Quality assessment | Summary of findings | ||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|
No of patients | Effect | Quality | |||||||||
No of studies | Design | Limitations | Inconsistency | Indirectness | Imprecision | Other considerations | EM | ENDO | Relative (95% CI) | Absolute | |
Procedure success rate | |||||||||||
4 | randomised trials | seriousa | no serious inconsistency | no serious indirectness | no serious imprecision | none | 237/287 (82.6%) | 207/249 (83.1%) | RR 0.97 (0.91 to 1.03) | 25 fewer per 1000 (from 75 fewer to 25 more) | ⊕⊕⊕○ MODERATE |
87.2% | 26 fewer per 1000 (from 78 fewer to 26 more) | ||||||||||
Need for reinsertion | |||||||||||
2 | randomised trials | seriousa | no serious inconsistency | no serious indirectness | no serious imprecision | none | 41/148 (27.7%) | 44/133 (33.1%) | RR 0.84 (0.59 to 1.2) | 53 fewer per 1000 (from 136 fewer to 66 more) | ⊕⊕⊕○ MODERATE |
33.3% | 53 fewer per 1000 (from 137 fewer to 67 more) | ||||||||||
Number of attempts | |||||||||||
2 | randomised trials | seriousa | seriousb | no serious indirectness | no serious imprecision | none | 125 | 104 | - | MD 0.23 lower (0.99 lower to 0.53 higher) | ⊕⊕○○ LOW |
Placement-related complications | |||||||||||
4 | randomised trials | seriousa | no serious inconsistency | no serious indirectness | no serious imprecision | none | 18/287 (6.3%) | 18/249 (7.2%) | RR 0.78 (0.41 to 1.49) | 16 fewer per 1000 (from 43 fewer to 35 more) | ⊕⊕⊕○ MODERATE |
6.5% | 14 fewer per 1000 (from 38 fewer to 32 more) | ||||||||||
Tube-related complications | |||||||||||
2 | randomised trials | seriousa | no serious inconsistency | no serious indirectness | no serious imprecision | none | 57/161 (35.4%) | 50/154 (32.5%) | RR 1.08 (0.82 to 1.44) | 26 more per 1000 (from 58 fewer to 143 more) | ⊕⊕⊕○ MODERATE |
33.1% | 26 more per 1000 (from 60 fewer to 146 more) | ||||||||||
Insertion time | |||||||||||
4 | randomised trials | seriousa | seriousb | no serious indirectness | no serious imprecision | none | 287 | 249 | - | MD 4.3 higher (0.2 to 8.39 higher) | ⊕⊕○○ LOW |
Total procedure time | |||||||||||
2 | randomised trials | seriousa | seriousb | no serious indirectness | no serious imprecision | none | 161 | 154 | - | MD 18.09 lower (38.66 lower to 2.47 higher) | ⊕⊕○○ LOW |
Patient discomfort | |||||||||||
2 | randomised trials | seriousa | no serious inconsistency | no serious indirectness | no serious imprecision | none | 161 | 154 | - | MD 1.28 higher (0.46 to 2.1 higher) | ⊕⊕⊕○ MODERATE |
Patient recommendation | |||||||||||
3 | randomised trials | seriousa | seriousb | no serious indirectness | no serious imprecision | none | 243 | 227 | - | MD 1.67 higher (0.24 to 3.1 higher) | ⊕⊕○○ LOW |
Length of hospital stay | |||||||||||
2 | randomised trials | seriousa | no serious inconsistency | no serious indirectness | no serious imprecision | none | 161 | 154 | - | MD 1.57 higher (0.33 lower to 3.47 higher) | ⊕⊕⊕○ MODERATE |
ICU mortality | |||||||||||
3 | randomised trials | seriousa | no serious inconsistency | no serious indirectness | no serious imprecision | none | 28/205 (13.7%) | 28/176 (15.9%) | RR 0.8 (0.5 to 1.29) | 32 fewer per 1000 (from 80 fewer to 46 more) | ⊕⊕⊕○ MODERATE |
20% | 40 fewer per 1000 (from 100 fewer to 58 more) | ||||||||||
In-hospital mortality | |||||||||||
3 | randomised trials | seriousa | no serious inconsistency | no serious indirectness | no serious imprecision | none | 39/205 (19%) | 36/176 (20.5%) | RR 0.87 (0.59 to 1.28) | 27 fewer per 1000 (from 84 fewer to 57 more) | ⊕⊕⊕○ MODERATE |
27.5% | 36 fewer per 1000 (from 113 fewer to 77 more) | ||||||||||
Total costs | |||||||||||
3 | randomised trials | seriousa | seriousb | no serious indirectness | no serious imprecision | none | 243 | 227 | - | SMD 1.8 lower (3.96 lower to 0.36 higher) | ⊕⊕○○ LOW |