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Table 2 GRADE summary of findings

From: The effect and safety of dexmedetomidine as an adjuvant to local anesthetics in erector spinae plane block: a systematic review and meta-analysis of randomized controlled trials

Outcomes

Number of patients (studies)

Effect

Certainty

Explanations

Relative(95% CI)

Absolute(95% CI)

The time first to request rescue analgesia

330 (5 RCTs)

-

MD 8.4 higher(4.7 higher to 12.1 higher)

Low

High statistical and clinical heterogeneity; unknown risk of publication bias

The rate of rescue analgesia

275 (4RCTs)

OR 0.33(0.17 to 0.65)

218 fewer per 1,000(from 295 to 97 fewer)

Moderate

Unknown risk of publication bias

The number of PCIA presses

233 (3RCTs)

-

MD 5.79 lower(7.24 lower to 4.35 lower)

Low

High statistical and clinical heterogeneity; unknown risk of publication bias

The rate of PONV

450 (7RCTs)

OR 0.57(0.36 to 0.91)

96 fewer per 1,000(from 153 to 18 fewer)

Moderate

Unknown risk of publication bias

The incidence of hypotension

283 (4RCTs)

OR 1.01(0.37 to 2.74)

1 more per 1,000(from 40 fewer to 94 more)

Moderate

Unknown risk of publication bias

The rate of arrhythmia

283 (4RCTs

OR 0.76(0.19 to 3.07)

26 fewer per 1,000(from 95 fewer to 176 more)

Low

High statistical and clinical heterogeneity; unknown risk of publication bias

  1. CI Confidence interval, MD Mean difference, OR Odds ratio
  2. GRADE Working Group grades of evidence; The quality considers: (1) within study risk of bias (methodological quality); (2) the directness of the evidence; (3) heterogeneity of the data; (4) precision of effect estimates; (5) risk of publication bias
  3. High certainty: we are very confident that the true effect lies close to that of the estimate of the effect
  4. Moderate certainty: we are moderately confident in the effect estimate; the true effect is likely to be close to the estimate of the effect, but there is a possibility that it is substantially different
  5. Low certainty: our confidence in the effect estimate is limited: the true effect may be substantially different from the estimate of the effect
  6. Very low certainty: we have very little confidence in the effect estimate; the true effect is likely to be substantially different from the estimate of effect