Evidence map›Paper›PMID 33998289›Full record

ArticleJournal of the American Heart Association2021

Ultra-Fast-Track Extubation in Adult Congenital Heart Surgery.

Paolo Bianchi, Andrew Constantine, Giulia Costola, Sara Mele, Darryl Shore, Konstantinos Dimopoulos, Tuan-Chen Aw

Registry-linked trialOpen access · goldAbstract readComparative Study
In one paragraph

Article in Journal of the American Heart Association, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT06541483 (A Multicenter Clinical Study of Ultra-Fast-Track Cardiac Anesthesia in Minimally Invasive Cardiac Surgery for Valvular Heart Disease), which is not on this map. Cited by 13 papers.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed
2.3field-weighted citation impact, top 12% 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.

NCT06541483 nanot yet recruitingnot on this mapstarted 2024, after this paper: background citation

A Multicenter Clinical Study of Ultra-Fast-Track Cardiac Anesthesia in Minimally Invasive Cardiac Surgery for Valvular Heart Disease

TypeinterventionalSponsorZhejiang Provincial People's HospitalRan2024 to 2028Enrolled1,200ConditionsHeart Valve Diseases, Enhanced Recovery After SurgeryArmsUltra-Fast-Track Cardiac Anesthesia(UFTCA), conventional general anesthesia (CGA)
3 · Its place in the literature

Who cites it

13 citing papers in PubMed, 22 citations in OpenAlex.

  1. Article
  2. Article
  3. Article
  4. Review
  5. Article
  6. Fast-Track Extubation After Cardiac Surgery: A Narrative Review.Journal of cardiovascular development and disease · 2025
    Review
  7. Article
  8. Article
  9. Article
  10. Article
  11. Article
  12. Review
  13. Ultra-Fast-Track Extubation in Adult Congenital Heart Surgery.Journal of the American Heart Association · 2021
    Article
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

7 authors at 1 institution in 1 country.

Paolo BianchiDepartment of Anaesthesia and Intensive Care Royal Brompton HospitalGuy's and St Thomas' NHS Foundation Trust London United Kingdom.
Andrew ConstantineAdult Congenital Heart Centre and National Centre for Pulmonary Hypertension Royal Brompton HospitalGuy's and St Thomas' NHS Foundation Trust London United Kingdom.
Giulia CostolaAdult Congenital Heart Centre and National Centre for Pulmonary Hypertension Royal Brompton HospitalGuy's and St Thomas' NHS Foundation Trust London United Kingdom.
Sara MeleDepartment of Anaesthesia and Intensive Care Royal Brompton HospitalGuy's and St Thomas' NHS Foundation Trust London United Kingdom.
Darryl ShoreAdult Congenital Heart Centre and National Centre for Pulmonary Hypertension Royal Brompton HospitalGuy's and St Thomas' NHS Foundation Trust London United Kingdom.
Konstantinos DimopoulosAdult Congenital Heart Centre and National Centre for Pulmonary Hypertension Royal Brompton HospitalGuy's and St Thomas' NHS Foundation Trust London United Kingdom.
Tuan-Chen AwDepartment of Anaesthesia and Intensive Care Royal Brompton HospitalGuy's and St Thomas' NHS Foundation Trust London United Kingdom.
Guy's and St Thomas' NHS Foundation Trust · GB

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background In pediatric cardiac surgery, perioperative management has evolved from slow weaning of mechanical ventilation in the intensive care unit to "ultra-fast-track" anesthesia with early extubation (EE) in theater to promote a faster recovery. The strategy of EE has not been assessed in adults with congenital heart disease, a growing population of patients who often require surgery. Methods And Results Data were collected retrospectively on all patients >16 years of age who underwent adult congenital heart surgery in our tertiary center between December 2012 and January 2020. Coarsened exact matching was performed for relevant baseline variables. Overall, 711 procedures were performed: 133 (18.7%) patients underwent EE and 578 (81.3%) patients received conventional extubation. After matching, patients who received EE required less inotropic or vasopressor support in the early postoperative period (median Vasoactive-inotropic score 0.5 [0.0-2.0] versus 2.0 [0.0-3.5];

Indexed as

Cardiac Surgical ProceduresAdultAirway ExtubationCosts and Cost AnalysisCritical CareFemaleFollow-Up StudiesHeart Defects, CongenitalHumansLength of StayMalePostoperative PeriodRetrospective StudiesTime Factorsadult congenital heart diseasecardiac surgerycoarsened exact matchingearly extubationhealth economicshealth outcomespropensity score matching

Identifiers

PMID33998289
PMCPMC8483528
OpenAlexW3163902261

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

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.