Evidence map›Paper›PMID 33111853›Full record

ArticleArquivos brasileiros de cardiologia2020

Current Impact of Cardiopulmonary Bypass in Coronary Artery Bypass Grafting in São Paulo State.

Gabrielle Barbosa Borgomoni, Omar Asdrúbal Vilca Mejia, Bianca Maria Maglia Orlandi, Maxim Goncharov, Luiz Augusto Ferreira Lisboa, Pedro Henrique Conte, Marco Antonio Praca Oliveira, Alfredo Inácio Fiorelli, Orlando Petrucci Junior, Marcos Grandim Tiveron and 2 more

Open access · greenAbstract read
In one paragraph

Article in Arquivos brasileiros de cardiologia, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing 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

3 citing papers in PubMed, 5 citations in OpenAlex.

  1. Article
  2. Article
  3. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

12 authors at 5 institutions in 1 country.

Gabrielle Barbosa BorgomoniUniversidade de São Paulo - Faculdade de Medicina Hospital das Clínicas - Instituto do Coração, São Paulo, SP - Brasil.ORCID 0000-0002-9243-7407
Omar Asdrúbal Vilca MejiaUniversidade de São Paulo - Faculdade de Medicina Hospital das Clínicas - Instituto do Coração, São Paulo, SP - Brasil.ORCID 0000-0002-1635-4984
Bianca Maria Maglia OrlandiUniversidade de São Paulo - Faculdade de Medicina Hospital das Clínicas - Instituto do Coração, São Paulo, SP - Brasil.ORCID 0000-0002-4672-6494
Maxim GoncharovUniversidade de São Paulo - Faculdade de Medicina Hospital das Clínicas - Instituto do Coração, São Paulo, SP - Brasil.ORCID 0000-0003-4820-8399
Luiz Augusto Ferreira LisboaUniversidade de São Paulo - Faculdade de Medicina Hospital das Clínicas - Instituto do Coração, São Paulo, SP - Brasil.
Pedro Henrique ConteBeneficência Portuguesa de São Paulo, São Paulo, SP - Brasil.ORCID 0000-0002-3020-6398
Marco Antonio Praca OliveiraBeneficência Portuguesa de São Paulo, São Paulo, SP - Brasil.
Alfredo Inácio FiorelliUniversidade de São Paulo - Faculdade de Medicina Hospital das Clínicas - Instituto do Coração, São Paulo, SP - Brasil.
Orlando Petrucci JuniorUniversidade Estadual Campinas FCM Unicamp - Faculdade de Ciências Médicas, Campinas, SP - Brasil.
Marcos Grandim TiveronHospital Santa Casa de Misericórdia Marília, Marília, SP - Brasil.
Luís Alberto de Oliveira DallanUniversidade de São Paulo - Faculdade de Medicina Hospital das Clínicas - Instituto do Coração, São Paulo, SP - Brasil.
Fabio Biscegli JateneUniversidade de São Paulo - Faculdade de Medicina Hospital das Clínicas - Instituto do Coração, São Paulo, SP - Brasil.
Hospital das Clínicas da Faculdade de Medicina da Universidade de São Paulo · BRBeneficência Portuguesa de São Paulo · BRSanta Casa de Misericórdia de Marília · BRUniversidade de São Paulo · BRUniversidade Estadual de Campinas (UNICAMP) · BR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundPrevious results on the use of cardiopulmonary bypass (CPB) have generated difficulties in choosing the best treatment for each patient undergoing myocardial revascularization surgery (CABG) in the current context.

objectiveEvaluate the current impact of CPB in CABG in São Paulo State.

methodsA total of 2905 patients who underwent CABG were consecutively analyzed in 11 São Paulo State centers belonging to the São Paulo Registry of Cardiovascular Surgery (REPLICCAR) I. Perioperative and follow-up data were included online by trained specialists in each hospital. Associations of the perioperative variables with the type of procedure and with the outcomes were analyzed. The study outcomes were morbidity and operative mortality. The expected mortality was calculated using EuroSCORE II (ESII). The values of p <5% were considered significant.

resultsThere were no significant differences concerning the patients' age between the groups (p=0.081). 72.9% of the patients were males. Of the patients, 542 underwent surgery without CPB (18.7%). Of the preoperative characteristics, patients with previous myocardial infarction (p=0.005) and ventricular dysfunction (p=0.031) underwent surgery with CPB. However, emergency or New York Heart Association (NYHA) class IV patients underwent surgery without CPB (p<0.001). The ESII value was similar in both groups (p=0.427). In CABG without CPB, the radial graft was preferred (p<0.001), and in CABG with CPB the right mammary artery was the preferred one (p<0.001). In the postoperative period, CPB use was associated with reoperation for bleeding (p=0.012).

conclusionCurrently in the REPLICCAR, reoperation for bleeding was the only outcome associated with the use of CPB in CABG. (Arq Bras Cardiol. 2020; 115(4):595-601).

Indexed as

Cardiopulmonary BypassCoronary Artery BypassHumansMaleMyocardial RevascularizationReoperationTreatment Outcome

Identifiers

PMID33111853
PMCPMC8386981
OpenAlexW3094518223

What OpenQuestion holds

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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.