Evidence map›Paper›PMID 31597228›Full record

Observational studyKorean journal of anesthesiology2020

The effect of the type of anesthesia on the quality of postoperative recovery after orthopedic forearm surgery.

A Ram Doo, Sehrin Kang, Ye Sull Kim, Tae-Won Lee, Jun-Rae Lee, Dong-Chan Kim

Open access · goldAbstract readComparative StudyObservational Study
In one paragraph

Observational study in Korean journal of anesthesiology, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed, 1 pooled it
1.1field-weighted citation impact, top 21% 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, 1 synthesis or guideline pooled it, 12 citations in OpenAlex.

  1. Pooled it
  2. Trial
  3. Trial
  4. Observational
  5. 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

6 authors at 2 institutions in 1 country.

A Ram DooDepartment of Anesthesiology and Pain Medicine, Jeonbuk National University Hospital, Jeonju, Korea.
Sehrin KangDepartment of Anesthesiology and Pain Medicine, Jeonbuk National University Hospital, Jeonju, Korea.
Ye Sull KimDepartment of Anesthesiology and Pain Medicine, Jeonbuk National University Hospital, Jeonju, Korea.
Tae-Won LeeDepartment of Anesthesiology and Pain Medicine, Jeonbuk National University Hospital, Jeonju, Korea.
Jun-Rae LeeDepartment of Anesthesiology and Pain Medicine, Jeonbuk National University Hospital, Jeonju, Korea.
Dong-Chan KimDepartment of Anesthesiology and Pain Medicine, Jeonbuk National University Hospital, Jeonju, Korea.
Jeonbuk National University · KRJeonbuk National University Hospital · KR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundAlthough the quality of postoperative recovery may be affected by factors, there are few investigations whether the type of anesthesia also affects it. In this single-blinded, prospective, observational study, we compared the quality of postoperative recovery in patients undergoing orthopedic forearm surgery under general or regional anesthesia (brachial plexus block).

methodsNinety-seven subjects, aged 18-65 years and American Society of Anesthesiologists physical status I or II, undergoing orthopedic forearm surgery, were allocated to general or regional anesthesia group. The quality of postoperative recovery was assessed using a validated Korean version of Quality of Recovery-40 (QoR-40K) questionnaire. Patients were surveyed three times, the day before surgery (baseline) and 1st and 7th day after the surgery, and the scores of both groups were compared.

resultsWe analyzed 47 and 50 patients in general and regional anesthesia, respectively. The global QoR-40K score and those of each of its five dimensions were not significantly different between the two groups at baseline, 1st and 7th day postoperatively. In two-way RM ANOVA, the global QoR-40K score at postoperative 1st day was significantly lower than that of baseline (P < 0.001) and postoperative 7th day (P < 0.001), respectively, in both general and regional anesthesia groups. However, there was no significant difference at each timepoint between the two groups.

conclusionsThe present study suggests that brachial plexus block with intravenous dexmedetomidine infusion does not improve the quality of postoperative recovery compared to sevoflurane inhalation anesthesia with remifentanil infusion in patients undergoing orthopedic forearm surgery.

Indexed as

AdolescentAdultAgedAnesthesia, GeneralBrachial Plexus BlockDexmedetomidineFemaleForearmHumansMaleMiddle AgedOrthopedic ProceduresPostoperative PeriodProspective StudiesSingle-Blind MethodSurveys and QuestionnairesDexmedetomidineGeneral anesthesiaGeneral surgeryOrthopedic surgeryPostoperative recoveryQualityRegional anesthesia

Identifiers

PMID31597228
PMCPMC7000287
OpenAlexW2979935881

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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.