Evidence map›Paper›PMID 39342080›Full record

SynthesisBMC anesthesiology2024

The effectiveness of music in improving the recovery of cardiothoracic surgery: a systematic review with meta-analysis and trial sequential analysis.

Tianying Li, Yani Guo, Dan Lyu, Jingyi Xue, Mingwei Sheng, Lili Jia, Xin Jin, Wenli Yu, Yiqi Weng, Yuli Wu

Abstract readSystematic ReviewMeta-Analysis
In one paragraph

Synthesis in BMC anesthesiology, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

11 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Trial
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  5. Article
  6. Review
  7. Review
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

10 authors.

Tianying LiSchool of Medicine, Nankai University, Tianjin, 300071, China.
Yani GuoSchool of Public Health, Gansu University of Chinese Medicine, Lanzhou, 730000, China.
Dan LyuDepartment of Pain, Tianjin First Central Hospital, Tianjin, 300192, China.
Jingyi XueSchool of Medicine, Nankai University, Tianjin, 300071, China.
Mingwei ShengDepartment of Anesthesiology, Tianjin First Central Hospital, Tianjin, 300192, China.
Lili JiaDepartment of Anesthesiology, Tianjin First Central Hospital, Tianjin, 300192, China.
Xin JinSchool of Medicine, Nankai University, Tianjin, 300071, China.
Wenli YuDepartment of Anesthesiology, Tianjin First Central Hospital, Tianjin, 300192, China.
Yiqi Weng *Department of Anesthesiology, Tianjin First Central Hospital, Tianjin, 300192, China. wyq2023@nankai.edu.cn.
Yuli Wu *Department of Anesthesiology, Tianjin First Central Hospital, Tianjin, 300192, China. wyl2023@nankai.edu.cn.

Funding

Research Empowerment-Medical Research and Application Fund Project BHCF-KYFN-2024004Tianjin Health Research Project TJWJ2024XK012
6 · The paper itself

Abstract

aimThis study aimed to compile data on the effectiveness of music therapy for patients undergoing cardiothoracic surgery.

backgroundAfter cardiac and thoracic surgery, patients often experience physiological and psychological complications, such as anxiety, pain, stress, depression and changes in vital signs, which have a great impact on prognosis.

methodsA systematic search of six databases was performed to identify randomized controlled trials investigating music therapy and cardiothoracic surgery. The data were extracted from the qualified research, the data without heterogeneity were analysed by random-effects model (REM) meta-analysis, and the data with heterogeneity were analysed by fixed-effects model (FEM) meta-analysis. We evaluated anxiety, pain, duration of mechanical ventilation, hospital length of stay, stress hormones, opioid consumption, and vital signs, including heart rate (HR), respiratory rate (RR), oxygen saturation (SpO2), diastolic blood pressure (DBP), and systolic blood pressure (SBP) after cardiothoracic surgery. The meta-analysis and sensitivity analysis were performed with RevMan 5.4 and Stata 14 software, and trial sequential analysis was conducted using TSA 0.9.5.10 Beta software. This study was conducted in accordance with the PRISMA guidelines and was registered with PROSPERO.

resultsThe study included 24 randomized controlled trials with a total of 1576 patients. Our analysis showed that music therapy can significantly reduce the anxiety scores (SMD= -0.74, 95% CI [-0.96, -0.53], p < 0.01) and pain scores (SMD= -1.21, 95% CI [-1.78, -0.65], p < 0.01) of patients after cardiothoracic surgery. Compared with the control group, music therapy dramatically raised postoperative SpO2 (SMD = 0.75, 95% CI [0.11, 1.39], p = 0.02). In addition, the experimental group had significant statistical significance in reducing HR, SBP and opioid consumption. However, there was no significant difference in respiratory rate, stress hormones, diastolic blood pressure, length of hospital stay, or the duration of mechanical ventilation between the two groups.

conclusionsMusic therapy can significantly reduce anxiety, pain, HR, SBP, and postoperative opioid use and even improve SpO2 in patients who undergo cardiothoracic surgery. Music therapy has a positive effect on patients after cardiothoracic surgery with few side effects, so it is promising for use in clinics.

trial registrationRROSPERO (registration number: CRD42023424602).

Indexed as

Cardiac Surgical ProceduresMusic TherapyThoracic Surgical ProceduresAnxietyHumansLength of StayPostoperative PainRandomized Controlled Trials as TopicAnxietyCardiothoracic surgeryMeta-analysisMusicPostoperative

Identifiers

PMID39342080
PMCPMC11437799

What Socratic holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.