Evidence map›Paper›PMID 38076000›Full record

ArticleTurk gogus kalp damar cerrahisi dergisi2023

Predictors of extubation in the operating room after pediatric cardiac surgery: A single-center retrospective study.

Mehmet Biçer, Şima Kozan, Kamil Darçın, Seçil Çetin, Murat Tanyıldız, Metehan Kızılkaya, Arzu Baygül, Atıf Akçevin

Abstract read
In one paragraph

Article in Turk gogus kalp damar cerrahisi dergisi, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing 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

2 citing papers in PubMed.

  1. Extubation Failure after Pediatric Cardiac Surgery.Annals of cardiac anaesthesia · 2026
    Article
  2. 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

8 authors.

Mehmet BiçerDepartment of Pediatric Cardiovascular Surgery, Koç University Hospital, Istanbul, Türkiye.ORCID 0000-0002-4168-9671
Şima KozanStudent, Koç University, Faculty of Medicine, Istanbul, Türkiye.ORCID 0000-0002-2928-6781
Kamil DarçınDepartment of Anesthesiology and Reanimation, Koç University Hospital, Istanbul, Türkiye.ORCID 0000-0002-0004-8392
Seçil ÇetinDepartment of Anesthesiology and Reanimation, Koç University Hospital, Istanbul, Türkiye.ORCID 0000-0001-8596-7250
Murat TanyıldızDepartment of Pediatric Intensive Care, Koç University Hospital, Istanbul, Türkiye.ORCID 0000-0001-8804-032X
Metehan KızılkayaDepartment of Pediatric Cardiology, Koç University Hospital, Istanbul, Türkiye.ORCID 0000-0001-6332-5302
Arzu BaygülStudent, Koç University, Faculty of Medicine, Istanbul, Türkiye.
Atıf AkçevinDepartment of Pediatric Cardiovascular Surgery, Koç University Hospital, Istanbul, Türkiye.ORCID 0000-0002-0799-4875

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: In this study, we aimed to evaluate the outcomes of our on-table extubation strategy in patients with congenital heart disease. Methods: Between April 2021 and November 2022, a total of 114 pediatric patients (58 males, 56 females; median age: 25.3 months; range, 57.5 to 4.4 months) who were operated for congenital heart diseases were retrospectively analyzed. The patients were evaluated according to the Society of Thoracic Surgeons-European Association for Cardio-Thoracic Surgery (STS-EACTS) scoring system. Perioperative patient data were analyzed and correlated with the extubation status. Results: Overall, 56% of the patients were extubated in the operating room. There was an association between fluid balance per unit body surface area, longer cardiopulmonary bypass and cross-clamp times and on-table extubation. Lactate value prior to extubation, STS-EACTS mortality category, estimated mortality, and estimated morbidity were statistically significant with regards to the achievability of extubation. Multivariate analysis revealed lactate value prior to extubation and estimated postoperative length of hospital stay to be significant factors affecting on-table extubation. There was a significant correlation between decreased length of intensive care unit and hospital stay and on-table extubation. Conclusion: The outcomes of our on-table extubation strategy for patients with congenital heart disease reveal the feasibility of this approach. Higher lactate and fluid balance/body surface area levels, longer cross-clamp and cardiopulmonary bypass durations, increased surgical complexity are indicators of a failure to perform on-table extubation. This strategy is also associated with shorter intensive care unit and hospital length of stays as an additional clinical benefit.

Indexed as

Airway extubationcardiac surgerycongenital heart diseases.

Identifiers

PMID38076000
PMCPMC10704537

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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.