Evidence map›Paper›PMID 35989328›Full record

Trial reportJournal of cardiothoracic surgery2022

Efficacy of early goal-directed therapy using FloTrac/EV1000 to improve postoperative outcomes in patients undergoing off-pump coronary artery bypass surgery: a randomized controlled trial.

Sirirat Tribuddharat, Thepakorn Sathitkarnmanee, Kriangsak Ngamsaengsirisup, Sanpicha Sornpirom

2 registry-linked trialsOpen access · goldAbstract readRandomized Controlled Trial
In one paragraph

Trial report in Journal of cardiothoracic surgery, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 2 registered trials, which are not on this map. Cited by 6 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed, 3 pooled it
1.3field-weighted citation impact, top 20% 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.

NCT04292951 nacompletednot on this map

Early Goal Directed Therapy vs Standard Protocol for Hemodynamic Management in Patients Undergoing Cardiac Surgery: A Randomized Controlled Trial

TypeinterventionalSponsorKhon Kaen UniversityRan2020 to 2020Enrolled80ConditionsPostoperative Outcome, ICU StayArmsFluid and inotropic/vasoactive management protocol
NCT05826795 unknown statusnot on this mapstarted 2023, after this paper: background citation

Cost-effectiveness of Applying Early Goal-directed Therapy Using FloTrac/EV1000 Platform in Patients Undergoing Coronary Artery Bypass Graft With Cardiopulmonary Bypass

TypeobservationalSponsorKhon Kaen UniversityRan2023 to 2023Enrolled60ConditionsCoronary Artery DiseaseArmsEarly goal-directed therapy (EGDT)
3 · Its place in the literature

Who cites it

6 citing papers in PubMed, 3 syntheses or guidelines pooled it, 8 citations in OpenAlex.

  1. Pooled it
  2. Intraoperative Goal-Directed Perfusion in Cardiac Surgery with Cardiopulmonary Bypass: The Roles of Delivery Oxygen Index and Cardiac Index.Annals of thoracic and cardiovascular surgery : official journal of the Association of Thoracic and Cardiovascular Surgeons of Asia · 2024
    Pooled it
  3. Pooled it
  4. Trial
  5. Article
  6. 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

4 authors at 1 institution in 1 country.

Sirirat TribuddharatDepartment of Anesthesiology, Faculty of Medicine, Khon Kaen University, 123 Mitrapap Road, Ampur Muang, Khon Kaen, 40002, Thailand.
Thepakorn SathitkarnmaneeDepartment of Anesthesiology, Faculty of Medicine, Khon Kaen University, 123 Mitrapap Road, Ampur Muang, Khon Kaen, 40002, Thailand. thepakorns@gmail.com.
Kriangsak NgamsaengsirisupDepartment of Anesthesiology, Faculty of Medicine, Khon Kaen University, 123 Mitrapap Road, Ampur Muang, Khon Kaen, 40002, Thailand.
Sanpicha SornpiromCardiothoracic Intensive Care Unit, Faculty of Medicine, Khon Kaen University, 123 Mitrapap Road, Ampur Muang, Khon Kaen, 40002, Thailand.
Khon Kaen University · TH

Funding

Faculty of Medicine, Khon Kaen University IN62127
6 · The paper itself

Abstract

backgroundEarly goal-directed therapy (EGDT) using FloTrac reduced length of stay (LOS) in intensive care (ICU) and hospital among patients undergoing coronary artery bypass graft (CABG) with a cardiopulmonary bypass. However, this platform in off-pump CABG (OPCAB) has received scant attention, so we evaluated the efficacy of EGDT using FloTrac/EV1000 as a modality for improving postoperative outcomes in patients undergoing OPCAB.

methodsForty patients undergoing OPCAB were randomized to the EV1000 or Control group. The Control group received fluid, inotropic, or vasoactive drugs (at the discretion of the attending anesthesiologist) to maintain a mean arterial pressure 65-90 mmHg; central venous pressure 8-12 mmHg; urine output ≥ 0.5 mL kg

resultsThe EV1000 group had a shorter LOS in ICU (mean difference - 1.3 d, 95% CI - 1.8 to - 0.8; P < 0.001). The ventilator time for both groups was comparable (P = 0.316), but the hospital stay for the EV1000 group was shorter (mean difference - 1.4 d, 95% CI - 2.1 to - 0.6; P < 0.001).

conclusionsEGDT using FloTrac/EV1000 compared to conventional protocol reduces LOS in ICU and hospital among patients undergoing OPCAB. Trial registration This study was retrospectively registered at www. CLINICALTRIALS: gov (NCT04292951) on 3 March 2020.

Indexed as

Coronary Artery Bypass, Off-PumpEarly Goal-Directed TherapyCardiopulmonary BypassCoronary Artery BypassHumansLength of StayPostoperative ComplicationsPostoperative PeriodTreatment OutcomeEarly goal-directed therapyHospitalIntensive care unitLength of stayOff-pump coronary artery bypass graft

Identifiers

PMID35989328
PMCPMC9394084
OpenAlexW4292519208

What OpenQuestion holds

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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.