Primary study · included by 1 review

The effect of ice-cold water spray following the model for symptom management on postoperative thirst in patients admitted to intensive care unit: A randomized controlled study

Lian 2024 · Lian Rongli, Zhou Song, Guo Yuan, et al. · Intensive and Critical Care Nursing · 2024

Included by

Outcome this study informsPooled effectEvidenceCertainty
Thirst intensity (NRS or VAS 0 to 10)
Cold oral stimulants (cold water, ice, menthol) vs Standard care (room-temperature water, non-menthol package or no intervention) · Immediate post-operative period
SMD -3.06 [-3.80, -2.31]1 study · 60 participantsGRADE not reported
Thirst intensity (NRS or VAS 0 to 10)
Cold oral stimulants (cold water, ice, menthol) vs Standard care (room-temperature water, non-menthol package or no intervention) · Immediate post-operative period
SMD -1.05 [-1.75, -0.35]5 studies · 529 participantsGRADE not reported
Thirst intensity (NRS or VAS 0 to 10)
Cold oral stimulants (cold water, ice, menthol) vs Standard care (room-temperature water, non-menthol package or no intervention) · Immediate post-operative period
SMD -1.85 [-4.16, 0.47]2 studies · 268 participantsGRADE not reported
Thirst intensity (NRS or VAS 0 to 10)
Cold oral stimulants (cold water, ice, menthol) vs Standard care (room-temperature water, non-menthol package or no intervention) · Immediate post-operative period
SMD -1.39 [-1.98, -0.81]13 studies · 1179 participantsGRADE not reported
Thirst intensity (NRS or VAS 0 to 10)
Cold oral stimulants (cold water, ice, menthol) vs Standard care (room-temperature water, non-menthol package or no intervention) · Immediate post-operative period
SMD -2.66 [-3.18, -2.15]3 studiesGRADE not reported
Thirst intensity (NRS or VAS 0 to 10)
Cold oral stimulants (cold water, ice, menthol) vs Standard care (room-temperature water, non-menthol package or no intervention) · Immediate post-operative period
SMD -1.70 [-2.34, -1.06]9 studies · 777 participantsGRADE not reported
Thirst intensity (NRS or VAS 0 to 10)
Cold oral stimulants (cold water, ice, menthol) vs Standard care (room-temperature water, non-menthol package or no intervention) · Immediate post-operative period
SMD -1.49 [-2.03, -0.95]13 studies · 1169 participantsGRADE not reported
Thirst intensity (NRS or VAS 0 to 10)
Cold oral stimulants (cold water, ice, menthol) vs Standard care (room-temperature water, non-menthol package or no intervention) · Immediate post-operative period
SMD -1.13 [-1.50, -0.76]2 studies · 179 participantsGRADE not reported
Thirst intensity (NRS or VAS 0 to 10)
Cold oral stimulants (cold water, ice, menthol) vs Standard care (room-temperature water, non-menthol package or no intervention) · Immediate post-operative period
SMD -1.07 [-1.81, -0.34]8 studies · 831 participantsGRADE not reported
Thirst intensity (NRS or VAS 0 to 10)
Cold oral stimulants (cold water, ice, menthol) vs Standard care (room-temperature water, non-menthol package or no intervention) · Immediate post-operative period
SMD -1.28 [-1.94, -0.63]9 studiesGRADE not reported
Thirst intensity (NRS or VAS 0 to 10)
Cold oral stimulants (cold water, ice, menthol) vs Standard care (room-temperature water, non-menthol package or no intervention) · Immediate post-operative period
SMD -1.40 [-1.99, -0.82]13 studies · 1182 participantsGRADE not reported
Thirst intensity (NRS or VAS 0 to 10)
Cold oral stimulants (cold water, ice, menthol) vs Standard care (room-temperature water, non-menthol package or no intervention) · Immediate post-operative period
