Scolaris Content Display Scolaris Content Display

Cochrane Database of Systematic Reviews

Dosis única de propacetamol intravenoso o paracetamol intravenoso para el dolor postoperatorio

Esta versión no es la más reciente

Información

DOI:
https://doi.org/10.1002/14651858.CD007126.pub2Copiar DOI
Base de datos:
  1. Cochrane Database of Systematic Reviews
Versión publicada:
  1. 05 octubre 2011see what's new
Tipo:
  1. Intervention
Etapa:
  1. Review
Grupo Editorial Cochrane:
  1. Grupo Cochrane de Dolor y cuidados paliativos

Copyright:
  1. Copyright © 2011 The Cochrane Collaboration. Published by John Wiley & Sons, Ltd.

Cifras del artículo

Altmetric:

Citado por:

Citado 0 veces por enlace Crossref Cited-by

Contraer

Autores

  • Aikaterini Tzortzopoulou

    Department of Anesthesiology, Tufts Medical Center, Boston, USA

  • Ewan D McNicol

    Correspondencia a: Pharmacy and Anesthesiology, Tufts Medical Center, Boston, USA

    [email protected]

  • M Soledad Cepeda

    Pharmacoepidemiology, Johnson & Johnson Pharmaceutical Research and Development, Titussville, USA

  • Marie Belle D Francia

    Department of Anesthesiology, Tufts Medical Center, Boston, USA

  • Tamman Farhat

    Department of Anesthesiology, Tufts Medical Center, Boston, USA

  • Roman Schumann

    Department of Anesthesiology, Tufts Medical Center, Boston, USA

Contributions of authors

Drafted the protocol: AT, MSC.

Developed a search strategy: MSC, AT.

Searched for studies (usually two review authors): AT, TF, EM.

Obtained copies of studies: AT, TF, EM.

Selected which studies to include (two plus one arbiter): AT, TF, MSC, EM.

Extracted data from studies (two review authors): AT, TF, EM, MB, RS, TF.

Entered data into RevMan: AT, EM

Carried out the analysis: EM, AT.

Interpreted the analysis: EM, AT

Drafted the final review: EM

Drafted the revised review: EM

Updated the review: EM, AT.

Sources of support

Internal sources

  • Saltonstall Fund for Pain Research, USA.

External sources

  • No sources of support supplied

Declarations of interest

EM has consulted for Javelin Pharmaceuticals, Wyeth and Ortho‐McNeil‐Janssen Pharmaceuticals.

Acknowledgements

We wish to thank Sheena Derry, Pain Research and Nuffield Department of Anaesthetics, University of Oxford, for her expert clinical perspective with statistical analysis and Dr. Daniel Carr for his clinical expertise and editorial advice.

Version history

Published

Title

Stage

Authors

Version

2016 May 23

Single dose intravenous paracetamol or intravenous propacetamol for postoperative pain

Review

Ewan D McNicol, McKenzie C Ferguson, Simon Haroutounian, Daniel B Carr, Roman Schumann

https://doi.org/10.1002/14651858.CD007126.pub3

2011 Oct 05

Single dose intravenous propacetamol or intravenous paracetamol for postoperative pain

Review

Aikaterini Tzortzopoulou, Ewan D McNicol, M Soledad Cepeda, Marie Belle D Francia, Tamman Farhat, Roman Schumann

https://doi.org/10.1002/14651858.CD007126.pub2

2008 Apr 23

Single dose propacetamol or IV paracetamol for postoperative pain

Protocol

Aikaterini Tzortzopoulou, Ewan D McNicol, M Soledad Cepeda, Roman Schumann, Tamman Farhat, Marie Belle D Francia

https://doi.org/10.1002/14651858.CD007126

Differences between protocol and review

We did not perform certain sensitivity analyses as planned. First, we did not combine placebo‐ and active‐controlled trials as, on reflection, it did not make clinical sense to combine these data. Therefore, sensitivity analysis was not necessary. Second, there were insufficient data to perform a sensitivity analysis where adults and pediatric patients were looked at separately.

Conversely, we performed three post‐hoc analyses that were not planned in the protocol. First, we looked at whether study design (see Summary of main results) affected our primary outcome (number of patients achieving at least 50% pain relief with IV propacetamol or IV paracetamol versus placebo). Second, we assessed the effect of type of surgery performed on our primary outcome (see Potential biases in the review process) and demonstrated greater efficacy in dental studies versus orthopedic studies. Last, at the request of a referee, we performed a sensitivity analysis using a random‐effects model instead of our original fixed‐effect model. This analysis demonstrated no difference in either the direction or magnitude of effect for any of the primary outcome estimates, but in some of the secondary outcomes estimates that were previously marginally statistically significant became non‐significant.

PICO

Population
Intervention
Comparison
Outcome

El uso y la enseñanza del modelo PICO están muy extendidos en el ámbito de la atención sanitaria basada en la evidencia para formular preguntas y estrategias de búsqueda y para caracterizar estudios o metanálisis clínicos. PICO son las siglas en inglés de cuatro posibles componentes de una pregunta de investigación: paciente, población o problema; intervención; comparación; desenlace (outcome).

Para saber más sobre el uso del modelo PICO, puede consultar el Manual Cochrane.