Evidence map›Paper›PMID 37568415›Full record

ArticleJournal of clinical medicine2023

Perioperative Renal Ultrasonography of Arterio-to-Venous Coupling Predicts Postoperative Complications after Major Laparoscopic Urologic Surgery.

Claudia Brusasco, Guido Tavazzi, Giada Cucciolini, Pierpaolo Di Nicolò, Adrian Wong, Antonia Di Domenico, Federico Germinale, Federico Dotta, Marco Micali, Federico Coccolini and 4 more

Open 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. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
1.9field-weighted citation impact, top 14% 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

4 citing papers in PubMed, 6 citations in OpenAlex.

  1. Review
  2. Article
  3. Improving Patient Outcomes in Abdominal Surgery.Journal of clinical medicine · 2024
    Article
  4. 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

14 authors at 6 institutions in 2 countries.

Claudia BrusascoAnaesthesia and Intensive Care Unit, E.O. Ospedali Galliera, Mura della Cappuccine 14, 16128 Genoa, Italy.
Guido TavazziUnit of Anesthesia and Intensive Care, Department of Clinical-Surgical, Diagnostic and Pediatric Sciences, University of Pavia, 27100 Pavia, Italy.ORCID 0000-0002-9560-5138
Giada CuccioliniDepartment of Surgical, Medical, Molecular Pathology and Critical Care Medicine, University of Pisa, 56126 Pisa, Italy.ORCID 0000-0001-9456-439X
Pierpaolo Di NicolòNephrology and Dialysis Unit, S. Maria della Scaletta Hospital, 40026 Imola, Italy.ORCID 0000-0002-5587-9185
Adrian WongDepartment of Critical Care, King's College Hospital, London SE5 9RS, UK.ORCID 0000-0003-4968-7328
Antonia Di DomenicoUrology Unit, E.O. Ospedali Galliera, 16128 Genoa, Italy.
Federico GerminaleUrology Unit, E.O. Ospedali Galliera, 16128 Genoa, Italy.ORCID 0000-0001-7680-0993
Federico DottaUrology Unit, E.O. Ospedali Galliera, 16128 Genoa, Italy.
Marco MicaliAnaesthesia and Intensive Care Unit, E.O. Ospedali Galliera, Mura della Cappuccine 14, 16128 Genoa, Italy.
Federico CoccoliniGeneral, Emergency and Trauma Surgery, Pisa University Hospital, 56100 Pisa, Italy.
Gregorio SantoriDepartment of Surgical Sciences and Integrated Diagnostics (DISC), University of Genoa, 16132 Genoa, Italy.
Federico DazziDepartment of Surgical, Medical, Molecular Pathology and Critical Care Medicine, University of Pisa, 56126 Pisa, Italy.
Carlo IntroiniUrology Unit, E.O. Ospedali Galliera, 16128 Genoa, Italy.
Francesco CorradiDepartment of Surgical, Medical, Molecular Pathology and Critical Care Medicine, University of Pisa, 56126 Pisa, Italy.ORCID 0000-0002-5588-2608
Ente Ospedaliero Ospedali Galliera · ITUniversity of Pisa · ITAzienda Ospedaliera Universitaria Pisana · ITKing's College Hospital · GBUniversity of Genoa · ITUniversity of Pavia · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Point-of-care ultrasonography (POCUS) with concomitant venous and arterial Doppler assessment enables clinicians to assess organ-specific blood supply. To date, no studies have investigated the usefulness of including a comprehensive perioperative POCUS assessment of patients undergoing major laparoscopic surgery. The primary aim of the present study was to evaluate whether the combined venous and arterial renal flow evaluation, measured at different time points of perioperative period, may represent a clinically useful non-invasive method to predict postoperative acute kidney injury (AKI) after major laparoscopic urologic surgery. The secondary outcome was represented by the development of any postoperative complication at day 7. We included 173 patients, subsequently divided for analysis depending on whether they did (n = 55) or did not (n = 118) develop postoperative AKI or any complications within the first 7 days. The main results of the present study were that: (1) the combination of arterial hypoperfusion and moderate-to-severe venous congestion inferred by POCUS were associated with worst outcomes (respectively, HR: 2.993, 95% CI: 1.522-5.884 and HR: 8.124, 95% CI: 3.542-18,

Indexed as

acute kidney injuryarterio-venous couplingDopplerenhanced recovery after surgeryintra-abdominal pressureneuromuscular blockadeperfusionpneumoperitoneumPOCUSurologic surgery

Identifiers

PMID37568415
PMCPMC10419452
OpenAlexW4385423669

What OpenQuestion holds

Textmetadata
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.