Evidence map›Paper›PMID 28554935›Full record

Observational studyBMJ open2017

The accuracy of postoperative, non-invasive Air-Test to diagnose atelectasis in healthy patients after surgery: a prospective, diagnostic pilot study.

Carlos Ferrando, Carolina Romero, Gerardo Tusman, Fernando Suarez-Sipmann, Jaume Canet, Rosa Dosdá, Paola Valls, Abigail Villena, Ferran Serralta, Ana Jurado and 8 more

3 registry-linked trialsAbstract readObservational Study
In one paragraph

Observational study in BMJ open, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 3 registered trials, which are not on this map. Cited by 20 papers.

0numbers the graph read from it
0cells of the map it votes in
20citing 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

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.

NCT02650037 completednot on this map

Estudio de validación de la pulsioximetría Como método diagnóstico no Invasivo de Atelectasia Pulmonar y de la Efectividad de la Maniobra de Capacidad Vital Para la reversión de la Atelectasia Durante el Postoperatorio

TypeobservationalSponsorFundación para la Investigación del Hospital Clínico de ValenciaRan2014 to 2015Enrolled181ConditionsPatients With ASA Status I-III Scheduled for Elective SurgeryArmsAir Test
NCT03469648 completednot on this mapstarted 2018, after this paper: background citation

Incidence of Intraoperative Positive Air-Test

TypeobservationalSponsorFundación para la Investigación del Hospital Clínico de ValenciaRan2018 to 2018Enrolled180ConditionsPatients With ASA Status I-III Scheduled for SurgeryArmsAir-Test
NCT04458623 nacompletednot on this mapstarted 2020, after this paper: background citation

Accuracy Of Air Test In Diagnosis Of Postoperative Lung Atelectasis In Elderly Patients Undergoing Major Orthopedic Surgery

TypeinterventionalSponsorAssiut UniversityRan2020 to 2021Enrolled90ConditionsAtelectasisArmsAir Test
3 · Its place in the literature

Who cites it

20 citing papers in PubMed.

  1. Trial
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  13. Procedural sedation duration and the relation with formation of atelectasis and respiratory complaints.Canadian journal of anaesthesia = Journal canadien d'anesthesie · 2023
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  14. Article
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  17. Review
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  20. WHO Needs High FIOTurkish journal of anaesthesiology and reanimation · 2017
    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

18 authors.

Carlos FerrandoAnesthesiology and Critical Care, Hospital Clínico Universitario Valencia, Valencia, Spain.
Carolina RomeroAnesthesiology and Critical Care, Consorci Hospital General Universitari de Valencia, Valencia, Spain.
Gerardo TusmanDepartment of Anesthesiology, Hospital Privado de Comunidad, Mar de Plata, Argentina.
Fernando Suarez-SipmannUppsala Universitet, Uppsala, Sweden.
Jaume CanetAnesthesiology and Critical Care, Hospital Universitari Germans Trias i Pujol, Badalona, Spain.
Rosa DosdáDepartment of Radiology, Hospital Clinico Universitario Valencia, Valencia, Spain.
Paola VallsAnesthesiology and Critical Care, Hospital Clínico Universitario Valencia, Valencia, Spain.
Abigail VillenaAnesthesiology and Critical Care, Hospital Clínico Universitario Valencia, Valencia, Spain.
Ferran SerraltaAnesthesiology and Critical Care, Hospital Clínico Universitario Valencia, Valencia, Spain.
Ana JuradoAnesthesiology and Critical Care, Hospital Clínico Universitario Valencia, Valencia, Spain.
Juan CarrizoAnesthesiology and Critical Care, Hospital Clínico Universitario Valencia, Valencia, Spain.
Jose NavarroAnesthesiology and Critical Care, Hospital Clínico Universitario Valencia, Valencia, Spain.
Cristina ParrillaDepartment of Radiology, Hospital Clinico Universitario Valencia, Valencia, Spain.
Jose E RomeroITACA Institute (Group IBIME), Universidad Politécnica, Valencia, Spain.
Natividad PozoINCLIVA Clinical Research Institute, Valencia, Spain.
Marina SoroAnesthesiology and Critical Care, Hospital Clínico Universitario Valencia, Valencia, Spain.
Jesús VillarCIBER de Enfermedades Respiratorias, Instituto de Salud Carlos III, Madrid, Spain.
Francisco Javier BeldaAnesthesiology and Critical Care, Hospital Clínico Universitario Valencia, Valencia, Spain.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo assess the diagnostic accuracy of peripheral capillary oxygen saturation (SpO

designProspective cohort study. Diagnostic accuracy was assessed by measuring the agreement between the index test and the reference standard CT scan images.

settingPostanaesthetic care unit in a tertiary hospital in Spain.

participantsThree hundred and fifty patients from 12 January to 7 February 2015; 170 patients scheduled for surgery under general anaesthesia who were admitted into the postsurgical unit were included.

interventionThe Air-Test was performed in conscious extubated patients after a 30 min stabilisation period during which they received supplemental oxygen therapy via a venturi mask. The Air-Test was defined as positive when SpO

main outcome measuresThe primary study outcome was assessment of the accuracy of the Air-Test for detecting postoperative atelectasis compared with the reference standard. The secondary outcome was the incidence of positive Air-Test results.

resultsThe Air-Test diagnosed postoperative atelectasis with an area under the receiver operating characteristic curve of 0.90 (95% CI 0.82 to 0.98) with a sensitivity of 82.6% and a specificity of 87.8%. The presence of atelectasis was confirmed by CT scans in all patients (30/30) with positive and in 5 patients (17%) with negative Air-Test results. Based on the Air-Test, postoperative atelectasis was present in 36% of the patients (62 out of 170).

conclusionThe Air-Test may represent an accurate, simple, inexpensive and non-invasive method for diagnosing postoperative atelectasis.

trial registrationNCT02650037.

Indexed as

AdultAgedAirAnesthesia, GeneralBlood Gas AnalysisFalse Negative ReactionsFemaleHumansLinear ModelsMaleMiddle AgedOximetryOxygen Inhalation TherapyPilot ProjectsPostoperative ComplicationsProspective Studiesadult anaesthesiaadult intensive & critical careatelectasisoxygenationpostoperativeSpO2

Identifiers

PMID28554935
PMCPMC5623366

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
Read underepoch 390

Registered trials

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.