Evidence map›Paper›PMID 30143316›Full record

Trial reportBrazilian journal of anesthesiology (Elsevier)

[Changes in the tumor necrosis factor-α level after an ultrasound-guided femoral nerve block in elderly patients with a hip fracture].

Ji Su Jang, Yeon-Hee Lee, Hemant K Kandahar, Suman K Shrestha, Jae Sung Lee, Jin-Koo Lee, Seung Jae Park, Na Rea Lee, Jae Jun Lee, Sang-Soo Lee

Abstract readRandomized Controlled Trial
In one paragraph

Trial report in Brazilian journal of anesthesiology (Elsevier). The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed, 2 pooled it
–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.

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

6 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Pooled it
  2. Peripheral nerve blocks for hip fractures in adults.The Cochrane database of systematic reviews · 2020
    Pooled it
  3. [Observation on analgesic efficacy of ultrasound-guided high fascia iliac compartment block for tourniquet-related pain following total knee arthroplasty].Zhongguo xiu fu chong jian wai ke za zhi = Zhongguo xiufu chongjian waike zazhi = Chinese journal of reparative and reconstructive surgery · 2025
    Trial
  4. Review
  5. Article
  6. 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

10 authors.

Ji Su JangHallym University,Chuncheon Sacred Heart Hospital, Department of Anesthesiology, Chuncheon, Korea.
Yeon-Hee LeeHallym University, Chuncheon Sacred Heart Hospital, Institute for Skeletal Aging & Orthopedic Surgery, Chuncheon, Korea.
Hemant K KandaharHallym University, Chuncheon Sacred Heart Hospital, Institute for Skeletal Aging & Orthopedic Surgery, Chuncheon, Korea.
Suman K ShresthaHallym University, Chuncheon Sacred Heart Hospital, Institute for Skeletal Aging & Orthopedic Surgery, Chuncheon, Korea.
Jae Sung LeeHallym Hospital, Department of Emergency Medicine, Incheon, Korea.
Jin-Koo LeeDankook University, College of Medicine, Department of Pharmacology, Cheonan, Korea.
Seung Jae ParkHallym University, Chuncheon Sacred Heart Hospital, Institute for Skeletal Aging & Orthopedic Surgery, Chuncheon, Korea.
Na Rea LeeHallym University,Chuncheon Sacred Heart Hospital, Department of Anesthesiology, Chuncheon, Korea.
Jae Jun LeeHallym University,Chuncheon Sacred Heart Hospital, Department of Anesthesiology, Chuncheon, Korea. Electronic address: iloveu59@hallym.or.kr.
Sang-Soo LeeHallym University, Chuncheon Sacred Heart Hospital, Institute for Skeletal Aging & Orthopedic Surgery, Chuncheon, Korea. Electronic address: totalhip@hallym.ac.kr.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

BACKGROUND AND

objectivesAn ultrasound guided femoral nerve block is an established analgesic method in patients with a hip fracture. Elevated cytokine levels correlate with poor patient outcomes after surgery. Hence, the aim of the study was to describe the levels of tumor necrosis factor-α after an ultrasound-guided femoral nerve block in elderly patients having a femoral neck fracture.

methodsA total of 32 patients were allocated into two treatment groups: 16 patients (femoral nerve block group; ultrasound-guided femoral nerve block with up to 20mL of 0.3mL.kg

resultsThe femoral nerve block group had a significantly lower mean tumor necrosis factor-α level at 24 (4.60 vs. 8.14, p<0.001) and 48h (5.05 vs. 8.56, p<0.001) after the femoral nerve block, compared to the standard management group. The femoral nerve block group showed a significantly lower mean visual analogue scale score at 4 (3.63 vs. 7.06, p<0.001) and 24h (4.50 vs. 5.75, p<0.001) after the femoral nerve block, compared to the standard management group.

conclusionsUltrasound-guided femoral nerve block using 0.3mL.kg

Indexed as

AgedAged, 80 and overFemaleFemoral Neck FracturesFemoral NerveHumansMaleMiddle AgedNerve BlockTumor Necrosis Factor-alphaUltrasonography, InterventionalTumor Necrosis Factor-alphaCitocinasCytokinesFator de necrose tumoral alfaFemoral nerveFratura de quadrilHip fractureInflammatory responseNervo femoralResposta inflamatóriaTumor necrosis factor alpha

Identifiers

PMID30143316
PMCPMC9391823

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.