Evidence map›Paper›PMID 37951962›Full record

ArticlePerioperative medicine (London, England)2023

Protocol: dexmedetomidine on myocardial injury after noncardiac surgery-a multicenter, double-blind, controlled trial.

Huayue Liu, Juan Zhang, Ke Peng, Xiaowen Meng, Xisheng Shan, Wenwen Huo, Hong Liu, Yishan Lei, Fuhai Ji

Open access · goldAbstract read
In one paragraph

Article in Perioperative medicine (London, England), 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
0.7field-weighted citation impact, top 26% 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

1 citing paper in PubMed, 3 citations in OpenAlex.

  1. Review
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

9 authors at 4 institutions in 2 countries.

Huayue Liu *Department of Anesthesiology, The First Affiliated Hospital of Soochow University, Suzhou, China.
Juan Zhang *Department of Pain Medicine, Shenzhen People's Hospital (The Second Clinical Medical College, Jinan University; The First Affiliated Hospital, Southern University of Science and Technology), Shenzhen, China.
Ke Peng *Department of Anesthesiology, The First Affiliated Hospital of Soochow University, Suzhou, China.
Xiaowen MengDepartment of Anesthesiology, The First Affiliated Hospital of Soochow University, Suzhou, China.
Xisheng ShanDepartment of Anesthesiology, The First Affiliated Hospital of Soochow University, Suzhou, China.
Wenwen HuoDepartment of Anesthesiology, The First Affiliated Hospital of Soochow University, Suzhou, China.
Hong LiuDepartment of Anesthesiology and Pain Medicine, University of California Davis Health, Sacramento, CA, USA.
Yishan LeiDepartment of Anesthesiology, The First Affiliated Hospital of Soochow University, Suzhou, China. lysmed@163.com.
Fuhai JiDepartment of Anesthesiology, The First Affiliated Hospital of Soochow University, Suzhou, China. jifuhaisuda@163.com.
First Affiliated Hospital of Soochow University · CNSoochow University · CNSouthern University of Science and Technology · CNUniversity of California, Davis · US

Funding

333 High-level Talent Training Project in Jiangsu Province BRA2020089Six talent peaks project in Jiangsu Province WSN-022
6 · The paper itself

Abstract

aimsMyocardial injury after noncardiac surgery (MINS) is common in elderly patients and considered as an independent predictor of 30-day mortality after noncardiac surgery. Dexmedetomidine possesses cardiac-protective profile. Previous clinical studies have found that perioperative application of dexmedetomidine is associated with decreased 1-year mortality in patients undergoing cardiac surgery. The current study protocol aims to investigate the effects of dexmedetomidine on the incidence of MINS, complications, and 30-day mortality in elderly patients subjected to noncardiac surgery.

methodsA multicenter, randomized, controlled, double-blind, prospective trial is designed to explore cardiac protection of dexmedetomidine in the elderly patients undergoing noncardiac surgery. A total of 960 patients aged over 65 years will be recruited and randomly assigned to dexmedetomidine group (group Dex) and normal saline placebo group (group NS) in a ratio of 1:1. Patients in group Dex will receive a bolus dose of 0.5 μg/kg dexmedetomidine within 10 min before surgical incision, followed by a consistent infusion at the rate of 0.3-0.5 μg/kg/h throughout the operation. Group NS patients will receive the same volume of normal saline. The primary outcome is the incidence of MINS via detecting the hs-TnT level within 3 days after the operation. The secondary outcome includes myocardial ischemic symptoms, the incidence of major adverse cardiovascular events (MACE) in hospital, length of ICU and postoperative hospital stay, the incidence of inhospital complications, and 30-day all-cause mortality. DISCUSSION: The results of the current study will illustrate the effect of dexmedetomidine on myocardial injury for elderly patients undergoing major noncardiac surgery.

trial registrationThe trial was registered with Chinese Clinical Trial Registry (CHICTR) on Aug 24, 2021 (ChiCTR2100049946, http://www.chictr.org.cn/showproj.aspx?proj=131804 ).

Indexed as

DexmedetomidineMACEMINSMyocardial injury

Identifiers

PMID37951962
PMCPMC10638683
OpenAlexW4388593990

What OpenQuestion holds

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LicenceCC BY
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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.