Evidence map›Paper›PMID 30591742›Full record

ArticleThe Egyptian heart journal : (EHJ) : official bulletin of the Egyptian Society of Cardiology2018

Effects of protocol-based management on the post-operative outcome after systemic to pulmonary shunt.

Sameh R Ismail, Muneira M Almazmi, Rajab Khokhar, Wedad AlMadani, Ali Hadadi, Omar Hijazi, Mohamed S Kabbani, Ghassan Shaath, Mahmoud Elbarbary

Open access · diamondAbstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in The Egyptian heart journal : (EHJ) : official bulletin of the Egyptian Society of Cardiology, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
0.8field-weighted citation impact, top 25% 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

5 citing papers in PubMed, 14 citations in OpenAlex.

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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

9 authors at 2 institutions in 1 country.

Sameh R IsmailKing Abdulaziz Medical City, Riyadh, Saudi Arabia.
Muneira M AlmazmiKing Abdulaziz Medical City, Riyadh, Saudi Arabia.
Rajab KhokharKing Abdulaziz Medical City, Riyadh, Saudi Arabia.
Wedad AlMadaniKing Saud Bin Abdulaziz University for Health Sciences, Riyadh, Saudi Arabia.
Ali HadadiKing Saud Bin Abdulaziz University for Health Sciences, Riyadh, Saudi Arabia.
Omar HijaziKing Abdulaziz Medical City, Riyadh, Saudi Arabia.
Mohamed S KabbaniKing Abdulaziz Medical City, Riyadh, Saudi Arabia.
Ghassan ShaathKing Abdulaziz Medical City, Riyadh, Saudi Arabia.
Mahmoud ElbarbaryKing Abdulaziz Medical City, Riyadh, Saudi Arabia.
King Abdulaziz Medical City · SAKing Saud bin Abdulaziz University for Health Sciences · SA

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesSystemic to pulmonary shunt (commonly known as Modified Blalock-Taussig shunt) is a palliative procedure in cyanotic heart diseases to overcome inadequate blood flow to the lungs. Based on the most recent risk stratification score, the mortality and morbidity of this procedure is still high especially in neonates and over-shunting patients. We developed and implemented protocol-based management in March 2013 to better standardize the management of these patients. The aim of this study is to evaluate the effects of applying this protocol-based management in our center.

methodsWe conducted a retrospective cohort study through chart review analysis.We included all children who underwent MBTS from January 2000 till December 2015. We compared the early postoperative outcome of patients operated after the protocol-based management implementation (March 2013 till December 2015) (protocol group) with patients operated before implementing the MBTS protocoled management (control group).

results197 patients underwent MBTS from January 2000 till December 2015. Of the 197 patients, 25 patients were in the protocol group and 172 patients were in the control group. There was a significant improvement in the postoperative course and less morbidity after protocoled management implementation as reflected in ventilation time, reintubation rate, inotropic support duration, intensive care unit ICU stay and significantly lower postoperative complications in the protocol group. Mortality of the control group versus protocol group (19.3% VS 8%) with Standardized Mortality Ratio (SMR) dropped from 2.27 before protocoled management to 0.94 after protocoled management (protocol group).

conclusionThe study suggests that protocoled management of patients with MBTS can improve the postoperative course and early outcome.

Indexed as

Blalock–Taussig shuntCardiac surgeryCC, cubic centimeterCI, confidence intervalCongenital heart diseaseECHO, echocardiographyICU, intensive care unitIQR, Interquartile RangeIRB, institutional review boardIU, international unitKg, kilogramMBTS, Modified Blalock–Taussig shuntN, numberPDA, patent ductus arteriosusPediatricPost-operativePTT, partial thromboplastin timeRD, risk differenceRR, relative riskRRR, relative risk ratioSD, standard deviationSE, standard errorsig, significanceSMR, standardized mortality ratio

Identifiers

PMID30591742
PMCPMC6303540
OpenAlexW2898465484

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.