Evidence map›Paper›PMID 29416149›Full record

ArticleIndian journal of anaesthesia2018

Maternal and anaesthesia-related risk factors and incidence of spinal anaesthesia-induced hypotension in elective caesarean section: A multinomial logistic regression.

Atousa Fakherpour, Haleh Ghaem, Zeinabsadat Fattahi, Samaneh Zaree

2 registry-linked trialsAbstract read
In one paragraph

Article in Indian journal of anaesthesia, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 2 registered trials, which are not on this map. Cited by 26 papers.

0numbers the graph read from it
0cells of the map it votes in
26citing 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.

NCT04692870 completednot on this mapstarted 2021, after this paper: background citation

Association Between Preoperative Shock Index and Hypotension After Spinal Anaesthesia for Non-elective Caesarean Section: A Prospective Observational Study

TypeobservationalSponsorB.P. Koirala Institute of Health SciencesRan2021 to 2022Enrolled337ConditionsHypotension
NCT05314257 phase2 / phase3unknown statusnot on this mapstarted 2022, after this paper: background citation

Role of Granisetron in Preventing Hypotension After Spinal Anesthesia With Levobupivacaine in Rheumatic Patients Undergoing Elective Cesarean Section: A Randomized Clinical Trial

TypeinterventionalSponsorAssiut UniversityRan2022 to 2022Enrolled102ConditionsGranisetronArmsGranisetron Hydrochloride, 0.9% normal saline
3 · Its place in the literature

Who cites it

26 citing papers in PubMed.

  1. Trial
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  4. Review
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  6. Review
  7. Article
  8. Reduction in FEVHealth science reports · 2024
    Article
  9. Review
  10. Risk factors of more severe hypotension after spinal anesthesia for cesarean section.Journal of the Chinese Medical Association : JCMA · 2024
    Article
  11. Observational
  12. Article
  13. Article
  14. Article
  15. Article
  16. Article
  17. Article
  18. Article
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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

4 authors.

Atousa FakherpourDepartment of Epidemiology, School of Health, Shiraz University of Medical Sciences, Shiraz, Iran.
Haleh GhaemDepartment of Epidemiology, Research Centre for Health Sciences, Institute of Health, School of Health, Shiraz University of Medical Sciences, Shiraz, Iran.
Zeinabsadat FattahiDepartment of Anaesthesia, Shiraz Anaesthesiology and Critical Care Research Centre, Shiraz University of Medical Sciences, Shiraz, Iran.
Samaneh ZareeShiraz Anaesthesiology and Critical Care Research Centre, Shiraz University of Medical Sciences, Shiraz, Iran.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

BACKGROUND AND

aimsAlthough spinal anaesthesia (SA) is nowadays the preferred anaesthesia technique for caesarean section (CS), it is associated with considerable haemodynamic effects, such as maternal hypotension. This study aimed to evaluate a wide range of variables (related to parturient and anaesthesia techniques) associated with the incidence of different degrees of SA-induced hypotension during elective CS.

methodsThis prospective study was conducted on 511 mother-infant pairs, in which the mother underwent elective CS under SA. The data were collected through preset proforma containing three parts related to the parturient, anaesthetic techniques and a table for recording maternal blood pressure. It was hypothesized that some maternal (such as age) and anaesthesia-related risk factors (such as block height) were associated with occurance of SA-induced hypotension during elective CS.

resultsThe incidence of mild, moderate and severe hypotension was 20%, 35% and 40%, respectively. Eventually, ten risk factors were found to be associated with hypotension, including age >35 years, body mass index ≥25 kg/m

conclusionAge, body mass index, weight gain, gravidity, history of hypotension, baseline SBP and heart rate, fluid preloading, adding sufentanil to bupivacaine and sensory block hieght were the main risk factors identified in the study for SA-induced hypotension during CS.

Indexed as

Caesarean sectionelectivehypotensionspinal anaesthesia

Identifiers

PMID29416149
PMCPMC5787888

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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.