Evidence map›Paper›PMID 34410938›Full record

SynthesisIn vivo (Athens, Greece)

Comparison of High-flow Nasal Cannula (HFNC) and Conventional Oxygen Therapy in Obese Patients Undergoing Cardiac Surgery: A Systematic Review and Meta-analysis.

Yanli Wang, Jinkui Zhu, Xiufeng Wang, N A Liu, Qing Yang, Guoan Luan, Xinhui Ma, Juan Liu

Registry-linked trialOpen access · diamondAbstract readMeta-AnalysisSystematic Review
In one paragraph

Synthesis in In vivo (Athens, Greece). The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT06521489 (Study of Asymmetrical High Flow Nasal Cannula Oxygenation), which is not on this map. Cited by 11 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed, 4 pooled it
1.9field-weighted citation impact, top 13% 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.

NCT06521489 naactive not recruitingnot on this map

Study of Asymmetrical High Flow Nasal Cannula Oxygenation (HFNCO) vs Standard HFNCO on Cardiac Surgical Patients Postoperatively

TypeinterventionalSponsorNational and Kapodistrian University of AthensRan2024 to 2026Enrolled63ConditionsHypoxemic Respiratory FailureArmsAsymmetrical High Flow Nasal Cannula Oxygenation, Conventional High Flow Nasal Cannula Oxygenation
3 · Its place in the literature

Who cites it

11 citing papers in PubMed, 4 syntheses or guidelines pooled it, 16 citations in OpenAlex.

  1. Pooled it
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  5. Trial
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  7. Review
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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

8 authors at 1 institution in 1 country.

Yanli WangZhaoyuan Renmin Hospital, Yantai, P.R. China.
Jinkui ZhuZhaoyuan Renmin Hospital, Yantai, P.R. China.
Xiufeng WangZhaoyuan Renmin Hospital, Yantai, P.R. China.
N A LiuWeihai Municipal Hospital, Weihai, P.R. China.
Qing YangZhaoyuan Renmin Hospital, Yantai, P.R. China.
Guoan LuanZhaoyuan Renmin Hospital, Yantai, P.R. China.
Xinhui MaZhaoyuan Renmin Hospital, Yantai, P.R. China.
Juan LiuZhaoyuan Renmin Hospital, Yantai, P.R. China; liujuan0681@163.com.
Weihai Municipal Hospital · CN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

BACKGROUND/

aimHigh-flow nasal cannula (HFNC), a new method for postoperative oxygenation, has increasingly received attention during postoperative care. However, its importance for obese patients undergoing cardiac surgery remains controversial. This systematic review and meta-analysis compared and evaluated HFNC and conventional oxygen therapy (COT) in this patient group. MATERIALS AND

methodsLiterature was retrieved by searching eight public databases. Randomized controlled trials (RCTs) were selected. RevMan 5.3 was used to analyze the results and any potential bias. The primary outcome included atelectasis score at 24 h postoperatively. The secondary outcomes included PaO2/FiO2 (ratio), dyspnea score at 24 h postoperatively, intensive care unit (ICU) length of stay, and reintubation.

resultsThe search strategy yielded 382 studies after duplicates were removed. Finally, 3 RCTs with a total of 526 patients were included in the present study. Compared with COT, there was no significant difference in atelectasis score, dyspnea score, reintubation, and ICU length of stay.

conclusionFor obese patients undergoing cardiac surgery, postoperative use of HFNC can maintain patient's oxygenation. Additional clinical studies are needed to investigate the role of HFNC in this patient group.

Indexed as

Cardiac Surgical ProceduresRespiratory InsufficiencyCannulaHumansLength of StayObesityOxygenOxygen Inhalation TherapyOxygenatelectasis scorecardiac surgerydyspnea scoreHFNCHigh-flow nasal cannulaobesepostoperation oxygenationreview

Identifiers

PMID34410938
PMCPMC8408737
OpenAlexW3195310339

What OpenQuestion holds

Textmetadata
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.