Evidence map›Paper›PMID 26504732›Full record

ArticleGMS Interdisciplinary plastic and reconstructive surgery DGPW2015

Perioperative management of patients with severe pulmonary hypertension in major orthopedic surgery: experience-based recommendations.

Hans-Jürgen Seyfarth, Jochen Gille, Armin Sablotzki, Stefan Gerlach, Michael Malcharek, Andreas Gosse, Ralf H Gahr, Elke Czeslick

Open access · greenAbstract read
In one paragraph

Article in GMS Interdisciplinary plastic and reconstructive surgery DGPW, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed
0.5field-weighted citation impact, top 29% 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

8 citing papers in PubMed, 17 citations in OpenAlex.

  1. Review
  2. Article
  3. Review
  4. Results of emergency colectomy in nonagenarians and octogenarians previously labeled as prohibitive surgical risk.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2022
    Article
  5. Article
  6. Perioperative approach to precapillary pulmonary hypertension in non-cardiac non-obstetric surgery.European respiratory review : an official journal of the European Respiratory Society · 2021
    Review
  7. Review
  8. Article
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

8 authors at 3 institutions in 1 country.

Hans-Jürgen SeyfarthMedical Clinic and Polyclinic I, Department of Pneumology, Universitätsklinikum Leipzig AöR, Leipzig, Germany.
Jochen GilleClinic for Anesthesiology, Critical Care Medicine and Pain Therapy, St. Georg Hospital Leipzig, Germany.
Armin SablotzkiClinic for Anesthesiology, Critical Care Medicine and Pain Therapy, St. Georg Hospital Leipzig, Germany.
Stefan GerlachClinic for Anesthesiology, Critical Care Medicine and Pain Therapy, St. Georg Hospital Leipzig, Germany.
Michael MalcharekClinic for Anesthesiology, Critical Care Medicine and Pain Therapy, St. Georg Hospital Leipzig, Germany.
Andreas GosseClinic for Orthopedic and Reconstructive Surgery, St. Georg Hospital Leipzig, Germany.
Ralf H GahrClinic for Orthopedic and Reconstructive Surgery, St. Georg Hospital Leipzig, Germany.
Elke CzeslickClinic for Anesthesiology and Critical Care Medicine, Martin-Luther-University of Halle-Wittenberg, Halle/Saale, Germany.
Klinikum St. Georg · DEMartin Luther University Halle-Wittenberg · DEUniversity Hospital Leipzig · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionIt is known that pulmonary hypertension is associated with worse outcome in both cardiac and non-cardiac surgery. The aims of our retrospective analysis were to evaluate the outcomes of our patients with pulmonary hypertension undergoing major orthopedic surgery and to give experience-based recommendations for the perioperative management. MATERIAL AND

methodsFrom 92 patients with pulmonary hypertension undergoing different kinds of surgical procedures from 2011-2014 in a tertiary academic hospital we evaluated 16 patients with major orthopedic surgery for perioperative morbidity and mortality.

resultsRegarding the in-hospital morbidity and mortality, one patient died postoperatively due to pulmonary infection and right heart failure (6.25%) and 6 patients suffered significant postoperative complications (37.5%; bleeding = 1, infection = 1, wound healing deficits = 3; dysrhythmia = 1).

conclusionOur data show that major orthopedic surgery is feasible with satisfactory outcome even in cases of severe pulmonary hypertension by an individualized, disease-adapted interdisciplinary treatment concept.

Indexed as

general anesthesiaintraoperative monitoringlocal anesthesiaperioperative managementpulmonary hypertension

Identifiers

PMID26504732
PMCPMC4604756
OpenAlexW2177199297

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.