Evidence map›Paper›PMID 34012474›Full record

ArticleEvidence-based complementary and alternative medicine : eCAM2021

Comparison of Effects between Combined Lumbar-Sacral Plexus Block plus General Anesthesia and Unilateral Spinal Anesthesia in Elderly Patients Undergoing Hip Fracture Surgery: A Pilot Randomized Controlled Trial.

Lili Tang, Panpan Fang, Yuxin Fang, Yao Lu, Guanghong Xu, Xuesheng Liu

Open access · hybridAbstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in Evidence-based complementary and alternative medicine : eCAM, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers, 5 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed, 5 pooled it
3.1field-weighted citation impact, top 7% 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

16 citing papers in PubMed, 5 syntheses or guidelines pooled it, 27 citations in OpenAlex.

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  16. Application Effect of Case Management Mode Combined with ERAS in Elderly Patients with Hip Fracture.Evidence-based complementary and alternative medicine : eCAM · 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

6 authors at 1 institution in 1 country.

Lili TangDepartment of Anesthesiology, The First Affiliated Hospital of Anhui Medical University, Hefei 230022, China.
Panpan FangDepartment of Anesthesiology, The First Affiliated Hospital of Anhui Medical University, Hefei 230022, China.
Yuxin FangDepartment of Anesthesiology, The First Affiliated Hospital of Anhui Medical University, Hefei 230022, China.
Yao LuDepartment of Anesthesiology, The First Affiliated Hospital of Anhui Medical University, Hefei 230022, China.
Guanghong XuDepartment of Anesthesiology, The First Affiliated Hospital of Anhui Medical University, Hefei 230022, China.
Xuesheng LiuDepartment of Anesthesiology, The First Affiliated Hospital of Anhui Medical University, Hefei 230022, China.ORCID https://orcid.org/0000-0003-3779-2964
Anhui Medical University · CN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeHip fracture is a common injury in geriatric populations, which is associated with poor quality of life. However, the ideal anesthesia technique for this disease is yet to be identified. This study aimed to compare the combined lumbar-sacral plexus block (CLSB) plus general anesthesia (bispectral index (BIS) 60-80) with the unilateral spinal anesthesia (SA) on activity of daily living in elderly patients undergoing hip fracture surgery.

methodsA total of 124 elderly patients undergoing hip fracture surgery were randomly assigned to two groups. Patients in the SA group received light-specific gravity spinal anesthesia, and patients in the CLSB group received lumbar and sacral plexus block with general anesthesia (BIS 60-80). The primary outcomes were 30-day activity of daily living (ADL). The secondary outcomes were postoperative pain scores, postoperative delirium, in-hospital cost, and major complications.

resultsThe ADL scores of postoperative day 30 (POD30) in the CLSB group are higher than those in the SA group (27.34 ± 7.01 versus 24.70 ± 6.40,

conclusionThe unilateral SA can reduce the deterioration of ADL after hip fracture surgery and provide a better postoperative recovery.

Identifiers

PMID34012474
PMCPMC8105098
OpenAlexW3157844260

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LicenceCC BY
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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.