Summary of findings for the main comparison. Immediate success rate of reduction.
| intra‐articular lignocaine compared to intravenous analgesia with or without sedation for acute anterior shoulder dislocation in adults | ||||||
| Patient or population: acute anterior shoulder dislocation in adults Settings: Emergency Department Intervention: intra‐articular lignocaine Comparison: intravenous analgesia with or without sedation | ||||||
| Outcomes | Illustrative comparative risks* (95% CI) | Relative effect (95% CI) | No of Participants (studies) | Quality of the evidence (GRADE) | Comments | |
| Assumed risk | Corresponding risk | |||||
| intravenous analgesia with or without sedation | intra‐articular lignocaine | |||||
| Per cent of patients who underwent successful reduction | Study population | RR 0.95 (0.83 to 1.1) | 211 (5 studies) | ⊕⊕⊝⊝ low1,2 | ||
| 776 per 1000 | 737 per 1000 (644 to 854) | |||||
| Medium risk population | ||||||
| 792 per 1000 | 752 per 1000 (657 to 871) | |||||
| *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; | ||||||
| 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 Relatively small number of included studies. 2 Small sample size in each included study.