Cochrane · systematic review · CD011793

Limited versus full sternotomy for aortic valve replacement

Kirmani, BH, Jones, SG, Muir, A, et al. · Cochrane Database of Systematic Reviews · 2023 · Cochrane Library

Heart2 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
7
current version
GRADE rated
7
No studies
0
Included studies
NR
No studies 0 · 0%Ungraded 0 · 0%Very low 2 · 28.6%Low 4 · 57.1%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

Show all 2 versions

Summary of findings table ‐ Limited sternotomy compared to full sternotomy for aortic valve replacement

Population: adults undergoing aortic valve replacement
7 questions
OutcomeEffectEvidenceStatus / GRADE
Mortality
Summary of findings table ‐ Limited sternotomy vs full sternotomy
RR 0.93 [0.45, 1.94]10 studies · 985 participantsLow
Downgraded: risk of bias, imprecision
Cardiopulmonary bypass time (minutes)
Summary of findings table ‐ Limited sternotomy vs full sternotomy
no estimate extracted10 studies · 1043 participantsVery low
Downgraded: risk of bias, imprecision, inconsistency, publication bias
Aortic cross‐clamp time (minutes)
Summary of findings table ‐ Limited sternotomy vs full sternotomy
no estimate extracted12 studies · 1235 participantsVery low
Downgraded: risk of bias, imprecision, inconsistency, publication bias
Postoperative blood loss (mL)
Summary of findings table ‐ Limited sternotomy vs full sternotomy
no estimate extracted8 studies · 767 participantsModerate
Downgraded: inconsistency
Pain scores, measured in various ways at a median of 2 days'
Summary of findings table ‐ Limited sternotomy vs full sternotomy
no estimate extracted5 studies · 649 participantsLow
Downgraded: risk of bias, inconsistency
Quality of life,
Summary of findings table ‐ Limited sternotomy vs full sternotomy
no estimate extracted4 studies · 624 participantsLow
Downgraded: risk of bias, imprecision
Index admission costs
Summary of findings table ‐ Limited sternotomy vs full sternotomy
no estimate extracted2 studies · 492 participantsLow
Downgraded: imprecision, indirectness