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. 2015 Nov 6;2015(11):CD008984. doi: 10.1002/14651858.CD008984.pub2

Comparison 1. Nitrous oxide‐based versus nitrous oxide‐free.

Outcome or subgroup title No. of studies No. of participants Statistical method Effect size
1 Inhospital case fatality rate 8 10148 Peto Odds Ratio (Peto, Fixed, 95% CI) 0.87 [0.61, 1.26]
2 Pneumonia 8 2699 Odds Ratio (M‐H, Fixed, 95% CI) 1.68 [1.00, 2.81]
3 Pulmonary atelectasis 5 2400 Odds Ratio (M‐H, Fixed, 95% CI) 1.57 [1.18, 2.10]
4 Myocardial infarction 6 9246 Odds Ratio (M‐H, Fixed, 95% CI) 1.01 [0.84, 1.22]
5 Stroke 4 9142 Odds Ratio (M‐H, Fixed, 95% CI) 1.47 [0.86, 2.53]
6 Severe nausea and vomiting 10 11045 Odds Ratio (M‐H, Random, 95% CI) 1.44 [0.97, 2.15]
7 Venous thromboembolism 2 9004 Odds Ratio (M‐H, Fixed, 95% CI) 0.73 [0.45, 1.20]
8 Wound infection rate 6 9789 Odds Ratio (M‐H, Random, 95% CI) 1.22 [0.84, 1.78]
9 Length of hospital stay 6 1103 Mean Difference (IV, Random, 95% CI) 0.36 [‐0.69, 1.40]
10 Inhospital case fatality rate: type of surgery 4 646 Peto Odds Ratio (Peto, Fixed, 95% CI) 0.64 [0.11, 3.88]
10.1 Intra‐abdominal surgery 2 499 Peto Odds Ratio (Peto, Fixed, 95% CI) 0.41 [0.06, 3.03]
10.2 Neurosurgery 2 147 Peto Odds Ratio (Peto, Fixed, 95% CI) 4.45 [0.07, 287.21]
11 Pneumonia: type of surgery 6 427 Odds Ratio (M‐H, Fixed, 95% CI) 1.29 [0.48, 3.48]
11.1 Intra‐abdominal surgery 3 193 Odds Ratio (M‐H, Fixed, 95% CI) 1.12 [0.33, 3.78]
11.2 Neurosurgery 3 234 Odds Ratio (M‐H, Fixed, 95% CI) 1.71 [0.30, 9.81]
12 Pulmonary atelectasis: type of surgery 3 128 Odds Ratio (M‐H, Fixed, 95% CI) 0.16 [0.02, 1.06]
12.1 Intra‐abdominal surgery 2 102 Odds Ratio (M‐H, Fixed, 95% CI) 0.16 [0.02, 1.06]
12.2 Neurosurgery 1 26 Odds Ratio (M‐H, Fixed, 95% CI) 0.0 [0.0, 0.0]
13 Myocardial infarction: type of surgery 3 212 Odds Ratio (M‐H, Fixed, 95% CI) 1.24 [0.42, 3.67]
13.1 Intra‐abdominal surgery 1 91 Odds Ratio (M‐H, Fixed, 95% CI) 2.07 [0.48, 8.93]
13.2 Neurosurgery 1 87 Odds Ratio (M‐H, Fixed, 95% CI) 3.44 [0.14, 86.92]
13.3 Vascular surgery 1 34 Odds Ratio (M‐H, Fixed, 95% CI) 0.25 [0.02, 2.74]
14 Stroke: type of surgery 2 138 Odds Ratio (M‐H, Fixed, 95% CI) 2.46 [0.53, 11.48]
14.1 Neurosurgery 1 87 Odds Ratio (M‐H, Fixed, 95% CI) 1.74 [0.28, 10.95]
14.2 Ophthalmic surgery 1 51 Odds Ratio (M‐H, Fixed, 95% CI) 5.20 [0.24, 113.98]
15 Severe nausea and vomiting: type of surgery 8 2041 Odds Ratio (M‐H, Fixed, 95% CI) 1.13 [0.72, 1.78]
15.1 Day‐case procedure/examination 4 1624 Odds Ratio (M‐H, Fixed, 95% CI) 0.65 [0.30, 1.41]
15.2 Intra‐abdominal surgery 3 233 Odds Ratio (M‐H, Fixed, 95% CI) 1.56 [0.65, 3.71]
15.3 Breast surgery 1 184 Odds Ratio (M‐H, Fixed, 95% CI) 1.44 [0.70, 2.99]
16 Wound infection rate: type of surgery 3 525 Odds Ratio (M‐H, Random, 95% CI) 1.63 [0.28, 9.33]
16.1 Intra‐abdominal surgery 2 499 Odds Ratio (M‐H, Random, 95% CI) 1.63 [0.28, 9.33]
16.2 Neurosurgery 1 26 Odds Ratio (M‐H, Random, 95% CI) 0.0 [0.0, 0.0]
17 Length of hospital stay: type of surgery 3 556 Mean Difference (IV, Fixed, 95% CI) ‐0.45 [‐1.44, 0.54]
17.1 Intra‐abdominal surgery 2 530 Mean Difference (IV, Fixed, 95% CI) ‐0.12 [‐1.25, 1.00]
17.2 Neurosurgery 1 26 Mean Difference (IV, Fixed, 95% CI) ‐1.60 [‐3.71, 0.51]
18 Inhospital case fatality rate: concentrations of inhaled nitrous oxide 7 9920 Peto Odds Ratio (Peto, Fixed, 95% CI) 0.86 [0.60, 1.24]
18.1 High‐concentration nitrous oxide 7 9920 Peto Odds Ratio (Peto, Fixed, 95% CI) 0.86 [0.60, 1.24]
19 Stroke: concentrations of inhaled nitrous oxide 3 9091 Odds Ratio (M‐H, Fixed, 95% CI) 1.39 [0.80, 2.42]
