Evidence map›Paper›PMID 12709753›Full record

Trial reportPediatric radiology2003

Sedation with midazolam for voiding cystourethrography in children: a randomised double-blind study.

Eira Stokland, Svenerik Andréasson, Bo Jacobsson, Ulf Jodal, Barbro Ljung

Abstract readClinical TrialRandomized Controlled Trial
PubMed Publisher
In one paragraph

Trial report in Pediatric radiology, 2003. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 23 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
23citing papers in PubMed, 1 pooled it
2.7field-weighted citation impact, top 10% of its field
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

23 citing papers in PubMed, 1 synthesis or guideline pooled it, 62 citations in OpenAlex.

  1. Midazolam for sedation before procedures.The Cochrane database of systematic reviews · 2016
    Pooled it
  2. Trial
  3. Trial
  4. Trial
  5. Review
  6. Article
  7. Article
  8. Article
  9. Article
  10. Off-label drugs use in pediatric palliative care.Italian journal of pediatrics · 2018
    Article
  11. Use of sedative drugs at reducing the side effects of voiding cystourethrography in children.Journal of research in medical sciences : the official journal of Isfahan University of Medical Sciences · 2017
    Review
  12. Article
  13. Article
  14. Article
  15. Urodynamic studies in spinal cord tethering.Child's nervous system : ChNS : official journal of the International Society for Pediatric Neurosurgery · 2013
    Review
  16. Diagnostic accuracy of magnetic resonance voiding cystourethrography for detecting vesico-ureteral reflux in children and adolescents.Journal of research in medical sciences : the official journal of Isfahan University of Medical Sciences · 2013
    Article
  17. Sedation and the VCUG.Pediatric radiology · 2012
    Article
  18. Review
  19. Article
  20. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

5 authors at 2 institutions in 2 countries.

Eira StoklandDepartment of Paediatric Radiology and Clinical Physiology, The Queen Silvia Children's Hospital, 41685 Gothenburg, Sweden. eira.stokland@vgregion.se
Svenerik Andréasson
Bo Jacobsson
Ulf Jodal
Barbro Ljung
Boston Children's Hospital · USDrottning Silvias barn- och ungdomssjukhus · SE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundSedation with midazolam facilitates the performance of diagnostic procedures in children, including voiding cystourethrography (VCUG). However, the influence of sedation on voiding and imaging results have not been adequately evaluated.

objectiveMidazolam and placebo were compared to assess discomfort during VCUG and to evaluate if sedation influenced the outcome of the examination. MATERIALS AND

methodsThe study was prospective, randomised and double-blind, and included 95 children, 48 in the midazolam group (median age 2.2 years) and 47 in the placebo group (median age 3.2 years). The evaluation included the child's/parent's experience of the VCUG, as well as the examination results.

resultsThe children/parents in the midazolam group experienced the VCUG as less distressing compared to those in the placebo group ( P<0.001). Forty-six of 48 children sedated with midazolam could void during the imaging procedure compared to 38 of 47 children given placebo ( NS). There was no difference in frequency or grade of vesicoureteric reflux or bladder emptying between the groups.

conclusionsWhen sedation is required to perform VCUG in children, midazolam can be used without negative effect on the outcome of the examination.

Indexed as

Procedural SedationChildChild, PreschoolContrast MediaDouble-Blind MethodFemaleHumansHypnotics and SedativesMaleMidazolamProspective StudiesRadiographyUrethraUrinary BladderUrinationVesico-Ureteral RefluxContrast MediaHypnotics and SedativesMidazolam

Identifiers

PMID12709753
OpenAlexW2059405391

What OpenQuestion holds

Textmetadata
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 OpenQuestion graph.