Evidence map›Paper›PMID 37495924›Full record

ArticleGeneral thoracic and cardiovascular surgery2024

Influence of preoperative and intraoperative factors on recovery after aortic root surgery.

Isao Anzai, Christian Pearsall, David Blitzer, Adedeji Adeniyi, Yuming Ning, Yanling Zhao, Michael Argenziano, Yuichi Shimada, Tsuyoshi Yamabe, Paul Kurlansky and 3 more

Abstract read
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In one paragraph

Article in General thoracic and cardiovascular surgery, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

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0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
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.

  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

13 authors.

Isao AnzaiDivision of Cardiac, Thoracic, and Vascular Surgery, Columbia University Medical Center, 177 Fort Washington Ave, New York, NY, 10032, USA.
Christian PearsallDivision of Cardiac, Thoracic, and Vascular Surgery, Columbia University Medical Center, 177 Fort Washington Ave, New York, NY, 10032, USA.
David BlitzerDivision of Cardiac, Thoracic, and Vascular Surgery, Columbia University Medical Center, 177 Fort Washington Ave, New York, NY, 10032, USA.
Adedeji AdeniyiDivision of Cardiac, Thoracic, and Vascular Surgery, Columbia University Medical Center, 177 Fort Washington Ave, New York, NY, 10032, USA.
Yuming NingDivision of Cardiac, Thoracic, and Vascular Surgery, Columbia University Medical Center, 177 Fort Washington Ave, New York, NY, 10032, USA.
Yanling ZhaoDivision of Cardiac, Thoracic, and Vascular Surgery, Columbia University Medical Center, 177 Fort Washington Ave, New York, NY, 10032, USA.
Michael ArgenzianoDivision of Cardiac, Thoracic, and Vascular Surgery, Columbia University Medical Center, 177 Fort Washington Ave, New York, NY, 10032, USA.
Yuichi ShimadaDepartment of Cardiology, Columbia University, New York, NY, USA.
Tsuyoshi YamabeDivision of Cardiac, Thoracic, and Vascular Surgery, Columbia University Medical Center, 177 Fort Washington Ave, New York, NY, 10032, USA.
Paul KurlanskyDivision of Cardiac, Thoracic, and Vascular Surgery, Columbia University Medical Center, 177 Fort Washington Ave, New York, NY, 10032, USA.
Isaac GeorgeDivision of Cardiac, Thoracic, and Vascular Surgery, Columbia University Medical Center, 177 Fort Washington Ave, New York, NY, 10032, USA.
Craig SmithDivision of Cardiac, Thoracic, and Vascular Surgery, Columbia University Medical Center, 177 Fort Washington Ave, New York, NY, 10032, USA.
Hiroo TakayamaDivision of Cardiac, Thoracic, and Vascular Surgery, Columbia University Medical Center, 177 Fort Washington Ave, New York, NY, 10032, USA. ht2225@cumc.columbia.edu.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo determine the influence of intraoperative factors relative to preoperative risk factors on recovery after aortic root replacement (ARR).

methodsRetrospective review of baseline and intraoperative characteristics was performed of 822 patients at our Aortic Center from 2005 to 2019. Inclusion criteria were all patients age 18 and older who underwent ARR at our institution from 2005 to 2019. The primary endpoint was the aggregate outcome of "failure to achieve uneventful recovery (FUR)," as previously defined.

resultsIn total, 207 (25%) patients experienced FUR. The following preoperative and intraoperative variables were significantly associated with FUR in the multivariable analysis: cardiopulmonary bypass time (OR 1.01, 95% CI 1.01-1.02) open chest management (OR 5.67, 95% CI 2.65-12.1), ejection fraction (OR 1.03, 95% CI 1.01-1.04), chronic kidney disease > stage 3a (OR 2.37, 95% CI 1.54-3.63), bicuspid aortic valve (OR 1.54, 95% CI 1.21-1.96), and female sex (OR 1.30, 95% CI 1.06-1.61). Cardiopulmonary bypass time and open chest management were among the top three partial R

conclusionsThese findings suggest efficacy in using intraoperative parameters to predict postoperative outcomes after ARR.

Indexed as

Bicuspid Aortic Valve DiseaseHeart Valve Prosthesis ImplantationAdolescentAortaAorta, ThoracicAortic ValveFemaleHumansRetrospective StudiesRisk FactorsTreatment OutcomeAortic rootAortic root replacementIntraoperative variablesPreoperative risk factorsUneventful recovery

Identifiers

PMID37495924

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