Evidence map›Paper›PMID 33948868›Full record

Observational studyJournal of cardiovascular translational research2021

Microcirculatory Changes in Pediatric Patients During Congenital Heart Defect Corrective Surgery.

Rafael González Cortés, Javier Urbano Villaescusa, María J Solana García, Jorge López González, Sarah N Fernández Lafever, Blanca Ramírez Gómez, José R Fuentes Moran, Irene Hidalgo García, Ana Peleteiro Pensado, Ramón Pérez-Caballero Martínez and 4 more

Abstract readObservational Study
PubMed Publisher
In one paragraph

Observational study in Journal of cardiovascular translational research, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
0.6field-weighted citation impact, top 30% 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

5 citing papers in PubMed, 4 citations in OpenAlex.

  1. Review
  2. Review
  3. Observational
  4. Article
  5. Review
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

14 authors at 3 institutions in 1 country.

Rafael González CortésPaediatric Intensive Care Unit, Gregorio Marañón General University Hospital, Calle Dr. Castelo 47, 28007, Madrid, Spain. rafael.gonzalezc@salud.madrid.org.ORCID 0000-0002-3259-7898
Javier Urbano VillaescusaPaediatric Intensive Care Unit, Gregorio Marañón General University Hospital, Calle Dr. Castelo 47, 28007, Madrid, Spain.
María J Solana GarcíaPaediatric Intensive Care Unit, Gregorio Marañón General University Hospital, Calle Dr. Castelo 47, 28007, Madrid, Spain.
Jorge López GonzálezPaediatric Intensive Care Unit, Gregorio Marañón General University Hospital, Calle Dr. Castelo 47, 28007, Madrid, Spain.
Sarah N Fernández LafeverPaediatric Intensive Care Unit, Gregorio Marañón General University Hospital, Calle Dr. Castelo 47, 28007, Madrid, Spain.
Blanca Ramírez GómezPaediatric Hemoperfusionist, Gregorio Marañón General University Hospital, Madrid, Spain.
José R Fuentes MoranPaediatric Anesthesia, Gregorio Marañón General University Hospital, Madrid, Spain.
Irene Hidalgo GarcíaPaediatric Anesthesia, Gregorio Marañón General University Hospital, Madrid, Spain.
Ana Peleteiro PensadoPaediatric Anesthesia, Gregorio Marañón General University Hospital, Madrid, Spain.
Ramón Pérez-Caballero MartínezPaediatric Cardiac Surgery, Gregorio Marañón General University Hospital, Madrid, Spain.
Carlos A Pardo PradoPaediatric Cardiac Surgery, Gregorio Marañón General University Hospital, Madrid, Spain.
Alejandro Rodríguez OgandoPaediatric Cardiology, Gregorio Marañón General University Hospital, Madrid, Spain.
María López BlazquezPaediatric Cardiology, Gregorio Marañón General University Hospital, Madrid, Spain.
Jesús López-Herce CidPaediatric Intensive Care Unit, Gregorio Marañón General University Hospital, Calle Dr. Castelo 47, 28007, Madrid, Spain.
Hospital General Universitario Gregorio Marañón · ESInstituto de Salud Carlos III · ESUniversidad Complutense de Madrid · ES

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

A prospective, observational single-center study was carried out. Pediatric patients undergoing congenital heart defect surgery were evaluated before, during, and after surgery. At each time point, sublingual microcirculation and clinical parameters were assessed, along with analytical variables. Twenty-four patients were included. All microcirculatory parameters worsened during cardiopulmonary bypass and returned to baseline values after surgery (p ≤ 0.001). In the intraoperative evaluation, body temperature correlated with perfused small vessel density (p = 0.014), proportion of perfused small vessels (p < 0.001), small vessel microvascular flow index (p = 0.003), and small vessel heterogeneity index (p < 0.002). Patients with cyanotic disease exhibited higher small vessel density (p < 0.008) and higher density of perfused small vessels (p < 0.022) at baseline, and a lower microvascular flow index (p = 0.022) and higher heterogeneity (p = 0.026) in the intraoperative phase. Children with congenital heart disease exhibited decreased vascular density and microvascular blood flow and increased heterogeneity during cardiopulmonary bypass. All these parameters returned to baseline values after surgery.

Indexed as

Intraoperative PeriodMicrocirculationAdolescentBlood Flow VelocityCardiopulmonary BypassChildChild, PreschoolFemaleHeart Defects, CongenitalHumansInfantMaleProspective StudiesCardiopulmonary bypassChildrenHeart surgeryMicrocirculation

Identifiers

PMID33948868
OpenAlexW3157512257

What OpenQuestion holds

Textmetadata
Read underepoch 390

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.