SMD -1.44 [-1.88, -1.01]4 studiesGRADE not reported
Thirst intensity (NRS or VAS 0 to 10)
Cold oral stimulants (cold water, ice, menthol) vs Standard care (room-temperature water, non-menthol package or no intervention) · Immediate post-operative period
SMD -1.44 [-2.02, -0.87]13 studies · 1081 participantsGRADE not reported
Thirst intensity (NRS or VAS 0 to 10)
Cold oral stimulants (cold water, ice, menthol) vs Standard care (room-temperature water, non-menthol package or no intervention) · Immediate post-operative period
SMD -1.27 [-1.80, -0.74]13 studies · 1170 participantsGRADE not reported
Thirst intensity (NRS or VAS 0 to 10)
Cold oral stimulants (cold water, ice, menthol) vs Standard care (room-temperature water, non-menthol package or no intervention) · Immediate post-operative period
SMD -2.39 [-3.05, -1.73]1 study · 60 participantsGRADE not reported
Thirst intensity (NRS or VAS 0-10)
Oral cold stimulants (cold water, ice, menthol) vs Standard care (room temperature water, non-menthol package, or no intervention) · Immediate post-operative period (assessment times varied)
Meta-regression coefficient (SMD per unit time) 0.0000738 [-0.00082, 0.00097]14 studies · 1289 participantsGRADE not reported
Thirst intensity (NRS or VAS 0 to 10)
Cold oral stimulants (cold water, ice, menthol) vs Standard care (room-temperature water, non-menthol package or no intervention) · Immediate post-operative period
SMD -1.60 [-2.19, -1.00]1 study · 56 participantsGRADE not reported
Thirst intensity (NRS or VAS 0 to 10)
Cold oral stimulants (cold water, ice, menthol) vs Standard care (room-temperature water, non-menthol package or no intervention) · Immediate post-operative period
SMD -3.06 [-3.80, -2.31]1 study · 60 participantsGRADE not reported
Thirst intensity (NRS or VAS 0 to 10)
Cold oral stimulants (cold water, ice, menthol) vs Standard care (room-temperature water, non-menthol package or no intervention) · Immediate post-operative period
SMD -1.32 [-1.88, -0.75]13 studies · 1239 participantsGRADE not reported
Thirst intensity (NRS or VAS 0 to 10)
Cold oral stimulants (cold water, ice, menthol) vs Standard care (room-temperature water, non-menthol package or no intervention) · Immediate post-operative period
SMD 0.08 [-0.33, 0.49]1 study · 90 participantsGRADE not reported
Thirst intensity (NRS or VAS 0 to 10)
Cold oral stimulants (cold water, ice, menthol) vs Standard care (room-temperature water, non-menthol package or no intervention) · Immediate post-operative period
SMD -1.85 [-4.16, 0.47]2 studies · 268 participantsGRADE not reported
Thirst intensity (NRS or VAS 0 to 10)
Cold oral stimulants (cold water, ice, menthol) vs Standard care (room-temperature water, non-menthol package or no intervention) · Immediate post-operative period
SMD -1.38 [-1.92, -0.84]14 studies · 1289 participantsLow
Thirst intensity (NRS or VAS 0 to 10)
Cold oral stimulants (cold water, ice, menthol) vs Standard care (room-temperature water, non-menthol package or no intervention) · Immediate post-operative period
SMD -1.23 [-1.87, -0.60]1 study · 44 participantsGRADE not reported
Thirst intensity (NRS or VAS 0 to 10)
Cold oral stimulants (cold water, ice, menthol) vs Standard care (room-temperature water, non-menthol package or no intervention) · Immediate post-operative period
SMD -1.52 [-1.92, -1.11]7 studiesGRADE not reported
Thirst intensity (NRS or VAS 0 to 10)
Cold oral stimulants (cold water, ice, menthol) vs Standard care (room-temperature water, non-menthol package or no intervention) · Immediate post-operative period
