Evidence map›Paper›PMID 32790681›Full record

ArticlePloS one2020

Incidence and associated factors for hypotension after spinal anesthesia during cesarean section at Gandhi Memorial Hospital Addis Ababa, Ethiopia.

Tewoderos Shitemaw, Bedru Jemal, Temesgen Mamo, Luelayehu Akalu

2 registry-linked trialsOpen access · goldAbstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in PloS one, 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 21 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
21citing papers in PubMed, 1 pooled it
5.9field-weighted citation impact, top 3% 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.

NCT05348980 phase4completednot on this map

Comparison of Two Different Doses of Intramuscular Phenylephrine HCL for Prevention of Spinal Anesthesia Induced Hypotension During Cesarean Section: A Prospective Randomized Double-blinded Parallel Study

TypeinterventionalSponsorRehman Medical Institute - RMIRan2020 to 2020Enrolled60ConditionsHypotension, AnesthesiaArmsPhenylephrine Hydrochloride 4 mg, Phenylephrine Hydrochloride 8 mg
NCT06158542 completednot on this mapstarted 2023, after this paper: background citation

Development of an Artificial Intelligence Algorithm to Predict Hypotension Risk After Induction in Cesarean Sections With Spinal Anesthesia

TypeobservationalSponsorHacettepe UniversityRan2023 to 2023Enrolled370ConditionsSpinal Anesthesia Induced Hypotension, Caeserian SectionArmsSpinal Anesthesia, Blood Sampling
3 · Its place in the literature

Who cites it

21 citing papers in PubMed, 1 synthesis or guideline pooled it, 48 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

4 authors at 4 institutions in 1 country.

Tewoderos ShitemawAnesthesia Department, Menelik II health and medical science college, Kotebe Metropolitan University, Addis Ababa, Ethiopia.
Bedru JemalDepartment of Anesthesiology, College of Health Sciences and medicine, Dilla University, Dilla, Ethiopia.ORCID 0000-0002-4194-4724
Temesgen MamoDepartment of Anesthesiology, College of Health Sciences and medicine, Wachamo University, Wachamo, Ethiopia.
Luelayehu AkaluDepartment of Anesthesiology, College of Health Sciences and medicine, Addis Ababa University, Addis Ababa, Ethiopia.
Addis Ababa University · ETDilla University · ETKotebe University of Education · ETWollo University · ET

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundSpinal anesthesia is a type of regional anesthesia that has been practicing for obstetric anesthesia since the beginning of the 20th century. Despite the simplicity and lower maternal mortality risk, compared to general anesthesia, spinal anesthesia is linked to different adverse effects, of which hypotension is the most common complication. The main aim of this study was to determine the incidence and associated factors of hypotension after spinal anesthesia during cesarean section.

methodInstitution-based cross-sectional study was conducted with 410 clients. The study was conducted on cesarean section under spinal anesthesia from 5th January to 30th April 2019, at the Gandhi Memorial Hospital, Addis Ababa, Ethiopia. Both bivariable and multivariable logistic regression analysis were done on the associated factors. The level of statistical significance was represented at p<0.05.

resultsThe incidence of hypotension among mothers who underwent a cesarean section after spinal anesthesia was 64%. Newborn weight ≥4kg (AOR = 5.373; 95%CI: (1.627-17.740)) showed an increase risk of association with hypotension. A baseline systolic blood pressure < 120mmHg (AOR = 6.293; (95%CI: 2.999-13.204)) was found to be associated with increased risk of hypotension. Sensory block height >T6 AOR = 2.230; 95%CI: (1.329-3.741), the time interval between spinal induction and skin incision > 6minutes AOR = 1.803; 95%CI: (1.044-3.114) and anesthetist experience AOR = 5.033(95%CI: 2.144-11.818) were also associated with hypotension.

conclusionThe identified risk factors for hypotension, after spinal anesthesia are sensory height block, weight of the baby, the time interval between spinal induction and skin incision, baseline systolic blood pressure, and anesthetist experience.

Indexed as

AdolescentAdultAnesthesia, SpinalBlood PressureCesarean SectionEthiopiaFemaleHospitalsHumansHypotensionIncidenceOdds RatioPregnancyRisk FactorsYoung Adult

Identifiers

PMID32790681
PMCPMC7425909
OpenAlexW3014391211

What OpenQuestion holds

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LicenceCC BY
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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.