Cochrane · systematic review · CD010947
Cerebral near‐infrared spectroscopy (NIRS) for perioperative monitoring of brain oxygenation in children and adults
Yu, Y, Zhang, K, Zhang, L, et al. · Cochrane Database of Systematic Reviews · 2018 · 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
6
No studies
1
Included studies
NR
No studies 1 · 14.3%Ungraded 0 · 0%Very low 0 · 0%Low 5 · 71.4%Moderate 1 · 14.3%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
Active cerebral oxygenation monitoring compared to blinded cerebral oxygenation monitoring for perioperative monitoring of brain oxygenation in children and adults
Population: children and adults undergoing surgery
| Outcome | Effect | Evidence | Status / GRADE |
|---|---|---|---|
Postoperative neurological injury ( Active cerebral oxygenation monitoring vs blinded cerebral oxygenation monitoring | no estimate extracted | 2 studies · 312 participants | Low Downgraded: risk of bias, inconsistency |
Postoperative stroke ( Active cerebral oxygenation monitoring vs blinded cerebral oxygenation monitoring | RR 0.25 [0.03, 2.2] | 2 studies · 240 participants | Low Downgraded: risk of bias, imprecision |
POD: postoperative delirium ( Active cerebral oxygenation monitoring vs blinded cerebral oxygenation monitoring | RR 0.63 [0.27, 1.45] | 1 study · 190 participants | Low Downgraded: risk of bias, imprecision |
POCD defined by original studies ‐ mild ( Active cerebral oxygenation monitoring vs blinded cerebral oxygenation monitoring | RR 0.53 [0.3, 0.95] | 2 studies · 126 participants | Low Downgraded: risk of bias, imprecision |
POCD: decline in cognitive function ( Active cerebral oxygenation monitoring vs blinded cerebral oxygenation monitoring | RR 0.62 [0.37, 1.04] | 6 studies · 962 participants | Moderate Downgraded: risk of bias |
Intraoperative mortality or postoperative mortality: Death ( Active cerebral oxygenation monitoring vs blinded cerebral oxygenation monitoring | RR 0.63 [0.08, 5.03] | 3 studies · 390 participants | Low Downgraded: risk of bias, imprecision |
Adverse events Active cerebral oxygenation monitoring vs blinded cerebral oxygenation monitoring | no estimate extracted | NR | No studies |