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. 2013 Jul 18;2013(7):CD003591. doi: 10.1002/14651858.CD003591.pub3

Summary of findings for the main comparison. Nonsteroidal anti‐inflammatory drugs for paediatric tonsillectomy.

Nonsteroidal anti‐inflammatory drugs for paediatric tonsillectomy
Patient or population: patients with paediatric tonsillectomy
 Settings:Intervention: nonsteroidal anti‐inflammatory drugs
Outcomes Illustrative comparative risks* (95% CI) Relative effect
 (95% CI) No of Participants
 (studies) Quality of the evidence
 (GRADE) Comments
Assumed risk Corresponding risk
Control Nonsteroidal anti‐inflammatory drugs
Perioperative bleeding requiring surgical intervention Moderate1 OR 1.69 
 (0.71 to 4.01) 1044
 (14 studies) ⊕⊕⊕⊝
 moderate2  
20 per 1000 33 per 1000 
 (14 to 76)
Perioperative bleeding requiring non‐surgical intervention Moderate1 OR 0.99 
 (0.41 to 2.4) 745
 (10 studies) ⊕⊕⊕⊝
 moderate2  
50 per 1000 50 per 1000 
 (21 to 112)
Vomiting Moderate3 RR 0.72 
 (0.61 to 0.85) 1021
 (13 studies) ⊕⊕⊕⊕
 high  
357 per 1000 257 per 1000 
 (218 to 303)
*The basis for the assumed risk (e.g. the median control group risk across studies) is provided in footnotes. The corresponding risk (and its 95% confidence interval) is based on the assumed risk in the comparison group and the relative effect of the intervention (and its 95% CI).
 CI: Confidence interval; RR: Risk ratio; OR: Odds ratio;
GRADE Working Group grades of evidence
 High quality: Further research is very unlikely to change our confidence in the estimate of effect.
 Moderate quality: Further research is likely to have an important impact on our confidence in the estimate of effect and may change the estimate.
 Low quality: Further research is very likely to have an important impact on our confidence in the estimate of effect and is likely to change the estimate.
 Very low quality: We are very uncertain about the estimate.

1 Based on Marret 2003.
 2 Confidence interval crosses no effect and is inconsistent with an increased risk of bleeding.
 3 Median control group risk from included studies.