Evidence map›Paper›PMID 33327245›Full record

ArticleMedicine2020

Efficacy and safety of corticosteroids prophylaxis in cardiac surgery: A protocol for systematic review and meta-analysis.

Jian He, Yuling Zhang, Zhihuang Qiu, Tianci Chai, Guanhua Fang, Yunnan Hu, Fan Xu, Qiuyu Huang, Hui Zheng, Hao Zhou and 2 more

Open access · goldAbstract read
In one paragraph

Article in Medicine, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–field-weighted citation impact, top 74% 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

0 citing papers in PubMed, 0 citations in OpenAlex.

No citing paper in PubMed yet.

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

12 authors at 2 institutions in 1 country.

Jian HeDepartment of Cardiac Surgery, Fujian Medical University Union Hospital, Fuzhou.
Yuling ZhangDepartment of Cardiac Surgery, Fujian Medical University Union Hospital, Fuzhou.
Zhihuang QiuDepartment of Cardiac Surgery, Fujian Medical University Union Hospital, Fuzhou.
Tianci ChaiDepartment of Cardiac Surgery, Fujian Medical University Union Hospital, Fuzhou.
Guanhua FangDepartment of Cardiac Surgery, Fujian Medical University Union Hospital, Fuzhou.
Yunnan HuDepartment of Cardiac Surgery, Fujian Medical University Union Hospital, Fuzhou.
Fan XuDepartment of Cardiac Surgery, Fujian Medical University Union Hospital, Fuzhou.
Qiuyu HuangDepartment of Cardiac Surgery, Fujian Medical University Union Hospital, Fuzhou.
Hui ZhengDepartment of Cardiac Surgery, Fujian Medical University Union Hospital, Fuzhou.
Hao ZhouDepartment of Cardiac Surgery, Fujian Medical University Union Hospital, Fuzhou.
Mengyue TianSchool of Nursing, Xuzhou Medical University, Xuzhou, China.
Liang Wan ChenDepartment of Cardiac Surgery, Fujian Medical University Union Hospital, Fuzhou.ORCID 0000-0002-9359-4754
Fujian Medical University · CNXuzhou Medical College · CN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundAlthough corticosteroid prophylaxis in adult cardiac surgery has been studied extensively for 40 years, its role remains controversial, and the optimal dose remains uncertain. The objective of this meta-analysis was to estimate the clinical benefits and risks of corticosteroid use in cardiopulmonary bypass.

methodsWe will search Pubmed, Web of Science, Embase, Clinical Trials, and Cochrane Central Register of Controlled Trials for relevant clinical trials published in any language before August 1, 2020. Randomized controlled trials (RCTs) of interest which meet inclusion criteria published or unpublished will be included. We will divide the included studies into child and adult groups for analysis. If sufficient data are available, the included trials will be divided into 4 subgroups: ≤20 mg/kg (low dose), 20-40 mg/kg (slightly high dose), 40-100 mg/kg (high dose), and >100 mg/kg (ultra high dose) based on the equivalent hydrocortisone dose. INPLASY registration number: INPLASY2020100044.

resultsThe results of this study will be published in a peer-reviewed journal.

conclusionThis study will compare the efficacy of tprophylactic corticosteroids for adults and children undergoing cardiac surgery with CPB. Due to the nature of the disease and intervention methods, randomized controlled trials may be inadequate, and we will carefully consider inclusion in high-quality, non-randomized controlled trials, but this may result in high heterogeneity and affect the reliability of the results.

Indexed as

Cardiopulmonary BypassAdrenal Cortex HormonesAnti-Inflammatory AgentsHumansMeta-Analysis as TopicRisk AssessmentSystematic Reviews as TopicSystemic Inflammatory Response SyndromeAdrenal Cortex HormonesAnti-Inflammatory Agents

Identifiers

PMID33327245
PMCPMC7738078
OpenAlexW3111564145

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.