Evidence map›Paper›PMID 38007422›Full record

ArticleBMC anesthesiology2023

Comparison of the hemodynamic changes between preeclamptic and normotensive parturients who underwent cesarean section under spinal anesthesia at North Showa zone public hospitals, Oromia region, Ethiopia, 2022: a prospective cohort study.

Bizuwork Girma Belachew, Blen Kassahun Dessu, Birhanu Wondimeneh Demissie, Ashagrie Sintayhu, Getahun Dendir, Abas Ali, Redi Awol, Dugo Angasa, Asaminew Tasew, Oliyad Eshatu and 3 more

Erratum issuedOpen access · goldAbstract read
PubMed Full text at PMC Publisher
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. An erratum has been issued. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
2.5field-weighted citation impact, top 10% 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

6 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

13 authors at 6 institutions in 2 countries.

Bizuwork Girma BelachewSchool of Anaesthesia, Wolaita Sodo University, Wolaita Sodo, Ethiopia. bizu2belachew@gmail.com.
Blen Kassahun DessuSchool of Anaesthesia, Wolaita Sodo University, Wolaita Sodo, Ethiopia.
Birhanu Wondimeneh DemissieSchool of Nursing and Midwifery, Addis Ababa University, Addis Ababa, Ethiopia.
Ashagrie SintayhuSchool of Anaesthesia, Wolaita Sodo University, Wolaita Sodo, Ethiopia.
Getahun DendirSchool of Anaesthesia, Wolaita Sodo University, Wolaita Sodo, Ethiopia.
Abas AliDepartment of Anaesthesia, Worabe University, Worabe, Ethiopia.
Redi AwolSchool of Anaesthesia, Wolaita Sodo University, Wolaita Sodo, Ethiopia.
Dugo AngasaDepartment of Anaesthesia, Hawasa University, Hawasa, Ethiopia.
Asaminew TasewDepartment of Anaesthesia, Ambo University, Ambo, Ethiopia.
Oliyad EshatuDepartment of Anaesthesia, Hawasa University, Hawasa, Ethiopia.
Aschalew Besha DestaDepartment of Anaesthesia, Hawasa University, Hawasa, Ethiopia.
Derara GirmaPublic Health Department, College of Health Sciences, Salale University, Fiche, Ethiopia.
Getachew DebalkeDepartment of Anaesthesia, College of Health Sciences, Arsi University, Asella, Ethiopia.
Wolaita Sodo University · ETHawassa University · ETAddis Ababa University · ETAmbo University · ETArsi UniversitySalale University

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundSpinal anaesthesia complicates maternal hemodynamic and may expose the parturient to dangerous cardiovascular problems. Up to 7% to 89.2% of pregnant women can suffer from spinal anaesthesia-related hypotension. The aim of this study to compare the hemodynamic changes between preeclamptic and normotensive parturients who underwent caesarean section under spinal anaesthesia at North Showa Zone Public Hospitals, Oromia Region, from February 15 to May 15, 2022.

methodsA prospective cohort study was conducted on a total of 140 parturients (70 in each group) who underwent cesarean delivery under spinal anesthesia. The study participants were chosen using a consecutive sampling technique. Data were collected from patient charts and intraoperative observations and entered into the Epi Data software version 4.6 and exported to the Statistical Package for the Social Sciences version 25 software. Hemodynamic change = (baseline value-current value/baseline value) * 100. The independent t-test, Mann-Whitney U test, two ways mixed ANOVA, chi-square, and Fisher's exact test was used to analyze the data as appropriate. A P < 0.05 was statistically significant.

resultsThe mean percentage change in SBP, DBP, and MAP after spinal anaesthesia was a statistically significant difference between the normotensive and preeclamptic groups, except MAP at 15 min was comparable between the two groups with p = 0.638. The proportion of preeclamptic parturients who develop hypotension was 47%, compared to 74% of normotensive parturients, and the RR of developing hypotension, if participants were preeclamptic, was 0.63, with a 95% confidence interval of 0.412 to 0.978 and a p = 0.039. The mean change in heart rate during the first 15 min was comparable between the groups.

conclusionIn contrast to normotensive parturients undergoing caesarean section under spinal anaesthesia, our study found that the hemodynamic change was lower in preeclamptic parturients. The proportion of preeclamptic women who develop hypotension was 47%, compared to 74% of normotensive parturients.

Indexed as

Anesthesia, ObstetricalAnesthesia, SpinalHypotensionPre-EclampsiaCesarean SectionEthiopiaFemaleHemodynamicsHumansPregnancyProspective StudiesCaesarean sectionHemodynamicPreeclampsiaSpinal anaesthesia

Identifiers

PMID38007422
PMCPMC10675935
OpenAlexW4389001946

What OpenQuestion holds

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Registered trials

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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.