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Table 3 Post-operative course of primary (total postoperative morphine consumption) and secondary endpoints (complementary analgesia, postoperative complications, ICU and hospital stays)

From: Effect of opioid-free anaesthesia on post-operative period in cardiac surgery: a retrospective matched case-control study

Variables

OFA group

(n = 55)

OA group

(n = 55)

OR (CI95%)

P-value

Total morphine consumption (mg)

5 (2–18)

15 (6–34)

 

0.001

Additional analgesic (n, %)

 Tramadol

17 (31)

17 (31)

1 (0.445–2.245)

1

 Total median dose (mg)

150 (50–262)

125 (50–263)

 

1

 Ketoprofen

10 (18)

9 (16)

1.136 (0.422-3.056)

1

 Total median dose (mg)

100 (50–150)

100 (50–150)

 

1

 Nefopam

11 (20)

7 (13)

1.714 (0.611–4.812)

0.441

 Total median dose (mg)

40 (20–100)

20 (20–33)

 

0.317

Visual analog score

 Extubation

0 (0–2)

0 (0–3)

 

0.324

 12 h after ICU admission

0 (0–0)

0 (0–1)

 

0.777

 First postoperative day

0 (0–2)

0 (0–2)

 

0.665

 Second postoperative day

0 (0–2)

0 (0–2)

 

0.874

Vomiting (n, %)

5 (9)

9 (16)

0.511 (0.160–1.637)

0.393

Creatinine (mmol l−1)

 at admission to ICU

83 (72–106)

76 (64–91)

 

0.105

 on first postoperative day

80 (66–115)

77 (69–95)

 

0.284

Troponin Ic (ng ml−1)

 at admission to ICU

6.2 (3.7–10)

7.5 (2.9–20)

 

0.091

 24 h after surgery

4.7 (2.6–8.2)

7 (3.1–16)

 

0.091

PaO2

 at admission to ICU

162 (113–195)

155 (114–181)

 

0.479

 24 h after surgery

99 (83–122)

115 (89–138)

 

0.084

FiO2

 at admission to ICU

50 (30–60)

50 (50–60)

 

0.005

 24 h after surgery

28 (25–32)

32 (30–36)

 

0.018

PaO2/FiO2 ratio

 at admission to ICU

357 (275–458)

290 (213-372)

 

0.006

 24 h after surgery

355 (261–420)

322 (265–435)

 

0.919

Time to extubation (hours)

3 (1–5)

5 (3–6)

 

0.001

Catecholamine use, n (%)

 Norepinephrine

26 (32)

31 (38)

0.694 (0.328–1.471)

0.447

 Dobutamine

9 (16)

9 (16)

0.766 (0.277–2.115)

0.798

Transfusion, n (%)

 Red blood cell

16 (29)

18 (33)

0.843 (0.375–1.895)

0.837

Endpoint composite score, n (%)

25 (43)

38 (66)

0.373 (0.171–0.813)

0.021

 Confusion

4 (7)

10 (19)

0.353 (0.103–1.204)

0.151

 Stroke

1 (2)

0

 

1

 Seizure

1 (2)

0

1

 Atrial fibrillation,

15 (27)

22 (40)

0.563 (0.252–1.254)

0.228

 Ventricular tachycardia or fibrillation

1 (2)

3 (5)

0.315 (0.032–3.125)

0.599

 Atrio-ventricular block requiring pacemaker implantation

2 (4)

1 (2)

2.038 (0.179–23.151)

1

 Acute renal failure

12 (22)

14 (26)

0.817 (0.338–1.974)

0.823

 Reintubation

1 (2)

3 (6)

0.321 (0.032–3.186)

0.612

 Non-invasive ventilation

15 (27)

27 (49)

0.389 (0.176–0.861)

0.032

 Mortality

1 (2)

1 (2)

1 (0.061—16.401)

1

ICU stays (days)

2 (1–3)

3 (2–5)

 

0.037

Hospital stays (days)

8 (7–15)

10 (8–14)

0.790

  1. Data are expressed as median (25th to 75th percentiles), or number (%). The p-value always refers to comparison between the OFA group and the OA group