Evidence map›Paper›PMID 38352273›Full record

ArticleClinical interventions in aging2024

Association Between Intraoperative Noradrenaline Infusion and Outcomes in Older Adult Patients Undergoing Major Non-Cardiac Surgeries: A Retrospective Propensity Score-Matched Cohort Study.

Ya-Jun Yang, Yu-Mei Feng, Tong-Xuan Wang, Jing-Yun Wang, Qian-Yun Pang, Hong-Liang Liu

Open access · goldAbstract read
In one paragraph

Article in Clinical interventions in aging, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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0citing papers in PubMed
–field-weighted citation impact, top 97% 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

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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

0 citing papers in PubMed, 0 citations in OpenAlex.

No citing paper in PubMed yet.

4 · The record

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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

6 authors at 1 institution in 1 country.

Ya-Jun Yang *Department of Anesthesiology, Chongqing University Cancer Hospital, Chongqing, People's Republic of China.
Yu-Mei Feng *Department of Anesthesiology, Chongqing University Cancer Hospital, Chongqing, People's Republic of China.
Tong-Xuan WangDepartment of Anesthesiology, Chongqing University Cancer Hospital, Chongqing, People's Republic of China.
Jing-Yun WangSchool of Medicine, Chongqing University, Chongqing, People's Republic of China.
Qian-Yun PangDepartment of Anesthesiology, Chongqing University Cancer Hospital, Chongqing, People's Republic of China.ORCID 0000-0001-8216-249X
Hong-Liang LiuDepartment of Anesthesiology, Chongqing University Cancer Hospital, Chongqing, People's Republic of China.
Chongqing University · CN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Noradrenaline (NA) is commonly used intraoperatively to prevent fluid overload and maintain hemodynamic stability. Clinical studies provided inconsistent results concerning the effect of NA on postoperative outcomes. As aging is accompanied with various diseases and has the high possibility of the risk for postoperative complications, we hypothesized that intraoperative NA infusion in older adult patients undergoing major non-cardiac surgeries might potentially exert adverse outcomes. Methods: In this retrospective propensity score-matched cohort study, older adult patients undergoing major non-cardiac surgeries were selected, 1837 receiving NA infusion during surgery, and 1072 not receiving NA. The propensity score matching was conducted with a 1:1 ratio and 1072 patients were included in each group. The primary outcomes were postoperative in-hospital mortality and complications. Results: Intraoperative NA administration reduced postoperative urinary tract infection (OR:0.124, 95% CI:0.016-0.995), and had no effect on other postoperative complications and mortality, it reduced intraoperative crystalloid infusion (OR:0.999, 95% CI:0.999-0.999), blood loss (OR: 0.998, 95% CI: 0.998-0.999), transfusion (OR:0.327, 95% CI: 0.218-0.490), but increased intraoperative lactate production (OR:1.354, 95% CI:1.051-1.744), and hospital stay (OR:1.019, 95% CI:1.008-1.029). Conclusion: Intraoperative noradrenaline administration reduces postoperative urinary tract infection, and does not increase other postoperative complications and mortality, and can be safely used in older adult patients undergoing major non-cardiac surgeries.

Indexed as

NorepinephrineSurgical Procedures, OperativeAgedCohort StudiesHumansPostoperative ComplicationsPropensity ScoreRetrospective StudiesUrinary Tract InfectionsNorepinephrinenon-cardiac surgerynoradrenalineolder adultoutcome

Identifiers

PMID38352273
PMCPMC10863471
OpenAlexW4391691213

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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.