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
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
Current version onlySummary of findings (short‐term)
Population: adults undergoing open heart surgery
| Outcome | Effect | Evidence | Status / GRADE |
|---|---|---|---|
Number of participants with self‐reported pain intensity reduction of at least 50% from baseline | no estimate extracted | NR | No 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 participants | Very low Downgraded: imprecision |
Participant‐reported postoperative pain intensity measured on continuous scales | no estimate extracted | 2 studies · 104 participants | Low Downgraded: imprecision |
Analgesic use measured via PCA | no estimate extracted | 2 studies · 104 participants | Low Downgraded: imprecision |
Mental distress | no estimate extracted | 1 study · 74 participants | Low Downgraded: imprecision |
Mobility | no estimate extracted | NR | No studies |
Time to extubation | no estimate extracted | 2 studies · 154 participants | Low Downgraded: imprecision |
Summary of findings (medium‐term)
Population: adults undergoing open heart surgery
| Outcome | Effect | Evidence | Status / GRADE |
|---|---|---|---|
Number of participants with self‐reported pain intensity reduction of at least 50% from baseline | no estimate extracted | NR | No studies |
Number of participants below 30/100 mm on the visual analogue scale (VAS) in self‐reported postoperative pain intensity | no estimate extracted | NR | No studies |
Pain intensity | no estimate extracted | 4 studies · 413 participants | Moderate Downgraded: imprecision, inconsistency, indirectness |
Analgesic use measured via PCA | no estimate extracted | 2 studies · 104 participants | Low Downgraded: imprecision |
Mental distress | no estimate extracted | 13 studies · 1388 participants | Moderate Downgraded: imprecision, inconsistency, indirectness |
Mobility | no estimate extracted | 3 studies · 444 participants | Low Downgraded: imprecision |
Time to extubation | no estimate extracted | NR | No studies |
Summary of findings (long‐term)
Population: adults undergoing open heart surgery
| Outcome | Effect | Evidence | Status / GRADE |
|---|---|---|---|
Number of participants with self‐reported pain intensity reduction of at least 50% from baseline | no estimate extracted | NR | No studies |
Number of participants below 30/100 mm on the visual analogue scale (VAS) in self‐reported postoperative pain intensity | no estimate extracted | NR | No studies |
Pain intensity | no estimate extracted | 2 studies · 200 participants | Moderate Downgraded: imprecision |
Analgesic use measured via PCA | no estimate extracted | NR | No studies |
Mental distress | no estimate extracted | 14 studies · 1586 participants | Moderate Downgraded: imprecision, inconsistency |
Mobility | no estimate extracted | 4 studies · 458 participants | Moderate Downgraded: imprecision |
Time to extubation | no estimate extracted | NR | No studies |
Comparison
Population: Adults undergoing open heart surgery
| Outcome | Effect | Evidence | Status / GRADE |
|---|---|---|---|
Pain intensity | no estimate extracted | 4 studies · 413 participants | Moderate |
Pain intensity | no estimate extracted | 3 studies · 280 participants | Low |
Mental distress: medium‐term various self‐reported scales ( | no estimate extracted | 12 studies · 1144 participants | Low |
Mental distress: long‐term various self‐reported scales ( | no estimate extracted | 11 studies · 1320 participants | Low |
Mobility: medium‐term Jenkins Activity Checklist, Sickness Impact Profile, Integrated Motor Activity Monitor ( | no estimate extracted | 3 studies · 444 participants | Low |
Mobility: long‐term Jenkins Activity Checklist, Sickness Impact Profile, Nottingam Health Profile ( | no estimate extracted | 4 studies · 423 participants | Low |