19.1 High‐concentration nitrous oxide 3 9091 Odds Ratio (M‐H, Fixed, 95% CI) 1.39 [0.80, 2.42]
20 Severe nausea and vomiting: concentrations of inhaled nitrous oxide 8 10847 Odds Ratio (M‐H, Random, 95% CI) 1.37 [0.89, 2.11]
20.1 High‐concentration nitrous oxide 7 10691 Odds Ratio (M‐H, Random, 95% CI) 1.34 [0.81, 2.19]
20.2 Low‐concentration nitrous oxide 2 156 Odds Ratio (M‐H, Random, 95% CI) 1.39 [0.53, 3.68]
21 Length of hospital stay: concentrations of inhaled nitrous oxide 5 875 Mean Difference (IV, Random, 95% CI) 0.45 [‐1.03, 1.93]
21.1 High‐concentration nitrous oxide 5 875 Mean Difference (IV, Random, 95% CI) 0.45 [‐1.03, 1.93]
22 Inhospital case fatality rate: techniques used in the nitrous oxide‐free group 6 1144 Peto Odds Ratio (Peto, Fixed, 95% CI) 1.33 [0.29, 6.00]
22.1 Propofol‐based maintenance of anaesthesia used in the nitrous oxide‐free group 1 121 Peto Odds Ratio (Peto, Fixed, 95% CI) 4.45 [0.07, 287.21]
22.2 Volatile anaesthetic‐based maintenance of anaesthesia used in the nitrous oxide‐free group 5 1023 Peto Odds Ratio (Peto, Fixed, 95% CI) 1.11 [0.22, 5.58]
23 Pneumonia: techniques used in the nitrous oxide‐free group 7 687 Odds Ratio (M‐H, Fixed, 95% CI) 1.13 [0.45, 2.86]
23.1 Propofol‐based maintenance of anaesthesia used in the nitrous oxide‐free group 2 181 Odds Ratio (M‐H, Fixed, 95% CI) 0.50 [0.07, 3.61]
23.2 Volatile anaesthetic‐based maintenance of anaesthesia used in the nitrous oxide‐free group 5 506 Odds Ratio (M‐H, Fixed, 95% CI) 1.42 [0.49, 4.06]
24 Pulmonary atelectasis: techniques used in the nitrous oxide‐free group 4 388 Odds Ratio (M‐H, Fixed, 95% CI) 0.32 [0.09, 1.12]
24.1 Propofol‐based maintenance of anaesthesia used in the nitrous oxide‐free group 2 102 Odds Ratio (M‐H, Fixed, 95% CI) 0.16 [0.02, 1.06]
24.2 Volatile anaesthetic‐based maintenance of anaesthesia used in the nitrous oxide‐free group 2 286 Odds Ratio (M‐H, Fixed, 95% CI) 0.70 [0.12, 4.29]
25 Myocardial infarction: techniques used in the nitrous oxide‐free group 4 242 Odds Ratio (M‐H, Fixed, 95% CI) 0.96 [0.37, 2.53]
25.1 Volatile anaesthetic‐based maintenance of anaesthesia used in the nitrous oxide‐free group 4 242 Odds Ratio (M‐H, Fixed, 95% CI) 0.96 [0.37, 2.53]
26 Stroke: techniques used in the nitrous oxide‐free group 2 138 Odds Ratio (M‐H, Fixed, 95% CI) 2.46 [0.53, 11.48]
26.1 Propofol‐based maintenance of anaesthesia used in the nitrous oxide‐free group 1 51 Odds Ratio (M‐H, Fixed, 95% CI) 5.20 [0.24, 113.98]
26.2 Volatile anaesthetic‐based maintenance of anaesthesia used in the nitrous oxide‐free group 1 87 Odds Ratio (M‐H, Fixed, 95% CI) 1.74 [0.28, 10.95]
27 Severe nausea and vomiting: techniques used in the nitrous oxide‐free group 8 2041 Odds Ratio (M‐H, Fixed, 95% CI) 1.13 [0.72, 1.78]
27.1 Propofol‐based maintenance of anaesthesia used in the nitrous oxide‐free group 1 1417 Odds Ratio (M‐H, Fixed, 95% CI) 1.99 [0.18, 22.04]
27.2 Volatile anaesthetic‐based maintenance of anaesthesia used in the nitrous oxide‐free group 7 624 Odds Ratio (M‐H, Fixed, 95% CI) 1.11 [0.70, 1.75]
28 Wound infection rate: techniques used in the nitrous oxide‐free group 4 785 Odds Ratio (M‐H, Random, 95% CI) 2.13 [0.44, 10.22]
28.1 Volatile anaesthetic‐based maintenance of anaesthesia used in the nitrous oxide‐free group 4 785 Odds Ratio (M‐H, Random, 95% CI) 2.13 [0.44, 10.22]
29 Length of hospital stay: techniques used in the nitrous oxide‐free group 5 1044 Mean Difference (IV, Fixed, 95% CI) 0.20 [‐0.36, 0.75]
29.1 Volatile anaesthetic‐based maintenance of anaesthesia used in the nitrous oxide‐free group 5 1044 Mean Difference (IV, Fixed, 95% CI) 0.20 [‐0.36, 0.75]