Perioperative medicine & outcomes

Risks of serious adverse events with non‐steroidal anti‐inflammatory drugs in gastrointestinal surgery: A systematic review with meta‐analysis and trial sequential analysis

Acta Anaesthesiol ScandPublished Systematic review and meta-analysis of randomised trials

Pooled result · SAEsResult — go to the resultRelative risk 0.78 95% CI 0.51–1.19

Authors' conclusion

In adult patients undergoing gastrointestinal surgery, there was insufficient information to draw firm conclusions on the effects of NSAIDs on SAEs. The certainty of the evidence was very low.

Study context

Population
Patients undergoing gastrointestinal surgery
Participants
1,622 patients · 22 RCTs
Comparison
Non-steroidal anti-inflammatory drugs (NSAIDs) vs placebo, usual care or no intervention
Outcome
Incidence of serious adverse events (SAEs)
Methodological detailstrial sequential analysis, GRADE certainty assessment
  • Trial sequential analysis
  • GRADE certainty assessment

Pooled result

SAEs

Relative risk

0.78

95% CI 0.51–1.19

P = 0.24

NSAIDs vs Placebo
RR 0.78 (95% CI 0.51–1.19); P = 0.24

As reported in the abstract

Further pooled results

OutcomeOR (CI)P value
SAEs, post-hoc beta-binomial regression including trials with zero events (sensitivity analysis)Post-hoc0.73 (0.54–0.99)P = 0.042

Original publication

Risks of serious adverse events with non‐steroidal anti‐inflammatory drugs in gastrointestinal surgery: A systematic review with meta‐analysis and trial sequential analysis. Acta Anaesthesiol Scand. Published 17 April 2024. doi:10.1111/aas.14425

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