Cochrane · systematic review · CD011719

Remote ischaemic preconditioning for coronary artery bypass grafting (with or without valve surgery)

Benstoem, C, Stoppe, C, Liakopoulos, OJ, et al. · Cochrane Database of Systematic Reviews · 2017 · Cochrane Library

HeartAMSTAR 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
7
No studies
0
Included studies
NR
No studies 0 · 0%Ungraded 0 · 0%Very low 0 · 0%Low 1 · 14.3%Moderate 6 · 85.7%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

RIPC versus no RIPC in people undergoing CABG (with or without valve surgery)

Population: people undergoing CABG (with or without valve surgery)
7 questions
OutcomeEffectEvidenceStatus / GRADE
Composite endpoint (including all‐cause mortality, non‐fatal myocardial infarction and/or any new stroke assessed at 30 days after surgery)
RIPC vs no RIPC
RR 0.99 [0.78, 1.25]2 studies · 2463 participantsModerate
Downgraded: imprecision
Cardiac troponin T (cTnT)
RIPC vs no RIPC
no estimate extracted4 studies · 1792 participantsLow
Downgraded: imprecision, inconsistency
cTnT 72 h after surgery (ng/L)
RIPC vs no RIPC
no estimate extracted3 studies · 1120 participantsModerate
Downgraded: inconsistency
cTnT AUC 72 h (ng/L)
RIPC vs no RIPC
no estimate extracted3 studies · 830 participantsModerate
Downgraded: inconsistency
Cardiac troponin I (cTnI)
RIPC vs no RIPC
no estimate extracted5 studies · 745 participantsModerate
Downgraded: inconsistency
cTnI 72 h after surgery (ng/L)
RIPC vs no RIPC
no estimate extracted2 studies · 459 participantsModerate
Downgraded: risk of bias, imprecision
cTnI AUC 72 h (ng/L)
RIPC vs no RIPC
no estimate extracted2 studies · 159 participantsModerate
Downgraded: imprecision