Evidence map›Paper›PMID 29045482›Full record

ArticlePloS one2017

Influence on number of top-ups after implementing patient controlled epidural analgesia: A cohort study.

Ganapathy van Samkar, Henning Hermanns, Philipp Lirk, Markus W Hollmann, Markus F Stevens

Open access · goldAbstract read
In one paragraph

Article in PloS one, 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, top 75% 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

1 citing paper in PubMed, 1 citations in OpenAlex.

  1. Review
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 at 1 institution in 1 country.

Ganapathy van SamkarDepartment of Anaesthesiology, Academic Medical Centre, Amsterdam, the Netherlands.
Henning HermannsDepartment of Anaesthesiology, Academic Medical Centre, Amsterdam, the Netherlands.
Philipp LirkDepartment of Anaesthesiology, Academic Medical Centre, Amsterdam, the Netherlands.
Markus W HollmannDepartment of Anaesthesiology, Academic Medical Centre, Amsterdam, the Netherlands.
Markus F StevensDepartment of Anaesthesiology, Academic Medical Centre, Amsterdam, the Netherlands.
Academic Medical Center · NL

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Postoperative epidural analgesia often needs rate readjustment using top-ups. Patient-controlled epidural analgesia (PCEA) is said to reduce the requirement of epidural top-ups when compared to continuous epidural analgesia (CEA). We compared CEA and PCEA in major thoracic and abdominal surgery, in a cohort study. The primary endpoint was the required number of epidural top-ups. Secondary endpoints were pain scores, side effects and workload differences. We analysed 199 patients with CEA and 187 with PCEA. Both groups had similar pain scores. The total number of top-ups was 75 in 57 patients (CEA) versus 20 top-ups in 18 patients (PCEA). (p = 0.0001) Sedation tended to occur more frequently in patients with CEA versus PCEA, 5.5% vs 1.6% (p = 0.05). Implementation of PCEA led to a decreased number of top-ups, fewer side-effects and decreased use of the postoperative care unit.

Indexed as

Analgesia, EpiduralAdultAnalgesia, Patient-ControlledAnalgesics, OpioidAnesthetics, LocalBupivacaineFemaleFentanylHumansMalePain MeasurementPostoperative CarePostoperative PainPostoperative PeriodThoracic Surgical ProceduresAnalgesics, OpioidAnesthetics, LocalBupivacaineFentanyl

Identifiers

PMID29045482
PMCPMC5646815
OpenAlexW2767184204

What OpenQuestion holds

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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.