectEvidenceStatus / GRADE
Number of participants with self‐reported pain intensity reduction of at least 50% from baseline
no estimate extractedNRNo studies
Number of participants below 30/100 mm on the visual analogue scale (VAS) in self‐reported postoperative pain intensity
no estimate extractedNRNo studies
Pain intensity
no estimate extracted2 studies · 200 participantsModerate
Downgraded: imprecision
Analgesic use measured via PCA
no estimate extractedNRNo studies
Mental distress
no estimate extracted14 studies · 1586 participantsModerate
Downgraded: imprecision, inconsistency
Mobility
no estimate extracted4 studies · 458 participantsModerate
Downgraded: imprecision
Time to extubation
no estimate extractedNRNo studies