Evidence map›Paper›PMID 29214434›Full record

ArticleEuropean archives of oto-rhino-laryngology : official journal of the European Federation of Oto-Rhino-Laryngological Societies (EUFOS) : affiliated with the German Society for Oto-Rhino-Laryngology - Head and Neck Surgery2018

Risk factors for intraoperative bradycardia during ear, nose, throat and maxillofacial surgery.

Tjaša Ivošević, Biljana Miličić, Milovan Dimitrijević, Branislava Ivanović, Aleksandar Pavlović, Marina Stojanović, Mirko Lakićević, Ksenija Stevanović, Nevena Kalezić

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Article in European archives of oto-rhino-laryngology : official journal of the European Federation of Oto-Rhino-Laryngological Societies (EUFOS) : affiliated with the German Society for Oto-Rhino-Laryngology - Head and Neck Surgery, 2018. 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
0.4field-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

1 citing paper in PubMed, 13 citations in OpenAlex.

  1. 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

9 authors at 3 institutions in 1 country.

Tjaša IvoševićCenter for Anesthesiology and Resuscitation, Clinical Center of Serbia, Belgrade, Serbia. tjasa.ivosevic@gmail.com.
Biljana MiličićDepartment of Medical Statistics and Informatics, Faculty of Dental Medicine, University of Belgrade, Belgrade, Serbia.ORCID http://orcid.org/0000-0002-4964-6916
Milovan DimitrijevićClinic for Otorhinolaryngology and Maxillofacial Surgery, Clinical Center of Serbia, Belgrade, Serbia.
Branislava IvanovićFaculty of Medicine, University of Belgrade, Belgrade, Serbia.
Aleksandar PavlovićFaculty of Medicine, University of Priština, Priština, Serbia.
Marina StojanovićCenter for Anesthesiology and Resuscitation, Clinical Center of Serbia, Belgrade, Serbia.
Mirko LakićevićDepartment of Anesthesia, Resuscitation and Pain therapy, Clinical Hospital Center Zemun, Belgrade, Serbia.
Ksenija StevanovićCenter for Anesthesiology and Resuscitation, Clinical Center of Serbia, Belgrade, Serbia.
Nevena KalezićCenter for Anesthesiology and Resuscitation, Clinical Center of Serbia, Belgrade, Serbia.
University of Belgrade · RSCentar za Promociju Nauke · RSZemun Hospital · RS

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Intraoperative bradycardia (IOB) is one of the most common cardiac arrhythmias observed in clinical anaesthetic practice. Controlled hypotension, as a strategy of lowering patient's blood pressure during anesthesia has been practiced for decades in head and neck surgery. The aim of our study was to determine the incidence and the risk factors for intraoperative bradycardia in maxillofacial, ear, nose and throat surgery, as well as to determine whether controlled hypotension affects the occurrence of IOB. The retrospective study included 2304 patients who underwent maxillofacial, ear, nose or throat surgery. We studied the influence of: sex, age, comorbidity, type of surgery, duration of anesthesia and controlled hypotension on the occurrence of IOB. IOB was registered in 473 patients (20.5%). Patients with controlled hypotension had IOB significantly more often than patients without controlled hypotension (33.9 vs 15.1%) (p = 0.000). The significant predictors of IOB were: age (OR = 1.158; 95% CI = 1.068-1.256; p = 0.000), sex (OR = 0.786; 95% CI = 0.623-0.993; p = 0.043), ischemic heart disease (OR = 2.016; 95% CI = 1.182-3.441; p = 0.010); ear surgery (OR = 1.593; 95% CI = 1.232-2.060; p = 0.000), anesthesia duration, (OR = 1.006; 95% CI = 1.004-1.007; p = 0.000) and controlled hypotension (OR = 2.204; 95% CI = 1.761-2.758; p = 0.000). IOB is common in maxillofacial, ear, nose and throat surgery, particularly in male, older age and patients with ishemic heart disease. The ear surgery, longer anesthesia duration and controlled hypotension raise the risk for occurrence of IOB.

Indexed as

AdultAgedAged, 80 and overAge FactorsAnesthesiaBradycardiaComorbidityFemaleHumansHypotension, ControlledIncidenceIntraoperative ComplicationsLogistic ModelsMaleMiddle AgedNeckControlled hypotensionIntraoperative bradycardiaMaxillofacial, ear, nose and throat surgeryRisk factors

Identifiers

PMID29214434
OpenAlexW2772206336

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Read underepoch 390

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.