Evidence map›Paper›PMID 32766560›Full record

ArticleCritical care explorations2020

Albumin Use After Cardiac Surgery.

Mbakise P Matebele, Mahesh Ramanan, Kelly Thompson, George Cornmell, Rishendran V Naidoo, Kiran Shekar

Abstract read
In one paragraph

Article in Critical care explorations, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed
–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

7 citing papers in PubMed.

  1. Effect of 5% albumin on endothelial glycocalyx degradation during off-pump coronary artery bypass.Canadian journal of anaesthesia = Journal canadien d'anesthesie · 2024
    Trial
  2. Article
  3. Article
  4. Article
  5. Albumin use in bleeding cardiac surgical patients and associated patient outcomes.Canadian journal of anaesthesia = Journal canadien d'anesthesie · 2021
    Article
  6. Albumin in adult cardiac surgery: a narrative review.Canadian journal of anaesthesia = Journal canadien d'anesthesie · 2021
    Review
  7. Evaluation of the Safety and Efficacy of a Novel Thrombin Containing Combination Hemostatic Powder Using a Historical Control.Clinical and applied thrombosis/hemostasis : official journal of the International Academy of Clinical and Applied Thrombosis/Hemostasis
    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.

Mbakise P MatebeleAdult Intensive Care Services and Critical Care Research Group, The Prince Charles Hospital, Brisbane, Queensland, QLD, Australia.
Mahesh RamananAdult Intensive Care Services and Critical Care Research Group, The Prince Charles Hospital, Brisbane, Queensland, QLD, Australia.
Kelly ThompsonThe George Institute for Global Health, Sydney, NSW, Australia.
George CornmellAdult Intensive Care Services and Critical Care Research Group, The Prince Charles Hospital, Brisbane, Queensland, QLD, Australia.
Rishendran V NaidooUniversity of Queensland, Brisbane, QLD, Australia.
Kiran ShekarAdult Intensive Care Services and Critical Care Research Group, The Prince Charles Hospital, Brisbane, Queensland, QLD, Australia.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesTo investigate the effect of albumin exposure in ICU after cardiac surgery on hospital mortality, complications, and costs.

designA retrospective, single-center cohort study with economic evaluation.

settingCardiothoracic ICU in Australia. PATIENTS: Adult patients admitted to the ICU after cardiac surgery.

interventionsNone. MEASUREMENTS AND MAIN

resultsComparison of outcomes and costs in ICU after cardiac surgery based on 4% human albumin exposure. During the study period, 3,656 patients underwent cardiac surgery. After exclusions, 2,594 patients were suitable for analysis. One-thousand two-hundred sixty-four (48.7%) were exposed to albumin and 19 (1.4%) of those died. The adjusted hospital mortality of albumin exposure compared with no albumin was not significant (odds ratio, 1.24; 95% CI, 0.56-2.79;

conclusionsThere is no increased mortality in patients who are exposed to albumin after cardiac surgery. The patients exposed to albumin had higher illness severity, suffered more complications, and incurred higher healthcare costs. A randomized controlled trial is required to determine whether albumin use is effective and safe in this setting.

Indexed as

albumincardiac surgerycrystalloidseconomic evaluationfluid resuscitationintensive care

Identifiers

PMID32766560
PMCPMC7365709

What OpenQuestion holds

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LicenceCC BY-NC-ND
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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.