Evidence map›Paper›PMID 37176595›Full record

ArticleJournal of clinical medicine2023

Arterial Elastance: A Predictor of Hypotension Due to Anesthesia Induction.

Serap Aktas Yildirim, Zeynep Tugce Sarikaya, Lerzan Dogan, Halim Ulugol, Bulent Gucyetmez, Fevzi Toraman

Registry-linked trialOpen access · goldAbstract read
In one paragraph

Article in Journal of clinical medicine, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT05969886 (Predictive Value of Ventricular-Arterial Coupling for Post-Induction Hypotension), which is not on this 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
1.9field-weighted citation impact, top 15% 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.

NCT05969886 completednot on this map

Predictive Value of Ventricular-Arterial Coupling for Post-Induction Hypotension: A Prospective Observational Cohort Study

TypeobservationalSponsorUniversity Medical Center Ho Chi Minh City (UMC)Ran2023 to 2024Enrolled405ConditionsHypotension on Induction
3 · Its place in the literature

Who cites it

9 citing papers in PubMed, 1 synthesis or guideline pooled it, 6 citations in OpenAlex.

  1. Pooled it
  2. Observational
  3. Article
  4. Article
  5. Article
  6. Article
  7. Article
  8. Observational
  9. 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 2 institutions in 1 country.

Serap Aktas YildirimDepartment of Anesthesiology and Reanimation, School of Medicine, Acibadem Mehmet Ali Aydinlar University, 34752 Istanbul, Turkey.ORCID 0000-0002-4889-6649
Zeynep Tugce SarikayaDepartment of Anesthesiology and Reanimation, School of Medicine, Acibadem Mehmet Ali Aydinlar University, 34752 Istanbul, Turkey.ORCID 0000-0002-1352-7667
Lerzan DoganDepartment of Anesthesiology and Reanimation, Acibadem Altunizade Hospital, 34662 Istanbul, Turkey.ORCID 0000-0002-1456-4072
Halim UlugolDepartment of Anesthesiology and Reanimation, School of Medicine, Acibadem Mehmet Ali Aydinlar University, 34752 Istanbul, Turkey.
Bulent GucyetmezDepartment of Anesthesiology and Reanimation, School of Medicine, Acibadem Mehmet Ali Aydinlar University, 34752 Istanbul, Turkey.ORCID 0000-0002-4464-4591
Fevzi ToramanDepartment of Anesthesiology and Reanimation, School of Medicine, Acibadem Mehmet Ali Aydinlar University, 34752 Istanbul, Turkey.
Kent Hastanesi · TRAcıbadem Adana Hospital · TR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundHypotension is common after anesthesia induction and may have adverse outcomes. The aim of this study was to investigate whether arterial elastance (Ea) is a predictor of post-induction hypotension.

methodsBetween January and June 2022, the hemodynamic parameters of 85 patients who underwent major surgery under general anesthesia were prospectively evaluated. The noncalibrated pulse contour device MostCare (Vytech, Vygon, Padua, Italy) was used to measure hemodynamic parameters before and after anesthesia induction. The duration of the measurements was determined from one minute before induction to 10 min after induction. Hypotension was defined as a greater than 30% decrease in mean arterial pressure from the pre-induction value and/or systolic arterial pressure of less than 90 mmHg. The patients were divided into post-induction hypotension (-) and (+) groups. For the likelihood of post-induction hypotension, a multivariate regression model was used by adding significantly different pre-induction parameters to the post-induction hypotension group.

resultsThe incidence of post-induction hypotension was 37.6%. The cut-off value of the pre-induction Ea for the prediction of post-induction hypotension was ≥1.08 mmHg m

conclusionPre-induction Ea showed excellent predictability of hypotension during anesthetic induction and identified patients at risk of general anesthesia induction-related hypotension.

Indexed as

arterial elastancegeneral anesthesiapost-induction hypotensionventriculoarterial coupling

Identifiers

PMID37176595
PMCPMC10179039
OpenAlexW4367316542

What OpenQuestion holds

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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.