Cochrane · systematic review · CD011940

Adverse side effects of dexamethasone in surgical patients

Polderman, JAW, Farhang‐Razi, V, Van Dieren, S, et al. · Cochrane Database of Systematic Reviews · 2018 · Cochrane Library

Anaesthesia2 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
4
current version
GRADE rated
4
No studies
0
Included studies
NR
No studies 0 · 0%Ungraded 0 · 0%Very low 1 · 25%Low 2 · 50%Moderate 1 · 25%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

Dexamethasone compared to control in surgical patients

Population: surgical patients undergoing various types of surgery (e.g. abdominal, brain, cardiac, and orthopaedic surgery)
4 questions
OutcomeEffectEvidenceStatus / GRADE
Postoperative wound or systemic infection
Dexamethasone vs control
OR 1.01 [0.8, 1.27]26 studies · 4603 participantsModerate
Downgraded: risk of bias, imprecision
Delayed wound healing
Dexamethasone vs control
OR 0.99 [0.28, 3.43]8 studies · 642 participantsLow
Downgraded: risk of bias, imprecision, inconsistency
Glycaemic response ‐ change from baseline to 2 to 12 hours postoperatively in patients without diabetes
Dexamethasone vs control
no estimate extracted10 studies · 595 participantsLow
Downgraded: risk of bias, imprecision, inconsistency
Glycaemic response ‐ change from baseline to 10 to 24 hours after surgery in patients with diabetes
Dexamethasone vs control
no estimate extracted2 studies · 74 participantsVery low
Downgraded: risk of bias, imprecision, inconsistency