Pediatric anesthesia & critical care

Oral prednisolone for postoperative analgesia management in paediatrics tonsillectomy: A meta-analysis of published studies

Anaesth Crit Care Pain MedPublished Systematic review and meta-analysis of randomised trials

Authors' conclusion

The current meta-analysis indicates that the administration of oral prednisolone postoperatively does not decrease postoperative pain in paediatric patients following tonsillectomy.

Study context

Population
Children undergoing tonsillectomy
Comparison
Oral prednisolone vs placebo after tonsillectomy
Outcome
Postoperative pain intensity
Methodological detailsGRADE assessment
  • GRADE assessment

Pooled result

As reported in the abstract

Pain intensity
Prednisolone vs PlaceboMD (CI)
POD 1; I² = 84%, p of I² < 0.002
−0.38(−0.99 to 0.33)
POD 3; I² = 97%, p of I² < 0.0001
−1.02(−2.78 to 0.75)
POD 5–7; I² = 84%, p of I² < 0.001
−0.15(−0.35 to 0.04)

Further pooled results

Oral prednisolone did not reduce PONV

Original publication

Oral prednisolone for postoperative analgesia management in paediatrics tonsillectomy: A meta-analysis of published studies. Anaesth Crit Care Pain Med. Published 21 November 2025. doi:10.1016/j.accpm.2025.101706

Composed by AI from the published abstract and checked against it. How Briefs are made →

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