ArticleTherapeutics and clinical risk management2017
Role of heart-rate variability in preoperative assessment of physiological reserves in patients undergoing major abdominal surgery.
Article in Therapeutics and clinical risk management, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers, 1 of them a synthesis that pooled it.
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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.
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Who cites it
12 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Preoperative heart rate variability as a predictor of perioperative outcomes: a systematic review without meta-analysis.Journal of clinical monitoring and computing · 2022Pooled it
- The perioperative brain-heart-immune axis: autonomic resilience, multimodal monitoring and postoperative delirium.Frontiers in medicine · 2026Review
- Prediction of perioperative complications in colorectal cancerWorld journal of gastrointestinal surgery · 2025Article
- Accuracy and clinical utility of heart rate variability derived from a wearable heart rate monitor in patients undergoing major abdominal surgery.Journal of clinical monitoring and computing · 2024Article
- Prevalence and predictors of preoperative cardiac autonomic dysfunction among elective neurosurgical patients: A prospective observational study.Indian journal of anaesthesia · 2024Article
- Wearable Sensors as a Preoperative Assessment Tool: A Review.Sensors (Basel, Switzerland) · 2024Review
- Ability of the Analgesia Nociception Index variations to identify a response to a volume expansion of 250 mL of crystalloids in the operating room (REVANI): a prospective observational study.BMC anesthesiology · 2023Observational
- Heart rate variability in anaesthesiology - narrative review.Anaesthesiology intensive therapy · 2023Review
- Article
- Taking Control of Your Surgery: Impact of a Prehabilitation Program on Major Abdominal Surgery.Journal of the American College of Surgeons · 2019Article
- Dynamics of Vagal Activity Due to Surgery and Subsequent Rehabilitation.Frontiers in neuroscience · 2019Article
- Scoping review of the association between postsurgical pain and heart rate variability parameters.Pain reportsArticle
Corrections and comments
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Authors and funding
8 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundMajor abdominal surgery (MAS) is associated with increased morbidity and mortality. The main objective of our study was to evaluate the predictive value of heart-rate variability (HRV) concerning development of postoperative complications in patients undergoing MAS. The secondary objectives were to identify the relationship of HRV and use of vasoactive drugs during anesthesia, intensive care unit length of stay (ICU-LOS), and hospital length of stay (H-LOS). PATIENTS AND
methodsSixty-five patients scheduled for elective MAS were enrolled in a prospective, single-center, observational study. HRV was measured by spectral analysis (SA) preoperatively during orthostatic load. Patients were divided according to cardiac autonomic reactivity (CAR; n=23) and non-cardiac autonomic reactivity (NCAR; n=30).
resultsThe final analysis included 53 patients. No significant difference was observed between the two groups regarding type of surgery, use of minimally invasive techniques or epidural catheter, duration of surgery and anesthesia, or the amount of fluid administered intraoperatively. The NCAR group had significantly greater intraoperative blood loss than the CAR group (541.7±541.9 mL vs 269.6±174.3 mL,
conclusionPreoperative HRV assessment during orthostatic load is objective and useful for identifying patients with low autonomic physiological reserves and high risk of poor post-operative course.
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