Evidence map›Paper›PMID 37587423›Full record

ArticleBMC anesthesiology2023

Safety of geriatric patients undergoing endobronchial ultrasound-guided transbronchial needle aspiration with deep sedation: a retrospective study.

Mehtap Tunç, Hilal Sazak, Ayperi Öztürk, Aydın Yılmaz, Ali Alagöz

Open access · goldAbstract read
In one paragraph

Article in BMC anesthesiology, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed, 2 pooled it
2.1field-weighted citation impact, top 13% 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, 2 syntheses or guidelines pooled it, 6 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Article
  4. Observational
  5. Review
  6. Article
  7. 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

5 authors at 1 institution in 1 country.

Mehtap TunçDepartment of Anesthesiology and Reanimation, University of Health Sciences, Atatürk Sanatoryum Training and Research Hospital, Ankara, Turkey. drmehtaptunc@yahoo.com.
Hilal SazakDepartment of Anesthesiology and Reanimation, University of Health Sciences, Atatürk Sanatoryum Training and Research Hospital, Ankara, Turkey.
Ayperi ÖztürkDepartment of Anesthesiology and Reanimation, University of Health Sciences, Atatürk Sanatoryum Training and Research Hospital, Ankara, Turkey.
Aydın YılmazDepartment of Interventional Pulmonology, University of Health Sciences, Atatürk Sanatorium Training and Research Hospital, Ankara, Turkey.
Ali AlagözDepartment of Anesthesiology and Reanimation, University of Health Sciences, Atatürk Sanatoryum Training and Research Hospital, Ankara, Turkey.
Sağlık Bilimleri Üniversitesi · TR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundEndobronchial ultrasound-guided transbronchial needle aspiration (EBUS-TBNA) can be performed in a wide range, from minimal sedation to general anesthesia. Advanced age increases perioperative risks related to anesthesia and is also associated with many pathological processes that further increase morbidity and mortality. The ideal sedation protocol for EBUS-TBNA has yet to be determined in geriatric patients. Deep sedation (DS) may increase the safety and performance of the procedure. There are limited studies evaluating the effectiveness and safety of EBUS-TBNA under DS in elderly patients.

methods280 patients who underwent EBUS-TBNA under DS were included in this retrospective study. 156 patients aged 65 years and over (Group 1) and 124 patients under 45 (Group 2) were compared. Demographic data, comorbidities, pulmonary function tests (PFTs), hemodynamic measurements, and peripheral oxygen saturation (SpO

resultsThere was no difference in body mass index, EBUS-TBNA procedure duration, and recovery time between geriatric and young patients(p > 0.05). The proportion of female patients, pre-anesthesia SpO

conclusionsThe EBUS-TBNA procedure performed under DS was safe in elderly and young patients. Our study showed that the procedure and recovery times were similar in the elderly and young groups. The incidence of temporary high blood pressure during the procedure was higher in the elderly patients. The other complication rates during the procedure were similar in groups. Decreased propofol dose in the regimen using propofol alone has shown us that anesthetists are more sensitive to the administration of sedative agents in geriatric patients, taking into account comorbidities and drug interactions.

Indexed as

Deep SedationHypertensionPropofolAgedAnesthesia, GeneralFemaleHumansHypnotics and SedativesIncidenceRetrospective StudiesUltrasonography, InterventionalHypnotics and SedativesPropofolComplicationElderlyEndobronchial ultrasound guided transbronchial needle aspirationGeriatric populationSafetySedationSedative agents

Identifiers

PMID37587423
PMCPMC10428560
OpenAlexW4385876453

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.