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Table 2 Summary of effect estimates for primary and secondary outcomes in the primary meta-analysis

From: Propofol vs. inhalational agents to maintain general anaesthesia in ambulatory and in-patient surgery: a systematic review and meta-analysis

Outcome

No. of studies

No. of patients

Effect measure (statistical model)

Effect estimate (95% CI)

Effect

Haemodynamic instability

14

1327

RR (M-H, FE)

1.01 [0.86, 1.19]

NS

Accidental awakenings

3

350

RR (M-H, FE)

1.36 [0.64, 2.89]

NS

Muscle relaxant consumption

11

821

Std. MD (IV, FE)

0.18 [0.04, 0.32]

I

Agitation on emergence

6

923

RR (M-H, FE)

0.91 [0.61, 1.34]

NS

Time to awakening (min)

40

3064

MD (IV, RE)

−0.01 [− 0.71, 0.68]

NS

Time to respiratory recovery (min)

20

2622

MD (IV, RE)

0.82 [0.20, 1.45]

I

Time to orientation (min)

20

1738

MD (IV, RE)

1.35 [−0.12, 2.82]

NS

Time to reach a recovery score (min)

12

2114

MD (IV, RE)

0.13 [−1.09, 1.35]

NS

Time to follow simple instructions (min)

23

2497

MD (IV, RE)

0.46 [−0.39, 1.30]

NS

Time to tracheal extubation (min)

61

5773

MD (IV, RE)

0.70 [0.03, 1.38]

I

Post-anaesthetic shivering

23

3382

RR (M-H, FE)

1.06 [0.92, 1.22]

NS

PONV

65

7043

RR (M-H, RE)

0.61 [0.53, 0.69]

P

Pain score - After tracheal extubation

27

2631

MD (IV, RE)

−0.51 [−0.81, −0.20]

P

Pain score - 12 to 24 h after tracheal extubation

18

1836

MD (IV, RE)

−0.14 [− 0.31, 0.03]

NS

Analgesic consumption

40

4192

Std. MD (IV, RE)

0.20 [0.03, 0.37]

I

PACU time (min)

21

2653

MD (IV, RE)

−2.91 [−5.47, −0.35]

P

Cognitive assessment scales

7

387

Std. MD (IV, RE)

0.45 [−0.15, 1.05]

NS

Post-operative cognitive dysfunction

4

674

RR (M-H, FE)

1.14 [0.86, 1.51]

NS

Patients satisfied

10

924

RR (M-H, FE)

1.06 [1.01, 1.10]

P

Satisfaction score

5

967

Std. MD (IV, FE)

0.13 [0.00, 0.26]

P

Grade 3–4 adverse event

14

2046

RR (M-H, FE)

1.04 [0.76, 1.42]

NS

Hospital mortality

11

1427

RR (M-H, FE)

0.78 [0.40, 1.53]

NS

Hospital LOS (days)

30

2837

MD (IV, RE)

0.18 [−0.16, 0.53]

NS

  1. Abbreviations: PONV post-operative nausea and vomiting, PACU post-anaesthesia care unit, LOS length of stay, CI confidence interval, RR relative risk, MD mean difference, Std. MD standardized mean difference, M-H Mantel-Haenzsel, FE fixed effects, IV inverse variance, RE random effects, P in favour of propofol, I in favour of inhalational agents, NS not significant