Evidence map›Paper›PMID 36544918›Full record

ArticleLaryngoscope investigative otolaryngology2022

Risk factors of arytenoid dislocation after endotracheal intubation: A propensity-matched analysis.

Xiangyu Kong, Yang Song, Lijun Wang, Guili He, Changhong Ma, Rui Zhao, Minjun Wang, Lin Shi, Wanming Cui

Open access · goldAbstract read
In one paragraph

Article in Laryngoscope investigative otolaryngology, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
1.3field-weighted citation impact, top 19% 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

5 citing papers in PubMed, 5 citations in OpenAlex.

  1. Article
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  5. 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

9 authors at 1 institution in 1 country.

Xiangyu KongDepartment of Otorhinolaryngology The First Affiliated Hospital of Dalian Medical University Dalian China.
Yang SongDepartment of Otorhinolaryngology The First Affiliated Hospital of Dalian Medical University Dalian China.
Lijun WangDepartment of Radiology The First Affiliated Hospital of Dalian Medical University Dalian China.
Guili HeDepartment of Otorhinolaryngology The First Affiliated Hospital of Dalian Medical University Dalian China.
Changhong MaDepartment of Otorhinolaryngology The First Affiliated Hospital of Dalian Medical University Dalian China.
Rui ZhaoDepartment of Otorhinolaryngology The First Affiliated Hospital of Dalian Medical University Dalian China.
Minjun WangDepartment of Otorhinolaryngology The First Affiliated Hospital of Dalian Medical University Dalian China.
Lin ShiDepartment of Otorhinolaryngology The First Affiliated Hospital of Dalian Medical University Dalian China.ORCID https://orcid.org/0000-0003-2070-6564
Wanming CuiDepartment of Otorhinolaryngology The First Affiliated Hospital of Dalian Medical University Dalian China.
Dalian Medical University · CN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Objective: Arytenoid dislocation (AD) after general anesthesia with endotracheal intubation (EI) is an iatrogenic injury that impairs patient function and requires reduction. We aimed to investigate the risk factors of AD following EI. Methods: This retrospective case-control study involved surgical adults who received EI for general anesthesia at a single institution from June 2010 to June 2020. Cases included all the patients who had AD. We used a ratio of 1:5 to identify patients in the propensity-matched control group. Results: Multivariate analysis of 49 cases with AD and 245 controls without AD demonstrated that the use of a nasogastric (NG) tube (odds ratio [OR], 23.9; 95% confidence interval [CI], 6.8-84.1), undergoing abdominal surgery (OR, 3.7; 95% CI, 1.2-11.9), and an operative time longer than 3 h (OR, 5.2; 95% CI, 2.1-12.9) were risk factors for AD. We did not find significant independent associations between AD and 40 years or older age, gender, body mass index, whether a laryngeal mask airway was used, endotracheal tube size, and EI performers' experience. Conclusion: The use of an NG tube, abdominal surgery, and longer operative time were risk factors for AD. Among these, the NG tube application showed a strong association with AD. Preventive measures of informing the patients of the increased risk and providing high-level patient monitoring can reduce the incidence of AD. Level of Evidence: III.

Indexed as

arytenoid dislocationendotracheal intubationgeneral anesthesiarisk factorsurgery

Identifiers

PMID36544918
PMCPMC9764803
OpenAlexW4310082277

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

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.