Effectiveness of acupuncture therapy for preventing emergence agitation in children: A protocol for systematic review and meta-analysis with trial sequential analysis.
Journal
PloS one
ISSN: 1932-6203
Titre abrégé: PLoS One
Pays: United States
ID NLM: 101285081
Informations de publication
Date de publication:
2022
2022
Historique:
received:
10
07
2021
accepted:
31
01
2022
entrez:
29
3
2022
pubmed:
30
3
2022
medline:
15
4
2022
Statut:
epublish
Résumé
Pain, autonomic distress, and emergence agitation occur commonly in children undergoing general anesthesia. While acupuncture therapy has been reported to effectively reduce such pain and autonomic distress in children, its effect in preventing emergence agitation remains unclear. Therefore, we will conduct a systematic review and meta-analysis with trial sequential analysis to evaluate the effect of acupuncture therapy in preventing emergence agitation in children undergoing general anesthesia. Methods and analysis This protocol was prepared according to the 2015 Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) for Protocols guidelines. We will conduct a search for randomized controlled trials that evaluated the effect of acupuncture therapy in preventing emergence agitation. The following databases will be searched for relevant articles: MEDLINE, CENTRAL, Embase, and Web of Science; four pre-registration sites will be accessed from inception to April 1, 2021. No language restrictions will be applied. Two authors will independently scan and select eligible studies, extract the data, and assess the risk of bias. The incidence of emergence agitation will be combined as a risk ratio with a 95% confidence interval using a random-effect model. The I2 statistics will be used to assess heterogeneity. We will evaluate the quality of the clinical trials using the Cochrane methodology and assess the quality of evidence using the Grading of Recommendation Assessment, Development, and Evaluation approach. If appropriate, a trial sequential analysis will be performed. Expected outcomes This meta-analysis will be the first to evaluate the effect of acupuncture therapy in preventing emergence agitation in children. The findings from this meta-analysis have the potential to reveal pivotal factors that affect the clinical effect of acupuncture therapy, thereby supporting the optimization of acupuncture therapy for emergence agitation. Protocol registration University Hospital Medical Information Network Clinical Trials Registry (UMIN000040775).
Identifiants
pubmed: 35349573
doi: 10.1371/journal.pone.0264197
pii: PONE-D-21-18938
pmc: PMC8963563
doi:
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
e0264197Déclaration de conflit d'intérêts
The authors have declared that no competing interests exist.
Références
Anesthesiology. 2005 May;102(5):1031-49; quiz 1077-8
pubmed: 15851892
Anesthesiology. 2007 Nov;107(5):733-8
pubmed: 18073548
Br J Anaesth. 2013 Feb;110(2):274-80
pubmed: 23103775
PLoS Med. 2009 Jul 21;6(7):e1000097
pubmed: 19621072
Paediatr Anaesth. 2012 Nov;22(11):1105-9
pubmed: 22553919
BMJ. 2008 Apr 26;336(7650):924-6
pubmed: 18436948
Anesth Analg. 2007 Jan;104(1):84-91
pubmed: 17179249
Neurosci Lett. 2005 Oct 14;387(1):17-21
pubmed: 16055266
Acupunct Med. 2002 Aug;20(2-3):74-7
pubmed: 12216604
Prog Neurobiol. 2008 Aug;85(4):355-75
pubmed: 18582529
BMJ. 2004 Jun 19;328(7454):1490
pubmed: 15205295
Paediatr Anaesth. 2009 Nov;19(11):1096-101
pubmed: 19709377
Clin J Pain. 2016 Jan;32(1):82-6
pubmed: 25724021
Anesthesiology. 2000 Dec;93(6):1378-83
pubmed: 11149429
Control Clin Trials. 1986 Sep;7(3):177-88
pubmed: 3802833
Anesthesiology. 2004 May;100(5):1138-45
pubmed: 15114210
Paediatr Anaesth. 2006 May;16(5):554-9
pubmed: 16677266
PLoS One. 2018 Oct 10;13(10):e0204533
pubmed: 30304047
Chin Med. 2011 Aug 11;6:28
pubmed: 21835014
Evid Based Complement Alternat Med. 2019 May 2;2019:1304152
pubmed: 31186654
Eur J Anaesthesiol. 2016 Jul;33(7):535-42
pubmed: 26627917
Paediatr Anaesth. 2015 May;25(5):517-23
pubmed: 25586124
Cochrane Database Syst Rev. 2019 Oct 3;10:ED000142
pubmed: 31643080
BMJ. 1997 Sep 13;315(7109):629-34
pubmed: 9310563
Braz J Anesthesiol. 2017 Mar - Apr;67(2):193-198
pubmed: 28236868
J Pediatr Hematol Oncol. 2008 Jun;30(6):431-42
pubmed: 18525459
BMJ. 2019 Aug 28;366:l4898
pubmed: 31462531
BMC Med Res Methodol. 2014 Feb 18;14:25
pubmed: 24548571
J Clin Nurs. 2007 Feb;16(2):308-15
pubmed: 17239066
Syst Rev. 2016 Dec 5;5(1):210
pubmed: 27919275
Int J Epidemiol. 2009 Feb;38(1):276-86
pubmed: 18824467
J Clin Epidemiol. 2008 Aug;61(8):763-9
pubmed: 18411040