Evidence map›Paper›PMID 29997946›Full record

ArticleJournal of thoracic disease2018

Prophylactic continuous positive airway pressure after pulmonary lobectomy: a randomized controlled trial.

Alessandro Palleschi, Emilia Privitera, Marta Lazzeri, Sara Mariani, Lorenzo Rosso, Davide Tosi, Paolo Mendogni, Ilaria Righi, Rosaria Carrinola, Matteo Montoli and 4 more

Open access · hybridAbstract read
In one paragraph

Article in Journal of thoracic disease, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed, 1 pooled it
1.6field-weighted citation impact, top 16% 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

3 citing papers in PubMed, 1 synthesis or guideline pooled it, 22 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Observational
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

14 authors at 2 institutions in 1 country.

Alessandro PalleschiThoracic Surgery and Lung Transplant Unit, Ca' Granda Foundation, Major Polyclinic Hospital, Milan, Italy.
Emilia PriviteraPhysiotherapy Respiratory Service, Ca' Granda Foundation, Major Polyclinic Hospital, Milan, Italy.
Marta LazzeriPhysiotherapy Respiratory Service, Niguarda Great Metropolitan Hospital, Milan, Italy.
Sara MarianiPhysiotherapy Respiratory Service, Ca' Granda Foundation, Major Polyclinic Hospital, Milan, Italy.
Lorenzo RossoThoracic Surgery and Lung Transplant Unit, Ca' Granda Foundation, Major Polyclinic Hospital, Milan, Italy.
Davide TosiThoracic Surgery and Lung Transplant Unit, Ca' Granda Foundation, Major Polyclinic Hospital, Milan, Italy.
Paolo MendogniThoracic Surgery and Lung Transplant Unit, Ca' Granda Foundation, Major Polyclinic Hospital, Milan, Italy.
Ilaria RighiThoracic Surgery and Lung Transplant Unit, Ca' Granda Foundation, Major Polyclinic Hospital, Milan, Italy.
Rosaria CarrinolaThoracic Surgery and Lung Transplant Unit, Ca' Granda Foundation, Major Polyclinic Hospital, Milan, Italy.
Matteo MontoliThoracic Surgery and Lung Transplant Unit, Ca' Granda Foundation, Major Polyclinic Hospital, Milan, Italy.
Marco RedaThoracic Surgery Unit, Niguarda Great Metropolitan Hospital, Milan, Italy.
Massimo TorreThoracic Surgery Unit, Niguarda Great Metropolitan Hospital, Milan, Italy.
Luigi SantambrogioThoracic Surgery and Lung Transplant Unit, Ca' Granda Foundation, Major Polyclinic Hospital, Milan, Italy.
Mario NosottiThoracic Surgery and Lung Transplant Unit, Ca' Granda Foundation, Major Polyclinic Hospital, Milan, Italy.
Fondazione IRCCS Ca' Granda Ospedale Maggiore Policlinico · ITUniversity of Milan · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundDespite advances in perioperative care and surgical techniques, patients undergoing pulmonary lobectomy are still at high risk for postoperative complications. Among interventions expected to reduce complications, continuous positive airway pressure (CPAP) is a discussed option. This trial aims to test the hypothesis whether prophylactic application of CPAP following pulmonary lobectomy can reduce postoperative complications.

methodsThe study was designed as a prospective, randomized, controlled trial. Patients with clinical stage I non-small cell lung cancer scheduled for pulmonary lobectomy were eligible and were trained for the use of CPAP interface. The control group received standard postoperative pain management and physiotherapy; in addition, the study group received CPAP (PEEP 8-12 cmH

resultsAfter the appropriate selection, 163 patients were considered for the analysis: 82 patients constituted the control group, 81 the study group. The two groups were substantially comparable for preoperative parameters. The rate of postoperative complications was lower in the study group (24.7%

conclusionsThe present trial demonstrated that prophylactic application of CPAP during the postoperative period after pulmonary lobectomy for stage I non-small cell lung cancer was effective in prevent postoperative complications.

Indexed as

Continuous positive airway pressure (CPAP)lung neoplasmspostoperative complicationsthoracic surgery

Identifiers

PMID29997946
PMCPMC6006069
OpenAlexW2804561840

What OpenQuestion holds

Textmetadata
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.