Evidence map›Paper›PMID 38343481›Full record

ArticleProceedings (Baylor University. Medical Center)2024

The efficacy and safety of botulinum toxin epicardial fat injection to prevent postoperative atrial fibrillation in patients undergoing cardiac surgery: a meta-analysis of randomized controlled trials.

Mohamed Abuelazm, Othman Saleh, Soumya Kambalapalli, Majd M Albarakat, Ibrahim Gowaily, Abdelrahman Mahmoud, Basel Abdelazeem

Open access · greenAbstract read
In one paragraph

Article in Proceedings (Baylor University. Medical Center), 2024. 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
0.4field-weighted citation impact, top 41% 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, 1 citations in OpenAlex.

  1. 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

7 authors at 6 institutions in 3 countries.

Mohamed AbuelazmFaculty of Medicine, Tanta University, Tanta, Egypt.
Othman SalehFaculty of Medicine, The Hashemite University, Zarqa, Jordan.
Soumya KambalapalliDepartment of Internal Medicine, McLaren Health Care, Flint, Michigan, USA.
Majd M AlbarakatFaculty of Medicine, Jordan University of Science and Technology, Irbid, Jordan.ORCID https://orcid.org/0000-0002-4676-8942
Ibrahim GowailyFaculty of Medicine, Tanta University, Tanta, Egypt.
Abdelrahman MahmoudFaculty of Medicine, Minia University, Minia, Egypt.
Basel AbdelazeemDepartment of Cardiology, West Virginia University, Morgantown, West Virginia, USA.
Tanta University · EGHashemite University · JOJordan University of Science and Technology · JOMcLaren Health Care · USMinia University · EGWest Virginia University · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Postoperative atrial fibrillation (POAF) is prevalent in about 30% to 60% of patients undergoing cardiac surgery, leading to worse outcomes. Botulinum toxin type A (BTX) epicardial injection has been proposed to prevent POAF by impairing cholinergic signaling. Methods: A systematic review and meta-analysis synthesized randomized controlled trials, which were retrieved by searching PubMed, EMBASE, Web of Science, SCOPUS, and Cochrane through November 23, 2022. RevMan version 5.4 was used to pool dichotomous outcomes using risk ratio (RR) and continuous outcomes using mean differences (MD) presented with the corresponding confidence interval (CI). Results: Three randomized controlled trials with 509 patients (308 in the BTX group and 205 in the placebo group) were included in the analysis. There was no difference between BTX and placebo regarding POAF incidence (RR 0.81 with 95% CI [0.65, 1.00], Conclusion: There was no difference between the epicardial fat injection of BTX versus placebo for preventing POAF.

Indexed as

Arrhythmiabotulinum toxinBTXmeta-analysispostoperative atrial fibrillationsystematic review

Identifiers

PMID38343481
PMCPMC10857451
OpenAlexW4390781189

What OpenQuestion holds

Textmetadata
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.