SMD -1.31 [-1.87, -0.75]12 studies · 1021 participantsGRADE not reported
Thirst intensity (NRS or VAS 0 to 10)
Cold oral stimulants (cold water, ice, menthol) vs Standard care (room-temperature water, non-menthol package or no intervention) · Immediate post-operative period
SMD -1.41 [-1.99, -0.83]4 studies · 346 participantsGRADE not reported
Thirst intensity (NRS or VAS 0 to 10)
Cold oral stimulants (cold water, ice, menthol) vs Standard care (room-temperature water, non-menthol package or no intervention) · Immediate post-operative period
SMD -0.93 [-2.80, 0.94]3 studies · 309 participantsGRADE not reported
Thirst intensity (NRS or VAS 0 to 10)
Cold oral stimulants (cold water, ice, menthol) vs Standard care (room-temperature water, non-menthol package or no intervention) · Immediate post-operative period
SMD -1.32 [-1.89, -0.75]13 studies · 1193 participantsGRADE not reported
Thirst intensity (NRS or VAS 0 to 10)
Cold oral stimulants (cold water, ice, menthol) vs Standard care (room-temperature water, non-menthol package or no intervention) · Immediate post-operative period
SMD -0.04 [-0.43, 0.35]1 study · 100 participantsGRADE not reported
Thirst intensity (NRS or VAS 0 to 10)
Cold oral stimulants (cold water, ice, menthol) vs Standard care (room-temperature water, non-menthol package or no intervention) · Immediate post-operative period
SMD -1.35 [-1.87, -0.82]14 studies · 1289 participantsGRADE not reported
Thirst intensity (NRS or VAS 0 to 10)
Cold oral stimulants (cold water, ice, menthol) vs Standard care (room-temperature water, non-menthol package or no intervention) · Immediate post-operative period
SMD -3.06 [-3.80, -2.31]1 study · 60 participantsGRADE not reported
Thirst intensity (NRS or VAS 0 to 10)
Cold oral stimulants (cold water, ice, menthol) vs Standard care (room-temperature water, non-menthol package or no intervention) · Immediate post-operative period
SMD -0.80 [-1.62, 0.02]5 studies · 512 participantsGRADE not reported
Thirst intensity (NRS or VAS 0 to 10)
Cold oral stimulants (cold water, ice, menthol) vs Standard care (room-temperature water, non-menthol package or no intervention) · Immediate post-operative period
SMD -1.06 [-1.96, -0.16]7 studies · 684 participantsGRADE not reported
Thirst intensity (NRS or VAS 0 to 10)
Cold oral stimulants (cold water, ice, menthol) vs Standard care (room-temperature water, non-menthol package or no intervention) · Immediate post-operative period
SMD -1.31 [-1.87, -0.75]13 studies · 1229 participantsGRADE not reported
Thirst intensity (NRS or VAS 0 to 10)
Cold oral stimulants (cold water, ice, menthol) vs Standard care (room-temperature water, non-menthol package or no intervention) · Immediate post-operative period
SMD -1.50 [-2.03, -0.96]13 studies · 1199 participantsGRADE not reported
Thirst intensity (NRS or VAS 0 to 10)
Cold oral stimulants (cold water, ice, menthol) vs Standard care (room-temperature water, non-menthol package or no intervention) · Immediate post-operative period
MD -2.30 [-3.25, -1.34]14 studies · 1289 participantsLow
Thirst intensity (NRS or VAS 0 to 10)
Cold oral stimulants (cold water, ice, menthol) vs Standard care (room-temperature water, non-menthol package or no intervention) · Immediate post-operative period
SMD -1.26 [-1.78, -0.74]13 studies · 1229 participantsGRADE not reported
Thirst intensity (NRS or VAS 0 to 10)
Cold oral stimulants (cold water, ice, menthol) vs Standard care (room-temperature water, non-menthol package or no intervention) · Immediate post-operative period
