From: Propofol and survival: an updated meta-analysis of randomized clinical trials
 | No. of studies | Propofol | Control | Risk ratio (95% CI) | P value | I2 (%) |
---|---|---|---|---|---|---|
Overall population | 252 | 760/14,754 (5.2%) | 682/16,003 (4.3%) | 1.10 (1.01–1.20) | 0.03 | 0 |
Subgroup analyses | ||||||
Cardiac surgery vs. non-cardiac surgery vs. intensive care unit | ||||||
 Surgical | 200 | 294/11,617 (2.5%) | 241/12,650 (1.9%) | 1.21 (1.04–1.41) | 0.01 | 0 |
  Cardiac surgery | 47 | 118/2,591 (4.6%) | 83/2,927 (2.8%) | 1.46 (1.13–1.89) | 0.004 | 0 |
  Non-cardiac surgery | 153 | 176/9,026 (1.9%) | 158/9,723 (1.6%) | 1.09 (0.90–1.31) | 0.39 | 0 |
 Intensive care unit | 52 | 466/3,137 (15%) | 441/3,353 (13%) | 1.04 (0.93–1.16) | 0.50 | 0 |
Adult vs. pediatric§ | ||||||
 Adult | 235 | 690/14,044 (4.9%) | 628/15,312 (4.1%) | 1.10 (1.00–1.21) | 0.04 | 0 |
 Pediatric | 17 | 70/710 (9.9%) | 54/691 (7.8%) | 1.12 (0.83–1.52) | 0.46 | 24 |
Comparator: volatile anesthesia vs. total intravenous anesthesia vs. miscellaneous§ | ||||||
 Volatile anesthesia | 172 | 251/9,186 (2.7%) | 197/9,764 (2.0%) | 1.25 (1.06–1.47) | 0.009 | 11 |
 Total intravenous anesthesia | 71 | 438/4,900 (8.9%) | 420/5,161 (8.1%) | 1.03 (0.92–1.15) | 0.65 | 0 |
 Miscellanea | 9 | 71/668 (11%) | 65/1,078 (6.0%) | 1.13 (0.86–1.48) | 0.37 | 31 |
Bolus use of propofol in the comparator arm* | ||||||
 Yes | 75 | 146/4,076 (3.6%) | 105/4,635 (2.3%) | 1.33 (0.82–2.16) | 0.26 | 64 |
 No | 166 | 586/9,376 (6.3%) | 567/10,567 (5.4%) | 1.03 (0.94–1.14) | 0.50 | 0 |
Large vs. small§ | ||||||
 Large (≥ 500 patients) | 6 | 107/2,918 (3.7%) | 74/2,915 (2.5%) | 1.45 (1.10–1.92) | 0.009 | 0 |
 Small (< 500 patients) | 246 | 653/11,836 (5.5%) | 608/13,088 (4.6%) | 1.06 (0.97–1.16) | 0.23 | 0 |
High vs. low mortality in the comparator arm§ | ||||||
 High (≥ 4.5%) | 51 | 646/3,193 (20%) | 599/3,214 (19%) | 1.06 (0.97–1.17) | 0.20 | 0 |
 Low (< 4.5%) | 201 | 114/11,561 (1.0%) | 682/16,003 (0.6%) | 1.35 (1.03–1.76) | 0.03 | 0 |
Exclusion of high risk of bias studies§ | 211 | 662/12,990 (5.1%) | 586/14,057 (4.2%) | 1.12 (1.02–1.23) | 0.02 | 0 |