Perioperative medicine & outcomes

Acupuncture-related techniques for postoperative cognitive complications: a systemic review and meta-analysis

Perioper Med (Lond)Published Systematic review and meta-analysis of randomised trials

Pooled resultResult — go to the resultOdds ratio 0.44 95% CI 0.33–0.59

Authors' conclusion

Acupuncture-related techniques, including needle techniques and electrical techniques, are associated with fewer postoperative cognitive complications

Study context

Population
Patients undergoing surgery under GA
Participants
1,058 patients · 12 studies
Comparison
Acupuncture-related techniques vs No acupuncture
Outcome
Incidence of postoperative cognitive complications (PCC)
Methodological detailsfixed and random effects models, PRISMA
  • Fixed and random effects models
  • PRISMA

Pooled result

As reported in the abstract

Odds ratio

0.44

95% CI 0.33–0.59

P < 0.001

Acupuncture-related techniques vs No acupuncture
OR 0.44 (95% CI 0.33–0.59); P < 0.001

Further pooled results

OutcomeOR (95% CI)P value
Agitation and/or delirium (subgroup)n = 4900.51 (0.34–0.76)P < 0.001
Delayed cognitive recovery (subgroup)n = 4780.33 (0.21–0.51)P < 0.001

MMSE scores (adult studies)

Scores not different between groups (SMD, - 0.71; 95% CI, - 1.72 to 0.3; P = 0.17; n = 441)

Biomarkers (IL-6, TNF-α, S100β)

Lower levels with acupuncture-related techniques

Acupuncture with vs without needles

Similar effects on prevention of postoperative cognitive complications (PCCs)

Original publication

Acupuncture-related techniques for postoperative cognitive complications: a systemic review and meta-analysis. Perioper Med (Lond). Published 3 May 2023. doi:10.1186/s13741-023-00303-5

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