SMD -1.34 [-2.54, -0.14]6 studiesGRADE not reported
Thirst intensity (NRS or VAS 0 to 10)
Cold oral stimulants (cold water, ice, menthol) vs Standard care (room-temperature water, non-menthol package or no intervention) · Immediate post-operative period
SMD -1.74 [-2.70, -0.78]6 studies · 490 participantsGRADE not reported
Thirst intensity (NRS or VAS 0 to 10)
Cold oral stimulants (cold water, ice, menthol) vs Standard care (room-temperature water, non-menthol package or no intervention) · Immediate post-operative period
SMD -1.37 [-1.95, -0.79]13 studies · 1233 participantsGRADE not reported
Thirst intensity (NRS or VAS 0 to 10)
Cold oral stimulants (cold water, ice, menthol) vs Standard care (room-temperature water, non-menthol package or no intervention) · Immediate post-operative period
SMD -1.81 [-2.88, -0.74]2 studies · 170 participantsGRADE not reported
Thirst intensity (NRS or VAS 0 to 10)
Cold oral stimulants (cold water, ice, menthol) vs Standard care (room-temperature water, non-menthol package or no intervention) · Immediate post-operative period
SMD -1.09 [-1.66, -0.51]6 studies · 639 participantsGRADE not reported
Thirst intensity (NRS or VAS 0 to 10)
Cold oral stimulants (cold water, ice, menthol) vs Standard care (room-temperature water, non-menthol package or no intervention) · Immediate post-operative period
SMD -1.54 [-2.82, -0.26]4 studies · 348 participantsGRADE not reported
Thirst intensity (NRS or VAS 0 to 10)
Cold oral stimulants (cold water, ice, menthol) vs Standard care (room-temperature water, non-menthol package or no intervention) · Immediate post-operative period
SMD -2.13 [-3.92, -0.35]2 studies · 104 participantsGRADE not reported
Thirst intensity (NRS or VAS 0 to 10)
Cold oral stimulants (cold water, ice, menthol) vs Standard care (room-temperature water, non-menthol package or no intervention) · Immediate post-operative period
SMD -1.42 [-2.00, -0.84]13 studies · 1220 participantsGRADE not reported
Thirst intensity (NRS or VAS 0 to 10)
Cold oral stimulants (cold water, ice, menthol) vs Standard care (room-temperature water, non-menthol package or no intervention) · Immediate post-operative period
SMD -1.40 [-1.98, -0.81]13 studies · 1245 participantsGRADE not reported
Thirst intensity (NRS or VAS 0 to 10)
Cold oral stimulants (cold water, ice, menthol) vs Standard care (room-temperature water, non-menthol package or no intervention) · Immediate post-operative period
SMD -1.21 [-2.19, -0.24]4 studiesGRADE not reported
Thirst intensity (NRS or VAS 0 to 10)
Cold oral stimulants (cold water, ice, menthol) vs Standard care (room-temperature water, non-menthol package or no intervention) · Immediate post-operative period
SMD -1.54 [-2.26, -0.82]7 studies · 661 participantsGRADE not reported
Thirst intensity (NRS or VAS 0 to 10)
Cold oral stimulants (cold water, ice, menthol) vs Standard care (room-temperature water, non-menthol package or no intervention) · Immediate post-operative period
SMD -1.60 [-2.22, -0.98]9 studies · 801 participantsGRADE not reported
Thirst intensity (NRS or VAS 0 to 10)
Cold oral stimulants (cold water, ice, menthol) vs Standard care (room-temperature water, non-menthol package or no intervention) · Immediate post-operative period
SMD -1.13 [-1.50, -0.76]2 studies · 179 participantsGRADE not reported
Thirst intensity (NRS or VAS 0 to 10)
Cold oral stimulants (cold water, ice, menthol) vs Standard care (room-temperature water, non-menthol package or no intervention) · Immediate post-operative period
SMD -1.31 [-1.87, -0.75]12 studies · 1021 participantsGRADE not reported
