Evidence map›Paper›PMID 34856931›Full record

ArticleBMC anesthesiology2021

Intraoperative hypotension, oliguria and operation time are associated with pulmonary embolism after radical resection of head and neck cancers: a case control study.

Xuan Liang, Xiaohong Chen, Guyan Wang, Yue Wang, Dongjing Shi, Meiyi Zhao, Huachuan Zheng, Xu Cui

Registry-linked trialOpen access · goldAbstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in BMC anesthesiology, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT06468852 (Effect of Goal-Directed Fluid Therapy on the Postoperative Outcome in Head and Neck Cancer Surgery), which is not on this map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed
1.1field-weighted citation impact, top 21% 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.

NCT06468852 narecruitingnot on this mapstarted 2024, after this paper: background citation

Effect of Goal-Directed Fluid Therapy on the Postoperative Outcome in Head and Neck Cancer Surgery: A Randomized Controlled Trial

TypeinterventionalSponsorBeijing Tongren HospitalRan2024 to 2026Enrolled340ConditionsPostoperative ComplicationsArmsGoal-Directed Fluid Therapy
3 · Its place in the literature

Who cites it

7 citing papers in PubMed, 10 citations in OpenAlex.

  1. Article
  2. Article
  3. Article
  4. Article
  5. Article
  6. Interpretable Machine Learning Approach for Predicting 30-Day Mortality of Critical Ill Patients with Pulmonary Embolism and Heart Failure: A Retrospective Study.Clinical and applied thrombosis/hemostasis : official journal of the International Academy of Clinical and Applied Thrombosis/Hemostasis
    Article
  7. Review
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 3 institutions in 1 country.

Xuan LiangDepartment of Anesthesiology, Beijing Tongren Hospital, Capital Medical University, Beijing, 100730, China.
Xiaohong ChenDepartment of Otolaryngology Head & Neck surgery, Beijing Tongren Hospital, Capital Medical University, Beijing, 100730, China.
Guyan WangDepartment of Anesthesiology, Beijing Tongren Hospital, Capital Medical University, Beijing, 100730, China.
Yue WangDepartment of Anesthesiology, Beijing Tongren Hospital, Capital Medical University, Beijing, 100730, China.
Dongjing ShiDepartment of Anesthesiology, Beijing Tongren Hospital, Capital Medical University, Beijing, 100730, China.
Meiyi ZhaoDepartment of Anesthesiology, Beijing Tongren Hospital, Capital Medical University, Beijing, 100730, China.
Huachuan ZhengDepartment of Experimental Oncology, Shengjing Hospital of China Medical University, Shenyang, 110004, China.
Xu CuiDepartment of Anesthesiology, Beijing Tongren Hospital, Capital Medical University, Beijing, 100730, China. cuixubjtr@ccmu.edu.cn.
Beijing Tongren Hospital · CNCapital Medical University · CNChina Medical University · CN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundPostoperative pulmonary embolism (PE) is a serious thrombotic complication in the patients with otolaryngologic cancers. We investigated the risk factors associated with postoperative PE after radical resection of head and neck cancers.

methodsA total of 3512 patients underwent head and neck cancers radical resection from 2013 to 2019. A one-to-three control group without postoperative PE was selected matched by age, gender, and type of cancer. Univariate analyses were performed for the perioperative patient data including hemodynamic management factors. Conditional logistic regression was used to analyze the factors and their odds ratios.

resultsPostoperative PE was prevalent in 0.85% (95%CI = 0.56-1.14). Univariate analyses showed that a high ASA grade, high BMI, and smoking history may be related to postoperative PE. There was significantly difference in operation time between the two groups, especially for> 4 h [22(78.6%) vs 43(51.2%), P = .011]. The urine output was lower [1.37(0.73-2.21) ml·kg

conclusionsThe intraoperative hypotension, oliguria, and operation time > 4 h are risk factors associated with postoperative PE after radical resection of head and neck cancers. Improving intraoperative hemodynamics management to ensure adequate blood pressure and urine output may reduce the occurrence of such complications.

Indexed as

Operative TimeBeijingCase-Control StudiesCausalityComorbidityFemaleHead and Neck NeoplasmsHumansHypotensionIncidenceIntraoperative ComplicationsMaleMiddle AgedOliguriaPostoperative ComplicationsPulmonary EmbolismAnesthesia, generalFluid therapyHypotensionMalignant head and neck tumorsPulmonary embolism

Identifiers

PMID34856931
PMCPMC8641205
OpenAlexW3215372035

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.