Evidence map›Paper›PMID 28341919›Full record

ArticleJournal of anesthesia2017

Intraoperative hydroxyethyl starch 70/0.5 administration may increase postoperative bleeding: a retrospective cohort study.

Toko Fukushima, Shigehiko Uchino, Tomoko Fujii, Masanori Takinami, Shoichi Uezono

Abstract read
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In one paragraph

Article in Journal of anesthesia, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–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

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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

1 citing paper in PubMed.

  1. Comparison of 6% hydroxyethyl starch 130/0.4World journal of cardiology · 2026
    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

5 authors.

Toko FukushimaIntensive Care Unit, Jikei University Hospital, Tokyo, Japan. j.toko.fukushima105@gmail.com.
Shigehiko UchinoIntensive Care Unit, Jikei University Hospital, Tokyo, Japan.
Tomoko FujiiEpidemiology and Preventive Service, Graduate School of Medicine, Kyoto University, Kyoto, Japan.
Masanori TakinamiIntensive Care Unit, Jikei University Hospital, Tokyo, Japan.
Shoichi UezonoDepartment of Anesthesiology, Jikei University School of Medicine, 3-19-18 Nishi-Shimbashi, Minato-ku, Tokyo, 105-8471, Japan.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeStudies evaluating the safety of hydroxyethyl starch with a molecular weight of 70 kDa and a molar substitution ratio of 0.5 (HES 70/0.5) are scarce in the literature. In this study, we investigated the relationship between intraoperative HES 70/0.5 administration and postoperative bleeding.

methodsThis is a single-center, retrospective cohort study. Subjects were postoperative adult patients who stayed in the intensive care unit (ICU) for more than 24 h during the period from January 1, 2010 to December 31, 2012. We compared postoperative adult patients with and without intraoperative HES 70/0.5 administration. The primary outcome was the drainage volume from surgical sites during the first 24 h after ICU admission. We conducted propensity score matching between the control group and the HES group.

resultsWe analyzed data for 769 patients who met our inclusion criteria. Using propensity score matching, we successfully created 119 matched pairs from the HES group and control group, with no significant differences in patient characteristics. The drainage volume during the first 24 h after ICU admission was greater in the HES group than in the control group (400 ± 479 vs. 260 ± 357 mL, p < 0.003).

conclusionOur retrospective cohort study suggests that intraoperative HES 70/0.5 administration is associated with increased postoperative bleeding.

Indexed as

AgedCohort StudiesFemaleHumansHydroxyethyl Starch DerivativesIntensive Care UnitsMaleMiddle AgedPlasma SubstitutesPostoperative HemorrhageRetrospective StudiesHydroxyethyl Starch DerivativesPlasma SubstitutesCoagulopathyColloidsFluid resuscitationHydroxyethyl starchPostoperative complications

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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.