Evidence map›Paper›PMID 34221456›Full record

ArticleJournal of clinical and translational science2021

Preliminary study of the impact of elevated circulating plasma levels of catecholamines on opioid requirements for acute surgical pain.

Armando Uribe-Rivera, Linda Rasubala, Ana C Machado-Perez, Yan-Fang Ren, Hans Malmström, Adam Carinci

Open access · goldAbstract read
In one paragraph

Article in Journal of clinical and translational science, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
0.5field-weighted citation impact, top 38% 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

2 citing papers in PubMed, 2 citations in OpenAlex.

  1. Article
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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 2 institutions in 1 country.

Armando Uribe-RiveraHowitt Urgent Dental Care Department, University of Rochester, School of Medicine and Dentistry, Rochester, NY, USA.ORCID https://orcid.org/0000-0003-3969-0216
Linda RasubalaHowitt Urgent Dental Care Department, University of Rochester, School of Medicine and Dentistry, Rochester, NY, USA.
Ana C Machado-PerezGeneral Dentistry Department, University of Rochester, School of Medicine and Dentistry, Rochester, NY, USA.
Yan-Fang RenHowitt Urgent Dental Care Department, University of Rochester, School of Medicine and Dentistry, Rochester, NY, USA.
Hans MalmströmGeneral Dentistry Department, University of Rochester, School of Medicine and Dentistry, Rochester, NY, USA.
Adam CarinciDepartment of Anesthesiology & Perioperative Medicine, University of Rochester Medical Center, Rochester, NY, USA.
University of Rochester · USUniversity of Rochester Medical Center · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionThe objective of this study is to determine whether elevated circulating plasma catecholamine levels significantly impact opioid requirements during the first 24 hours postoperative period in individuals with acute surgical pain.

methodsWe retrospectively reviewed 15 electronic medical records (EMRs) from adults 18 years and older, with confirmed elevated plasma catecholamine levels (experimental) and 15 electronic health records (EHRs) from matched-controls for age, gender, race and type of surgery, with a follow up of 24 hours postoperatively.

resultsThe total morphine milligram equivalents (MMEs) requirements from the experimental group were not statistically different when compared with controls [44.1 (13 to 163) mg versus 47.5 (13 to 151) mg respectively; p 0.4965]. However, the intraoperative MMEs showed a significant difference, among the two groups; [(experimental) 32.5 (13. to 130) mg, (control) 15 (6.5 to 130) mg; p 0.0734]. The intraoperative dosage of midazolam showed a highly significant positive correlation to the total MMEs (p 0.0005). The subjects with both elevated plasma catecholamines and hypertension used significantly higher intraoperative MMEs compared to controls [34.1 (13 to 130) mg versus 15 (6.5 to 130) mg, respectively; p 0.0292)]. Those 51 years and younger, with elevated circulating levels of catecholamines, required significantly higher levels of both the postoperative MMEs [29.1 (0 to 45) mg versus 12 (0 to 71.5) mg; (p 0.0553)] and total MMEs [544.05 (13 to 81) mg versus 29.42 (13 to 92.5) mg; (p 0.00018), when compared to controls with history of nicotine and alcohol use.

conclusionThis preliminary study evaluated a biologic factor, which have promising clinical usefulness for predicting analgesic requirements that can drive clinical decisions on acute surgical pain.

Indexed as

acute paincatecholaminesmorphine milligram equivalentsOpioidspostoperative pain

Identifiers

PMID34221456
PMCPMC8223169
OpenAlexW3120551195

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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.