Evidence map›Paper›PMID 31439875›Full record

SynthesisScientific reports2019

Evaluation of the safety of using propofol for paediatric procedural sedation: A systematic review and meta-analysis.

Sunhee Kim, Seokyung Hahn, Myoung-Jin Jang, Yunhee Choi, Hyunsook Hong, Ji-Hyun Lee, Hee-Soo Kim

Open access · goldAbstract readMeta-AnalysisSystematic Review
In one paragraph

Synthesis in Scientific reports, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed, 1 pooled it
6.5field-weighted citation impact, top 3% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

13 citing papers in PubMed, 1 synthesis or guideline pooled it, 36 citations in OpenAlex.

  1. Pooled it
  2. Trial
  3. Article
  4. Review
  5. Article
  6. Article
  7. Article
  8. Review
  9. Article
  10. Article
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  12. Observational
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors at 2 institutions in 2 countries.

Sunhee KimInterdisciplinary Program in Medical Informatics, Seoul National University College of Medicine, Seoul, 03080, Korea.ORCID http://orcid.org/0000-0002-2668-3685
Seokyung HahnDepartment of Medicine, Seoul National University College of Medicine, Seoul, 03080, Korea. hahns@snu.ac.kr.
Myoung-Jin JangDivision of Medical Statistics, Medical Research Collaborating Center, Seoul National University Hospital, Seoul, 03080, Korea.
Yunhee ChoiDivision of Medical Statistics, Medical Research Collaborating Center, Seoul National University Hospital, Seoul, 03080, Korea.
Hyunsook HongDivision of Medical Statistics, Medical Research Collaborating Center, Seoul National University Hospital, Seoul, 03080, Korea.
Ji-Hyun LeeDepartment of Anesthesiology and Pain Medicine, Seoul National University Hospital, Seoul, 03080, Korea.
Hee-Soo KimDepartment of Anesthesiology and Pain Medicine, Seoul National University Hospital, Seoul, 03080, Korea.
Seoul National University Hospital · KRSeoul National University · KR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Propofol is one of the most widely used drugs for paediatric procedural sedation owing to its known advantages, but some concerns remain regarding respiratory and/or cardiac complications in patients receiving propofol. Although a considerable number of randomised controlled clinical trials (RCTs) have been conducted to compare it with other sedative agents or opioids for children undergoing various procedures, propofol is still being used off-label for this indication in many countries. We performed a systematic review and meta-analysis of those RCTs to provide an overall summation of evidence that can potentially be considered for further regulatory decisions, including reimbursement policies. We searched for RCTs in MEDLINE, Embase, and the Cochrane Central Register of Controlled Trials from their inception to January 31, 2018. Our meta-analysis of 30 RCTs confirmed that propofol sedation had advantages in recovery time when compared with other drugs, without excessive concerns for cardiovascular or respiratory adverse events. Its safety profile regarding coughing, nausea or vomiting, and emergence delirium was also similar to that of other drugs. The overall evidence suggests that propofol sedation for paediatric procedures should be considered more positively in the context of regulatory decisions.

Indexed as

ChildChild, PreschoolFemaleHumansHypnotics and SedativesMalePediatricsPropofolHypnotics and SedativesPropofol

Identifiers

PMID31439875
PMCPMC6706375
OpenAlexW2969314986

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.