Evidence map›Paper›PMID 26831677›Full record

Trial reportInteractive cardiovascular and thoracic surgery2016

Comparison of high glucose concentration blood and crystalloid cardioplegia in paediatric cardiac surgery: a randomized clinical trial.

Branko Mimic, Slobodan Ilic, Irena Vulicevic, Vladimir Milovanovic, Danijela Tomic, Ana Mimic, Sanja Stankovic, Tatjana Zecevic, Ben Davies, Miroslav Djordjevic

Open access · bronzeAbstract readRandomized Controlled Trial
In one paragraph

Trial report in Interactive cardiovascular and thoracic surgery, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed, 1 pooled it
0.5field-weighted citation impact, top 33% 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

3 citing papers in PubMed, 1 synthesis or guideline pooled it, 10 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. 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

10 authors at 3 institutions in 2 countries.

Branko MimicDepartment of Cardiac Surgery, University Children's Hospital, Belgrade, Serbia Department of Cardiothoracic Surgery, Great Ormond Street Hospital, London, UK brankomimic@gmail.com.
Slobodan IlicDepartment of Cardiac Surgery, University Children's Hospital, Belgrade, Serbia School of Medicine, University of Belgrade, Belgrade, Serbia.
Irena VulicevicDepartment of Cardiac Surgery, University Children's Hospital, Belgrade, Serbia.
Vladimir MilovanovicDepartment of Cardiac Surgery, University Children's Hospital, Belgrade, Serbia.
Danijela TomicDepartment of Cardiac Surgery, University Children's Hospital, Belgrade, Serbia.
Ana MimicDepartment of Anaesthesiology, Clinical Centre of Serbia, Belgrade, Serbia.
Sanja StankovicCentre for Medical Biochemistry, Clinical Centre of Serbia, Belgrade, Serbia.
Tatjana ZecevicDepartment of Cardiac Surgery, University Children's Hospital, Belgrade, Serbia.
Ben DaviesDepartment of Cardiothoracic Surgery, Great Ormond Street Hospital, London, UK.
Miroslav DjordjevicSchool of Medicine, University of Belgrade, Belgrade, Serbia Department of Urology, University Children's Hospital, Belgrade, Serbia.
University Children's Hospital, Belgrade · RSGreat Ormond Street Hospital · GBUniversity of Belgrade · RS

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesThis study investigates the effects of high glucose content on patients undergoing cold crystalloid versus cold blood cardioplegia in terms of early clinical results, functional myocardial recovery and ischaemia-reperfusion injury in patients undergoing repair of acyanotic cardiac lesions.

methodsPatients were randomly assigned to receive either crystalloid (n = 31) or blood cardioplegia (n = 31). Early clinical results were assessed. Changes in left ventricular fractional shortening, arterial blood lactate levels, central venous saturation, cardiac Troponin I release and blood glucose concentration were measured during the first 24 h after ischaemia.

resultsThere was no significant difference in clinical outcomes and postoperative complication rates between groups. The postoperative changes in left ventricular function, lactate levels, central venous saturation and Troponin I were not significantly different between groups. The use of crystalloid cardioplegia was associated with significant increases in serum glucose compared with blood cardioplegia.

conclusionsA high glucose content blood cardioplegia does not show any advantage compared with crystalloid cardioplegia in terms of clinical outcomes, functional recovery and the degree of ischaemic injury in infants and children undergoing repair of acyanotic heart lesions. High glucose concentration of the cardioplegic solution might potentiate ischaemia-reperfusion injury and diminish the beneficial effects of blood cardioplegia.

Indexed as

Blood GlucoseCardiac Surgical ProceduresChild, PreschoolCrystalloid SolutionsDose-Response Relationship, DrugFemaleGlucoseHeart Arrest, InducedHeart Defects, CongenitalHumansIncidenceInfantIsotonic SolutionsMaleMyocardial Reperfusion InjurySerbiaBlood GlucoseCrystalloid SolutionsGlucoseIsotonic SolutionsBlood cardioplegiaHigh glucose concentrationMyocardial protectionPaediatric cardiac surgery

Identifiers

PMID26831677
PMCPMC4892136
OpenAlexW2267764949

What OpenQuestion holds

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Registered trials

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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.