Evidence map›Paper›PMID 33577259›Full record

ArticleBrazilian journal of cardiovascular surgery2021

Is Vasoactive-Inotropic Score a Predictor for Mortality and Morbidity in Patients Undergoing Coronary Artery Bypass Surgery?

Pınar Karaca Baysal, Füsun Güzelmeriç, Ersin Kahraman, Mustafa Emre Gürcü, Atakan Erkılınç, Tülay Orki

Abstract read
In one paragraph

Article in Brazilian journal of cardiovascular surgery, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
17citing papers in PubMed, 1 pooled it
–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

17 citing papers in PubMed, 1 synthesis or guideline pooled it.

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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

6 authors.

Pınar Karaca BaysalDepartment of Anesthesiology and Reanimation, Kartal Koşuyolu Yüksek İhtisas Training and Research Hospital, Istanbul, Turkey.
Füsun GüzelmeriçDepartment of Anesthesiology and Reanimation, Kartal Koşuyolu Yüksek İhtisas Training and Research Hospital, Istanbul, Turkey.
Ersin KahramanDepartment of Anesthesiology and Reanimation, Kartal Koşuyolu Yüksek İhtisas Training and Research Hospital, Istanbul, Turkey.
Mustafa Emre GürcüDepartment of Anesthesiology and Reanimation, Kartal Koşuyolu Yüksek İhtisas Training and Research Hospital, Istanbul, Turkey.
Atakan ErkılınçDepartment of Anesthesiology and Reanimation, Kartal Koşuyolu Yüksek İhtisas Training and Research Hospital, Istanbul, Turkey.
Tülay OrkiDepartment of Anesthesiology and Reanimation, Kartal Koşuyolu Yüksek İhtisas Training and Research Hospital, Istanbul, Turkey.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionWe aimed to investigate whether vasoactive-inotropic score (VIS) is a predictor for early postoperative morbidity and mortality.

methodsThis study was planned as a prospective cohort study, between Nov 20 2018 and May 15 2019, including a total of 290 patients aged 20 years or older who underwent elective on-pump coronary artery bypass grafting (CABG). Patients' demographic data, aortic cross-clamp and cardiopulmonary bypass times, European System for Cardiac Operative Risk Evaluation (EuroSCORE) score, cardiac ejection fraction (EF), VIS, intubation duration, and intensive care unit length of stay were recorded. Postoperative mortality and morbidity were recorded. Hourly doses of inotropes for VIS were recorded for each patient, and VIS was calculated.

resultsAmong the cases, 222 (77%) were male and 68 (23%) were female. The mean age of our patients was 62.5 years (37-86). Combined morbidity and mortality rates of our patients were 23.8%. An optimal cutoff point for VIS of 5.5 could predict combined morbidity and mortality with 90% sensitivity and 88% specificity. Low EF, prolonged operation time, high EuroSCORE, and high VIS are independent factors in the early postoperative period for the development of combined morbidity and mortality in patients who underwent elective CABG.

conclusionVIS is the most critical and EuroSCORE is the second most important scoring systems. They independently predict combined morbidity and mortality in undergoing elective coronary artery bypass surgery.

Indexed as

Coronary Artery BypassPostoperative ComplicationsAdultAgedAged, 80 and overFemaleHumansIntensive Care UnitsLength of StayMaleMiddle AgedMorbidityProspective StudiesRetrospective StudiesRisk FactorsTreatment OutcomeCardiopulmonary BypassCoronary Artery BypassHeart-Lung MachineIntensive Care Units.Length of StayMorbidityStroke Volume

Identifiers

PMID33577259
PMCPMC8641768

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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.