Evidence map›Paper›PMID 32321451›Full record

Trial reportBMC neurology2020

Successful implementation of an enhanced recovery after surgery (ERAS) protocol reduces nausea and vomiting after infratentorial craniotomy for tumour resection: a randomized controlled trial.

Dan Lu, Yuan Wang, Tianzhi Zhao, Bolin Liu, Lin Ye, Lanfu Zhao, Binfang Zhao, Mingjuan Li, Lin Ma, Zhengmin Li and 11 more

RetractedOpen access · goldAbstract readRandomized Controlled TrialRetracted Publication
In one paragraph

Trial report in BMC neurology, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It has been retracted, and should not be counted. Cited by 10 papers.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed
2.7field-weighted citation impact, top 10% 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

10 citing papers in PubMed, 20 citations in OpenAlex.

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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

21 authors at 3 institutions in 1 country.

Dan LuDepartment of Neurosurgery, Xi'an International Medical Center, Xi'an, China.
Yuan WangDepartment of Neurosurgery, Tangdu Hospital, The Fourth Military Medical University, Xi'an, China.
Tianzhi ZhaoDepartment of Neurosurgery, Tangdu Hospital, The Fourth Military Medical University, Xi'an, China.
Bolin LiuDepartment of Neurosurgery, Xi'an International Medical Center, Xi'an, China.
Lin YeDepartment of Nutrition, Tangdu Hospital, The Fourth Military Medical University, Xi'an, China.
Lanfu ZhaoDepartment of Neurosurgery, Tangdu Hospital, The Fourth Military Medical University, Xi'an, China.
Binfang ZhaoDepartment of Neurosurgery, Tangdu Hospital, The Fourth Military Medical University, Xi'an, China.
Mingjuan LiDepartment of Neurosurgery, Tangdu Hospital, The Fourth Military Medical University, Xi'an, China.
Lin MaDepartment of Neurosurgery, Tangdu Hospital, The Fourth Military Medical University, Xi'an, China.
Zhengmin LiDepartment of Anesthesiology, Tangdu Hospital, The Fourth Military Medical University, Xi'an, China.
Jiangtao NiuDepartment of Anesthesiology, Tangdu Hospital, The Fourth Military Medical University, Xi'an, China.
Wenhai LvDepartment of Neurosurgery, Tangdu Hospital, The Fourth Military Medical University, Xi'an, China.
Yufu ZhangDepartment of Neurosurgery, Tangdu Hospital, The Fourth Military Medical University, Xi'an, China.
Tao ZhengDepartment of Neurosurgery, Xi'an International Medical Center, Xi'an, China.
Yafei XueDepartment of Neurosurgery, Tangdu Hospital, The Fourth Military Medical University, Xi'an, China.
Lei ChenDepartment of Neurosurgery, Xi'an International Medical Center, Xi'an, China.
Long ChenDepartment of Neurosurgery, Tangdu Hospital, The Fourth Military Medical University, Xi'an, China.
Xude SunDepartment of Anesthesiology, Tangdu Hospital, The Fourth Military Medical University, Xi'an, China.
Guodong GaoDepartment of Neurosurgery, Xi'an International Medical Center, Xi'an, China.
Bo ChenDepartment of Neurosurgery, Shaanxi Provincial People's Hospital, Xi'an, China. slash0704@sina.com.cn.
Shiming HeDepartment of Neurosurgery, Xi'an International Medical Center, Xi'an, China. he-shiming@163.com.
Air Force Medical University · CNXi’an International University · CNShaanxi Provincial People's Hospital · CN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundInfratentorial craniotomy patients have a high incidence of postoperative nausea and vomiting (PONV). Enhanced Recovery After Surgery (ERAS) protocols have been shown in multiple surgical disciplines to improve outcomes, including reduced PONV. However, very few studies have described the application of ERAS to infratentorial craniotomy. The aim of this study was to examine whether our ERAS protocol for infratentorial craniotomy could improve PONV.

methodsWe implemented an evidence-based, multimodal ERAS protocol for patients undergoing infratentorial craniotomy. A total of 105 patients who underwent infratentorial craniotomy were randomized into either the ERAS group (n = 50) or the control group (n = 55). Primary outcomes were the incidence of vomiting, nausea score, and use of rescue antiemetic during the first 72 h after surgery. Secondary outcomes included postoperative anxiety level, sleep quality, and complications.

resultsOver the entire 72 h post-craniotomy observation period, the cumulative incidence of vomiting was significantly lower in the ERAS group than in the control group. Meanwhile, the incidence of vomiting was significantly lower in the ERAS group on postoperative days (PODs) 2 and 3. Notably, the proportion of patients with mild nausea (VAS 0-4) was higher in the ERAS group as compared to the control group on PODs 2 or 3. Additionally, the postoperative anxiety level and quality of sleep were significantly better in the ERAS group.

conclusionSuccessful implementation of our ERAS protocol in infratentorial craniotomy patients could attenuate postoperative anxiety, improve sleep quality, and reduce the incidence of PONV, without increasing the rate of postoperative complications.

trial registrationChiCTR-INR-16009662, 27 Oct 2016, Clinical study on the development and efficacy evaluation of Enhanced Recovery After Surgery (ERAS) in Neurosurgery.

Indexed as

Enhanced Recovery After SurgeryPostoperative Nausea and VomitingBrain NeoplasmsCraniotomyHumansAnxietyEnhanced recovery after surgery (ERAS)Infratentorial craniotomyPostoperative nausea and vomiting (PONV)Sleep quality

Identifiers

PMID32321451
PMCPMC7175510
OpenAlexW3020246130

What OpenQuestion holds

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LicenceCC BY
Read underepoch 390

Registered trials

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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.