Evidence map›Paper›PMID 31478940›Full record

Observational studyJournal of bronchology & interventional pulmonology2020

Predictors of Intraprocedural Respiratory Bronchoscopy Complications.

Anna M May, Jordan Kazakov, Kingman P Strohl

2 registry-linked trialsOpen access · greenAbstract readObservational Study
In one paragraph

Observational study in Journal of bronchology & interventional pulmonology, 2020. 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 6 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed, 1 pooled it
0.4field-weighted citation impact, top 35% 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.

NCT05804175 unknown statusnot on this mapstarted 2023, after this paper: background citation

Advanced Prediction of Respiratory Depression Episode With the Linshom Continuous Predictive Respiratory Sensor

TypeobservationalSponsorLinshom Medical, Inc.Ran2023 to 2025Enrolled600ConditionsPost Surgical Respiratory Failure, Respiratory ComplicationArmsLinshom Continuous Predictive Respiratory Monitoring
NCT06744790 recruitingnot on this mapstarted 2023, after this paper: background citation

Linshom Continuous Predictive Respiratory Monitor (CPRM) for Prediction of Patient Respiratory Decline

Typeobservational_patient_registrySponsorLinshom Medical, Inc.Ran2023 to 2025Enrolled320ConditionsPost Surgical Respiratory Failure, Respiratory ComplicationArmsLinshom Continuous Predictive Respiratory Monitoring
3 · Its place in the literature

Who cites it

6 citing papers in PubMed, 1 synthesis or guideline pooled it, 9 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Article
  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

3 authors at 3 institutions in 1 country.

Anna M MaySleep Medicine Section, Louis Stokes Cleveland VA Medical Center.
Jordan KazakovDepartment of Surgery, Brigham and Women's Hospital, Boston, MA.
Kingman P StrohlSleep Medicine Section, Louis Stokes Cleveland VA Medical Center.
Brigham and Women's Hospital · USLouis Stokes Cleveland VA Medical Center · USUniversity Hospitals of Cleveland · US

Funding

SLEEP MEDICINE NEUROBIOLOGY AND EPIDEMIOLOGYT32HL007913 · NHLBI · CASE WESTERN RESERVE UNIVERSITY · PI STROHL, KINGMAN PERKINS · 1999 to 2020
$3.2M
NHLBI NIH HHS T32 HL007913
6 · The paper itself

Abstract

purposeSleep apnea can increase adverse outcomes during ambulatory surgery but not during gastrointestinal endoscopy. We hypothesize that STOP-BANG is associated with intraprocedural bronchoscopy respiratory complications.

methodsConsecutive patients undergoing bronchoscopy under moderate sedation were prospectively administered the STOP-BANG questionnaire. Participants were assessed for intraprocedural complications including hypoxemia (oxygen saturation≤85%), bradypnea (respiratory rate<8), premature procedure cessation as well as the use of nonrebreather mask, bag-mask ventilation, jaw lift/chin tilt, nasal/oral airway, and naloxone administration. Associations were assessed via logistic regression. Least absolute shrinkage and selection operator was used for multivariable model variable selection.

resultsThe 223 participants-mean age 61.1±15.5 years, body mass index 25.4kg/m (interquartile range: 22.4 to 30.7), 50.7% female, and 45.3% inpatient-had a high rate of respiratory complications (37.7%). There were no associations between STOP-BANG score and respiratory complications [odds ratio (OR)=1.07, 95% confidence interval (CI): 0.92-1.25]. Asthma was protective in univariable models (OR=0.26, 95% CI: 0.04-0.98), whereas endobronchial ultrasound (OR=2.34, 95% CI: 1.35-4.10) and the number of procedure types (OR=1.24, 95% CI: 1.01-1.51) was associated with increased complications. The following factors were associated with respiratory complications in both multivariable and univariate analyses: increasing age (OR=1.28/decade, 95% CI: 1.03-1.61), baseline oxygen use per each liters per minute (OR=1.57, 95% CI: 1.21-2.09), and bronchoscopy duration (OR=1.20/10 min, 95% CI: 1.08-1.33).

conclusionBronchoscopy respiratory complications are common. STOP-BANG was not associated with increased immediate bronchoscopy complication risk. Increasing age, oxygen use, and bronchoscopy duration were associated with respiratory complications; increased vigilance in these circumstances may prevent complications.

Indexed as

AgedAge FactorsBody Mass IndexBronchoscopyFemaleHumansHypoxiaIntraoperative ComplicationsMaleMiddle AgedOxygenProcedural SedationProspective StudiesRespiratory RateRespiratory Tract DiseasesSleep Apnea, ObstructiveOxygen

Identifiers

PMID31478940
PMCPMC7048628
OpenAlexW2972189272

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

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.