Evidence map›Paper›PMID 36874927›Full record

ArticleBioMed research international2023

Rapid Dantrolene Administration with Body Temperature Monitoring Is Associated with Decreased Mortality in Japanese Malignant Hyperthermia Events.

Yukari Toyota, Takashi Kondo, Daiki Shorin, Ayako Sumii, Kenshiro Kido, Tomoyuki Watanabe, Sachiko Otsuki, Rieko Kanzaki, Hirotsugu Miyoshi, Toshimichi Yasuda and 3 more

Open access · hybridAbstract read
In one paragraph

Article in BioMed research international, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed, 1 pooled it
2.4field-weighted citation impact, top 10% 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

9 citing papers in PubMed, 1 synthesis or guideline pooled it, 11 citations in OpenAlex.

  1. Guideline
  2. Article
  3. First report of malignant hyperthermia syndrome in an American Guinea hog.The Canadian veterinary journal = La revue veterinaire canadienne · 2026
    Article
  4. Article
  5. Article
  6. Article
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  8. 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

13 authors at 3 institutions in 2 countries.

Yukari ToyotaDepartment of Anesthesiology and Critical Care, Hiroshima University Hospital, Hiroshima, Japan.ORCID https://orcid.org/0000-0002-9903-0415
Takashi KondoDepartment of Anesthesiology and Critical Care, Hiroshima University Hospital, Hiroshima, Japan.ORCID https://orcid.org/0000-0001-9182-0394
Daiki ShorinDepartment of Anesthesiology and Critical Care, Hiroshima University Hospital, Hiroshima, Japan.
Ayako SumiiDepartment of Anesthesiology and Critical Care, Hiroshima University Hospital, Hiroshima, Japan.
Kenshiro KidoDepartment of Anesthesiology and Critical Care, Hiroshima University Hospital, Hiroshima, Japan.ORCID https://orcid.org/0000-0002-4449-1695
Tomoyuki WatanabeDepartment of Anesthesiology and Critical Care, Hiroshima University Hospital, Hiroshima, Japan.ORCID https://orcid.org/0000-0002-6492-0741
Sachiko OtsukiDepartment of Anesthesiology and Critical Care, Hiroshima University Hospital, Hiroshima, Japan.
Rieko KanzakiDepartment of Anesthesiology and Critical Care, Hiroshima University Hospital, Hiroshima, Japan.
Hirotsugu MiyoshiDepartment of Anesthesiology and Critical Care, Hiroshima University Hospital, Hiroshima, Japan.ORCID https://orcid.org/0000-0002-1375-5344
Toshimichi YasudaDepartment of Anesthesiology, Hiroshima Prefectural Rehabilitation Center, Higashi, Hiroshima, Japan.ORCID https://orcid.org/0000-0001-7832-5516
Yousuke T HorikawaDepartment of Anesthesiology and Critical Care, Hiroshima University Hospital, Hiroshima, Japan.ORCID https://orcid.org/0000-0002-3421-3608
Keiko MukaidaDepartment of Anesthesiology and Critical Care, Hiroshima University Hospital, Hiroshima, Japan.
Yasuo M TsutsumiDepartment of Anesthesiology and Critical Care, Hiroshima University Hospital, Hiroshima, Japan.ORCID https://orcid.org/0000-0002-1997-082X
Hiroshima University Hospital · JPHiroshima Prefectural Rehabilitation Center · JPSharp Rees-Stealy Medical Group · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Purpose: Malignant hyperthermia (MH) is a rare genetic disorder but one of the most severe complications of general anesthesia. The mortality rate of MH has dropped from 70% in the 1960s to 15% because of dantrolene, the only currently accepted specific treatment for MH. In this study, we retrospectively identified the optimal dantrolene administration conditions to reduce MH mortality further. Methods: Our database performed a retrospective analysis of patients with MH clinical grading scale (CGS) grade 5 (very likely) or 6 (almost certain) between 1995 and 2020. We examined whether dantrolene administration affected mortality and compared the clinical variables associated with improved prognosis. Furthermore, a multivariable logistic regression analysis was used to identify specific variables associated with improved prognosis. Results: 128 patients met the inclusion criteria. 115 patients were administered dantrolene; 104 survived, and 11 died. The mortality rate of patients who were not administered dantrolene was 30.8%, which was significantly higher than those of patients who were administered dantrolene ( Conclusions: Dantrolene should be given as rapidly as possible once MH has been diagnosed. Beginning treatment at a more normal body temperature can prevent critical elevations associated with a worse prognosis.

Indexed as

DantroleneMalignant HyperthermiaBody TemperatureEast Asian PeopleHumansRare DiseasesRetrospective StudiesDantrolene

Identifiers

PMID36874927
PMCPMC9977521
OpenAlexW4321483067

What OpenQuestion holds

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LicenceCC BY
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.