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Table 3 GRADE assessments of certainty

From: Non-invasive ventilation for preoxygenation before general anesthesia: a systematic review and meta-analysis of randomized controlled trials

Certainty assessment

â„– of patients

Effect

Certainty

Importance

â„– of studies

Study design

Risk of bias

Inconsistency

Indirectness

Imprecision

Other considerations

V

C

Relative (95% CI)

Absolute (95% CI)

Safe Apnea Time

 7

randomized trials

not serious

not serious

not serious

not serious

none

147

152

-

MD 96.26 higher (29.41 higher to 163.12 higher)

High

 

Safe Apnea Time—Obese

 4

randomized trials

not serious

not serious

not serious

not serious

none

61

63

-

MD 66.62 higher (2.73 higher to 130.51 higher)

High

 

Safe Apnea Time—Non-obese

 3

randomized trials

not serious

not serious

not serious

seriousa

none

86

89

-

MD 125.38 higher

(12.26 lower to 263.03 higher)

Moderate

 

3 min PreOx FeO2 to 90% Number—Number to FeO2 90% after 3 min preoxygenation

 2

randomized trials

not serious

not serious

not serious

not serious

strong association

61/80 (76.3%)

41/79 (51.9%)

OR 3.01

(1.52 to 5.96)

246 more per 1,000

(from 102 to 346 more)

High

 

PaO2 (after PreOx)

 7

randomized trials

not serious

seriousb

not serious

not serious

none

123

127

-

MD 5.43 higher

(1.9 higher to 8.95 higher)

Moderate

 

PaO2 (after PreOx)—Obese

 5

randomized trials

not serious

seriousc

not serious

not serious

none

87

87

-

MD 4.98 higher

(0.63 higher to 9.34 higher)

Moderate

 

PaO2 (after PreOx)—Non-obese

 2

randomized trials

not serious

seriousd

not serious

not serious

none

36

40

-

MD 6.51 higher

(1.05 higher to 11.97 higher)

Moderate

 

After PreOx vs After ETI—After preoxygenatiotion

 6

randomized trials

not serious

not serious

not serious

not serious

none

87

87

-

MD 0.41 lower

(0.58 lower to 0.23 lower)

High

 

After PreOx vs After ETI—After ETI

 2

randomized trials

not serious

not serious

not serious

not serious

none

44

44

-

MD 0.28 lower

(0.59 lower to 0.03 higher)

High

 

SpO2 after PreOx + PaO2 after ETI—PaO2 (after ETI)

 3

randomized trials

not serious

seriouse

not serious

not serious

none

64

64

-

MD 4.42 higher

(0.17 higher to 8.67 higher)

Moderate

 
  1. CI Confidence interval, MD Mean difference, OR Odds ratio
  2. Explanations
  3. aOIS criterion met, but CI overlaps no effect (i.e. CI around RR excludes 1.0)
  4. bThe observed value of I2 fall into the range of 50–90% may represent substantial heterogeneity
  5. cThe observed value of I2 fall into the range of 50–90% may represent substantial heterogeneity
  6. dThe observed value of I2 fall into the range of 30–60% may represent moderate heterogeneity
  7. eThe observed value of I2 fall into the range of 50–90% may represent substantial heterogeneity