Evidence map›Paper›PMID 37115487›Full record

ReviewCurrent pain and headache reports2023

Flushing After Lumbar Epidural Steroid Injection with Dexamethasone.

Suzanne Shermon, Gustaf Van Acker, Vladimir Suric, Chong Kim, Alaa Abd-Elsayed, Nicholas Mata

Abstract readReview
PubMed Publisher
In one paragraph

Review in Current pain and headache reports, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
0.8field-weighted citation impact, top 28% 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

1 citing paper in PubMed, 3 citations in OpenAlex.

  1. 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 4 institutions in 1 country.

Suzanne ShermonPhysical Medicine and Rehabilitation, Metrohealth/Case Western Reserve University, Cleveland, OH, USA.
Gustaf Van AckerPhysical Medicine and Rehabilitation, Metrohealth/Case Western Reserve University, Cleveland, OH, USA.
Vladimir SuricPhysical Medicine and Rehabilitation, Medical College of Wisconsin, Milwaukee, WI, USA.
Chong KimPhysical Medicine and Rehabilitation, Metrohealth/Case Western Reserve University, Cleveland, OH, USA.
Alaa Abd-ElsayedDepartment of Anesthesiology, University of Wisconsin, Madison, WI, USA. alaaawny@hotmail.com.
Nicholas MataPhysical Medicine and Rehabilitation, All Star Pain Management, Annapolis, MD, USA.
MetroHealth Medical Center · USMaryland Brain, Spine + Pain · USMedical College of Wisconsin · USUniversity of Wisconsin System · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purpose of reviewEpidural steroid injections are an accepted treatment for low back pain and radicular symptoms. While epidural steroid injections are routinely performed without complications, side effects can be seen, including flushing. Flushing has been studied using various steroid preparations, including dexamethasone, but at significantly higher doses. This was a prospective cohort study that examines the rate of flushing in ESIs with a lower dose (4 mg) of dexamethasone. Subjects undergoing lumbar epidural steroid injection were asked about the presence of flushing following the procedure prior to discharge and again at 48 h after. A total of 80 participants received fluoroscopically guided interlaminar and transforaminal epidural injections. All participants received 4 mg of dexamethasone. Of the 80 subjects, 52 were female, and 28 were male. Seventy-one underwent a transforaminal epidural injection and 9 underwent an interlaminar epidural injection. Four (5%) subjects experienced flushing-1 subject experienced immediate post-procedural flushing and 3 experienced flushing within 48 h. All 4 subjects (100%) were female. All 4 subjects received transforaminal injections (100%). RECENT

findingsThere is a gap of knowledge about the flushing after lumbar epidural steroid injection with dexamethasone. Flushing is a known and common side effect of epidural steroid injections, varying in frequency based on type of steroid as well as dose. We found 5% incidence in flushing reaction with 4 mg of dexamethasone.

Indexed as

Low Back PainDexamethasoneFemaleHumansInjections, EpiduralLumbar VertebraeMaleProspective StudiesSteroidsTreatment OutcomeDexamethasoneSteroidsDexamethasoneEpiduralFlushingLumbarSide effectsSteroid

Identifiers

PMID37115487
OpenAlexW4367299760

What OpenQuestion holds

Textmetadata
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.