Evidence map›Paper›PMID 35745221›Full record

Observational studyNutrients2022

Preoperative Phase Angle as a Risk Indicator in Cardiac Surgery-A Prospective Observational Study.

Sylvia Ryz, Larissa Nixdorf, Jürgen Puchinger, Andrea Lassnigg, Dominik Wiedemann, Martin H Bernardi

Open access · goldAbstract readObservational Study
In one paragraph

Observational study in Nutrients, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed, 1 pooled it
0.9field-weighted citation impact, top 26% 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

7 citing papers in PubMed, 1 synthesis or guideline pooled it, 10 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Article
  4. Article
  5. Article
  6. Review
  7. 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.

Sylvia RyzDivision of Cardiac Thoracic Vascular Anaesthesia and Intensive Care Medicine, Medical University of Vienna, A-1090 Vienna, Austria.
Larissa NixdorfDepartment of Surgery, Medical University of Vienna, A-1090 Vienna, Austria.
Jürgen PuchingerDivision of Cardiac Thoracic Vascular Anaesthesia and Intensive Care Medicine, Medical University of Vienna, A-1090 Vienna, Austria.
Andrea LassniggDivision of Cardiac Thoracic Vascular Anaesthesia and Intensive Care Medicine, Medical University of Vienna, A-1090 Vienna, Austria.
Dominik WiedemannDepartment of Cardiac Surgery, Medical University of Vienna, A-1090 Vienna, Austria.ORCID 0000-0002-2055-8293
Martin H BernardiDivision of Cardiac Thoracic Vascular Anaesthesia and Intensive Care Medicine, Medical University of Vienna, A-1090 Vienna, Austria.ORCID 0000-0002-8297-898X
Medical University of Vienna · AT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: The phase angle (PhA) can be used for prognostic assessments in critically ill patients. This study describes the perioperative course of PhA and associated risk indicators in a cohort of elective cardiac surgical patients. Methods: The PhA was measured in 168 patients once daily until postoperative day (POD) seven. Patients were split into two groups depending on their median preoperative PhA and analyzed for several clinical outcomes; logistic regression models were used. Results: The PhA decreased from preoperative (6.1° ± 1.9°) to a nadir on POD 2 (3.5° ± 2.5°, mean difference −2.6° (95% CI, −3.0°; −2.1°; p < 0.0001)). Patients with lower preoperative PhA were older (71.0 ± 9.1 vs. 60.9 ± 12.0 years; p < 0.0001) and frailer (3.1 ± 1.3 vs. 2.3 ± 1.1; p < 0.0001), needed more fluids (8388 ± 3168 vs. 7417 ± 2459 mL, p = 0.0287), and stayed longer in the ICU (3.7 ± 4.5 vs. 2.6 ± 3.8 days, p = 0.0182). Preoperative PhA was independently influenced by frailty (OR 0.77; 95% CI 0.61; 0.98; p = 0.0344) and cardiac function (OR 1.85; 95%CI 1.07; 3.19; p = 0.028), whereas the postoperative PhA decline was independently influenced by higher fluid balances (OR 0.86; 95% CI 0.75; 0.99; p = 0.0371) and longer cardiopulmonary bypass times (OR 0.99; 95% CI 0.98; 0.99; p = 0.0344). Conclusion: Perioperative PhA measurement is an easy-to-use bedside method that may critically influence risk evaluation for the outcome of cardiac surgery patients.

Indexed as

Cardiac Surgical ProceduresElectric ImpedanceHumansPrognosisProspective StudiesRisk Factorsbioelectrical impedance analysiscardiac surgeryphase angle

Identifiers

PMID35745221
PMCPMC9228129
OpenAlexW4283072174

What OpenQuestion holds

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LicenceCC BY
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Registered trials

None linked

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.