Evidence map›Paper›PMID 37266909›Full record

ArticlePain and therapy2023

Effect of Erector Spinae Plane Block in Terms of Analgesic Efficacy in Elderly Patients Undergoing Posterior Lumbar Spine Surgery: A Retrospective, Propensity-Score Matched Study.

Jianqin Zhu, Zhenjun Wu, Guiming Huang, Yuting Zhong, Cheng Peng

Open access · goldAbstract read
In one paragraph

Article in Pain and therapy, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed
2.5field-weighted citation impact, top 11% 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

7 citing papers in PubMed, 8 citations in OpenAlex.

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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

5 authors at 3 institutions in 1 country.

Jianqin ZhuDepartment of Sleep Medicine, Ganzhou People's Hospital, Ganzhou, 341000, China.
Zhenjun WuDepartment of Anesthesiology, The First Affiliated Hospital of Guangxi University of Chinese Medicine, Nanning, 530023, China.
Guiming HuangDepartment of Anesthesiology, Ganzhou People's Hospital, Ganzhou, 341000, China.
Yuting ZhongDepartment of Anesthesiology, The First Affiliated Hospital of Gannan Medical University, Ganzhou, 341000, China.
Cheng PengDepartment of Anesthesiology, Ganzhou People's Hospital, Ganzhou, 341000, China. pengchenglizhi@163.com.ORCID http://orcid.org/0009-0004-1495-4777
Ganzhou People's Hospital · CNFirst Affiliated Hospital of Gannan Medical University · CNGuangxi University of Chinese Medicine · CN

Funding

Science and Technology Plan of Jiangxi Provincial Administration of Traditional Chinese Medicine SZYYB20224730Science and Technology Plan of Jiangxi Provincial Health Commission SKJP220202171
6 · The paper itself

Abstract

introductionFor preoperative analgesia during a variety of operations, the erector spinae plane block (ESPB) has grown in popularity. However, its effectiveness in lumbar surgery is still unknown. The purpose of this study was to investigate the potential benefits of ESPB in enhancing analgesic efficacy in elderly individuals following posterior lumbar spine surgery.

methodsPatients aged 65 years or older who underwent elective posterior lumbar instrumented fusion (with or without decompression) at our institution between January 2019 and June 2022 were included. Demographic data, comorbidities, and results of preoperative screening were retrospectively collected. Propensity score matching (PSM) was performed in a ratio of 1:1 for control and ESPB groups. The primary outcome was opioid consumption at 24 h after surgery. Secondary outcomes was visual analog scale (VAS) pain scores at rest in the first 24 h. Additional secondary outcomes included number of patients requesting rescue analgesia, incidence of nausea and vomiting, time to the first request for analgesia via patient-controlled analgesia, and length of stay.

resultsA total of 382 patients were included, of whom 119 received ESPB. The mean age of the study patients was 70.6 years old, and 254 (66.5%) were male. After PSM, each group comprised 115 patients. Patients in the ESPB group showed a significantly lower opioid consumption at 24 h after surgery. Compared with the control group, VAS pain scores at rest in the first 24 h, number of patient-controlled intravenous analgesia (PCIA) pump compressions, ratio of patients requesting rescue analgesia, incidence of nausea and vomiting, and length of stay were significantly reduced in the ESPB group. There were no significant differences between the two groups regarding safety outcomes.

conclusionsESPB reduces short-term opioid consumption while providing safe and effective analgesia in elderly patients undergoing posterior lumbar surgery.

Indexed as

AnalgesicElderly patientsErector spinae plane blockPosterior lumbar spine surgeryPropensity score matching

Identifiers

PMID37266909
PMCPMC10289959
OpenAlexW4379095528

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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.