Thirst intensity (NRS or VAS 0 to 10)
Cold oral stimulants (cold water, ice, menthol) vs Standard care (room-temperature water, non-menthol package or no intervention) · Immediate post-operative period
SMD -0.85 [-1.67, -0.02]5 studies · 595 participantsGRADE not reported
Thirst intensity (NRS or VAS 0 to 10)
Cold oral stimulants (cold water, ice, menthol) vs Standard care (room-temperature water, non-menthol package or no intervention) · Immediate post-operative period
SMD -1.76 [-2.28, -1.24]7 studies · 544 participantsGRADE not reported
Thirst intensity (NRS or VAS 0 to 10)
Cold oral stimulants (cold water, ice, menthol) vs Standard care (room-temperature water, non-menthol package or no intervention) · Immediate post-operative period
SMD -1.32 [-1.93, -0.72]10 studies · 941 participantsGRADE not reported
Thirst intensity (NRS or VAS 0 to 10)
Cold oral stimulants (cold water, ice, menthol) vs Standard care (room-temperature water, non-menthol package or no intervention) · Immediate post-operative period
SMD -0.04 [-0.43, 0.35]1 study · 100 participantsGRADE not reported
Thirst intensity (NRS or VAS 0 to 10)
Cold oral stimulants (cold water, ice, menthol) vs Standard care (room-temperature water, non-menthol package or no intervention) · Immediate post-operative period
SMD -1.26 [-1.78, -0.74]13 studies · 1229 participantsGRADE not reported
Thirst intensity (NRS or VAS 0 to 10)
Cold oral stimulants (cold water, ice, menthol) vs Standard care (room-temperature water, non-menthol package or no intervention) · Immediate post-operative period
SMD -0.80 [-1.62, 0.02]5 studies · 512 participantsGRADE not reported
Thirst intensity (NRS or VAS 0 to 10)
Cold oral stimulants (cold water, ice, menthol) vs Standard care (room-temperature water, non-menthol package or no intervention) · Immediate post-operative period
SMD -0.69 [-0.97, -0.41]1 study · 208 participantsGRADE not reported
Thirst intensity (NRS or VAS 0 to 10)
Cold oral stimulants (cold water, ice, menthol) vs Standard care (room-temperature water, non-menthol package or no intervention) · Immediate post-operative period
SMD -2.53 [-3.16, -1.89]2 studies · 215 participantsGRADE not reported
Thirst intensity (NRS or VAS 0 to 10)
Cold oral stimulants (cold water, ice, menthol) vs Standard care (room-temperature water, non-menthol package or no intervention) · Immediate post-operative period
SMD -1.23 [-2.05, -0.42]8 studiesGRADE not reported
Thirst intensity (NRS or VAS 0 to 10)
Cold oral stimulants (cold water, ice, menthol) vs Standard care (room-temperature water, non-menthol package or no intervention) · Immediate post-operative period
SMD -1.74 [-2.70, -0.78]6 studies · 490 participantsGRADE not reported
Thirst intensity (NRS or VAS 0 to 10)
Cold oral stimulants (cold water, ice, menthol) vs Standard care (room-temperature water, non-menthol package or no intervention) · Immediate post-operative period
SMD -1.02 [-1.51, -0.53]11 studiesGRADE not reported
Thirst intensity (NRS or VAS 0 to 10)
Cold oral stimulants (cold water, ice, menthol) vs Standard care (room-temperature water, non-menthol package or no intervention) · Immediate post-operative period
SMD -2.24 [-3.46, -1.01]2 studies · 175 participantsGRADE not reported
Thirst intensity (NRS or VAS 0 to 10)
Cold oral stimulants (cold water, ice, menthol) vs Standard care (room-temperature water, non-menthol package or no intervention) · Immediate post-operative period
SMD -1.49 [-2.03, -0.95]13 studies · 1189 participantsGRADE not reported

1 including review in total.