Evidence map›Paper›PMID 34381560›Full record

ArticleOxidative medicine and cellular longevity2021

Oxidative Stress in Patients before and after On-Pump and Off-Pump Coronary Artery Bypass Grafting: Relationship with Syntax Score.

Petar Vukicevic, Aleksandra Klisic, Vojislava Neskovic, Luka Babic, Aleksandar Mikic, Natasa Bogavac-Stanojevic, Milos Matkovic, Vladimir Milićević, Nemanja Aleksic, Jelena Kotur-Stevuljevic

Registry-linked trialAbstract read
In one paragraph

Article in Oxidative medicine and cellular longevity, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT05895331 (The Effects of Dexmedetomidine on Thiol/Disulphide Homeostasis in Coronary Bypass Surgery), which is not on this map. Cited by 19 papers.

0numbers the graph read from it
0cells of the map it votes in
19citing papers in PubMed
–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.

NCT05895331 unknown statusnot on this mapstarted 2023, after this paper: background citation

The Effects of Dexmedetomidine on Thiol/Disulphide Homeostasis in Coronary Bypass Surgery

TypeobservationalSponsorAnkara Etlik City HospitalRan2023 to 2023Enrolled60ConditionsDexmedetomidine, Oxidative StressArmsThiol/Disulphide Homeostasis
3 · Its place in the literature

Who cites it

19 citing papers in PubMed.

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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

10 authors.

Petar VukicevicClinic for Cardiac Surgery, Military Medical Academy, Belgrade, Serbia.ORCID https://orcid.org/0000-0003-4841-3683
Aleksandra KlisicPrimary Health Care Center, University of Montenegro-Faculty of Medicine, Podgorica, Montenegro.ORCID https://orcid.org/0000-0001-7870-0996
Vojislava NeskovicUniversity of Defense, Medical Faculty of the Military Medical Academy, Belgrade, Serbia.ORCID https://orcid.org/0000-0003-3583-7129
Luka BabicClinic for Cardiac Surgery, Military Medical Academy, Belgrade, Serbia.ORCID https://orcid.org/0000-0001-5560-2824
Aleksandar MikicClinic for Cardiac Surgery, UC Clinical Centre, Belgrade, Serbia.ORCID https://orcid.org/0000-0002-0733-0294
Natasa Bogavac-StanojevicDepartment for Medical Biochemistry, University of Belgrade-Faculty of Pharmacy, Belgrade, Serbia.ORCID https://orcid.org/0000-0001-7004-4701
Milos MatkovicUniversity of Belgrade-Faculty of Medicine, Belgrade, Serbia.ORCID https://orcid.org/0000-0001-9558-0850
Vladimir MilićevićDepartment for Cardiac Surgery, University Clinical Center of Serbia, Belgrade, Serbia.ORCID https://orcid.org/0000-0002-5702-6530
Nemanja AleksicUniversity of Belgrade-Faculty of Medicine, Belgrade, Serbia.ORCID https://orcid.org/0000-0001-8606-9559
Jelena Kotur-StevuljevicDepartment for Medical Biochemistry, University of Belgrade-Faculty of Pharmacy, Belgrade, Serbia.ORCID https://orcid.org/0000-0002-6980-3069

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveCoronary artery bypass grafting (CABG) represents the significant source of increased oxidative stress (OS). We aimed to follow the OS status parameters (i.e., ischemia-modified albumin (IMA), malondialdehyde (MDA), superoxide anion, prooxidant-antioxidant balance (PAB), total oxidant status (TOS), total antioxidant status (TAS), and superoxide-dismutase (SOD)) change through the predefined study times in two different surgical procedures, i.e., cardiopulmonary bypass (CPB) and off-pump coronary artery bypass grafting (OPCAB). Additionally, we aimed to investigate those OS status parameters in specific study times according to SYNTAX score (SS), an established angiographic score for evaluating the extensity and severity of coronary artery disease.

resultsIMA levels were higher in CPB than that in OPCAB baseline and rose in CPB group in t2 point. TOS decreased in both study groups, compared to baseline values, but without statistical significance. Superoxide anion and PAB significantly increased in t3-t6 study times, in both groups. MDA significantly increased only in CPB group in t5 and t6 interval. MDA was significantly higher in CPB group compared to OPCAB in t6 study point. CPB patients had significantly lower TAS compared to OPCAB patients at the beginning and in t2 and t3 study points. They also had significantly lower SOD activities compared to OPCAB, baseline, and in several study points. Moreover, TAS, SOD, and TAS/TOS ratio were significantly lower, whereas PAB and TOS/TAS were significantly higher in patients with high SS compared to corresponding groups. SOD activity, IMA, and TAS level were the best predictors of high SS.

conclusionCPB patients were in more severe ischemia baseline than OPCAB group and IMA rose in CPB patients immediately after the surgery end, but not later. Also, the antioxidant status was significantly lower, whereas the prooxidant status was significantly higher in patients with high SS compared to corresponding groups. SOD activity, IMA, and TAS level were the best predictors of CAD (as determined with SS), showing that SOD and IMA had very good discriminatory capability towards higher SS status.

Indexed as

Oxidative StressAgedCardiopulmonary BypassCoronary Artery Bypass, Off-PumpFemaleHumansIntraoperative ComplicationsMaleMalondialdehydeMiddle AgedPostoperative ComplicationsSuperoxide DismutaseSuperoxidesMalondialdehydeSuperoxide DismutaseSuperoxides

Identifiers

PMID34381560
PMCPMC8352695

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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.