Scolaris Content Display Scolaris Content Display

Cochrane Database of Systematic Reviews

Dosis única oral de ibuprofeno más codeína para el dolor posoperatorio agudo en adultos

Esta versión no es la más reciente

Información

DOI:
https://doi.org/10.1002/14651858.CD010107.pub2Copiar DOI
Base de datos:
  1. Cochrane Database of Systematic Reviews
Versión publicada:
  1. 28 marzo 2013see what's new
Tipo:
  1. Intervention
Etapa:
  1. Review
Grupo Editorial Cochrane:
  1. Grupo Cochrane de Dolor y cuidados paliativos

Copyright:
  1. Copyright © 2013 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

  • Sheena Derry

    Pain Research and Nuffield Department of Clinical Neurosciences, University of Oxford, Oxford, UK

  • Samuel M Karlin

    Pain Research and Nuffield Department of Clinical Neurosciences, University of Oxford, Oxford, UK

  • R Andrew Moore

    Correspondencia a: Pain Research and Nuffield Department of Clinical Neurosciences, University of Oxford, Oxford, UK

    [email protected]

Contributions of authors

All authors contributed to writing the protocol. SK and SD carried out searches, assessed studies for inclusion, and extracted data. RAM acted as arbitrator. All authors were involved in writing the review. RAM will be responsible for updating the review.

Sources of support

Internal sources

  • Oxford Pain Relief Trust, UK.

External sources

  • No sources of support supplied

Declarations of interest

RAM and SD have received research support from charities, government and industry sources at various times. RAM has consulted for various pharmaceutical companies and has received lecture fees from pharmaceutical companies related to analgesics and other healthcare interventions. SK has no interests to declare.

Acknowledgements

This review received infrastructure support from the Oxford Pain Relief Trust.

Version history

Published

Title

Stage

Authors

Version

2015 Feb 05

Single dose oral ibuprofen plus codeine for acute postoperative pain in adults

Review

Sheena Derry, Samuel M Karlin, R Andrew Moore

https://doi.org/10.1002/14651858.CD010107.pub3

2013 Mar 28

Single dose oral ibuprofen plus codeine for acute postoperative pain in adults

Review

Sheena Derry, Samuel M Karlin, R Andrew Moore

https://doi.org/10.1002/14651858.CD010107.pub2

2012 Sep 12

Single dose oral ibuprofen plus codeine for acute postoperative pain in adults

Protocol

Sheena Derry, Samuel M Karlin, R Andrew Moore

https://doi.org/10.1002/14651858.CD010107

Differences between protocol and review

Additional information relating to the criteria used to assess risk of bias have been added since the protocol was published.

Keywords

MeSH

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.

Risk of bias graph: review authors' judgements about each risk of bias item presented as percentages across all included studies.
Figuras y tablas -
Figure 1

Risk of bias graph: review authors' judgements about each risk of bias item presented as percentages across all included studies.

Risk of bias summary: review authors' judgements about each risk of bias item for each included study.
Figuras y tablas -
Figure 2

Risk of bias summary: review authors' judgements about each risk of bias item for each included study.

Forest plot of comparison: ibuprofen 400 mg + high dose codeine versus placebo, outcome: 2.1 Participants with ≥ 50% pain relief.
Figuras y tablas -
Figure 3

Forest plot of comparison: ibuprofen 400 mg + high dose codeine versus placebo, outcome: 2.1 Participants with ≥ 50% pain relief.

Studies comparing ibuprofen plus codeine with placebo, with the outcome of at least 50% maximum pain relief over 4‐6 hours. Colour code: white ‐ ibuprofen 200 mg + codeine 15 mg; yellow ‐ ibuprofen 200 mg + codeine 30 mg; light pink ‐ ibuprofen 400 mg + codeine 25.6 mg; medium pink ‐ ibuprofen 400 mg + codeine 30 mg; red ‐ ibuprofen 400 mg + codeine 60 mg; blue ‐ ibuprofen 800 mg + codeine 60 mg.
Figuras y tablas -
Figure 4

Studies comparing ibuprofen plus codeine with placebo, with the outcome of at least 50% maximum pain relief over 4‐6 hours. Colour code: white ‐ ibuprofen 200 mg + codeine 15 mg; yellow ‐ ibuprofen 200 mg + codeine 30 mg; light pink ‐ ibuprofen 400 mg + codeine 25.6 mg; medium pink ‐ ibuprofen 400 mg + codeine 30 mg; red ‐ ibuprofen 400 mg + codeine 60 mg; blue ‐ ibuprofen 800 mg + codeine 60 mg.

Studies comparing ibuprofen plus codeine with same dose of ibuprofen, with the outcome of at least 50% maximum pain relief over 4‐6 hours. Colour code: darker yellow ‐ ibuprofen 200 mg + codeine 20 mg versus ibuprofen 200 mg; lighter yellow ‐ ibuprofen 400 mg + codeine 60 mg versus ibuprofen 400 mg.
Figuras y tablas -
Figure 5

Studies comparing ibuprofen plus codeine with same dose of ibuprofen, with the outcome of at least 50% maximum pain relief over 4‐6 hours. Colour code: darker yellow ‐ ibuprofen 200 mg + codeine 20 mg versus ibuprofen 200 mg; lighter yellow ‐ ibuprofen 400 mg + codeine 60 mg versus ibuprofen 400 mg.

Forest plot of comparison: ibuprofen + codeine (all doses) versus same dose of ibuprofen alone, outcome: 3.1 Participants with ≥ 50% pain relief.
Figuras y tablas -
Figure 6

Forest plot of comparison: ibuprofen + codeine (all doses) versus same dose of ibuprofen alone, outcome: 3.1 Participants with ≥ 50% pain relief.

Comparison 1 Ibuprofen 400 mg + high dose codeine versus placebo, Outcome 1 Participants with ≥ 50% pain relief.
Figuras y tablas -
Analysis 1.1

Comparison 1 Ibuprofen 400 mg + high dose codeine versus placebo, Outcome 1 Participants with ≥ 50% pain relief.

Comparison 1 Ibuprofen 400 mg + high dose codeine versus placebo, Outcome 2 Participants with any adverse event.
Figuras y tablas -
Analysis 1.2

Comparison 1 Ibuprofen 400 mg + high dose codeine versus placebo, Outcome 2 Participants with any adverse event.

Comparison 2 Ibuprofen + codeine (all doses) versus same dose of ibuprofen alone, Outcome 1 Participants with ≥ 50% pain relief.
Figuras y tablas -
Analysis 2.1

Comparison 2 Ibuprofen + codeine (all doses) versus same dose of ibuprofen alone, Outcome 1 Participants with ≥ 50% pain relief.

Comparison 1. Ibuprofen 400 mg + high dose codeine versus placebo

Outcome or subgroup title

No. of studies

No. of participants

Statistical method

Effect size

1 Participants with ≥ 50% pain relief Show forest plot

4

443

Risk Ratio (M‐H, Fixed, 95% CI)

4.09 [2.82, 5.93]

2 Participants with any adverse event Show forest plot

4

443

Risk Ratio (M‐H, Fixed, 95% CI)

1.18 [0.84, 1.66]

Figuras y tablas -
Comparison 1. Ibuprofen 400 mg + high dose codeine versus placebo
Comparison 2. Ibuprofen + codeine (all doses) versus same dose of ibuprofen alone

Outcome or subgroup title

No. of studies

No. of participants

Statistical method

Effect size

1 Participants with ≥ 50% pain relief Show forest plot

3

204

Risk Ratio (M‐H, Fixed, 95% CI)

1.26 [1.01, 1.57]

Figuras y tablas -
Comparison 2. Ibuprofen + codeine (all doses) versus same dose of ibuprofen alone