Evidence map›Paper›PMID 38502459›Full record

ArticleGeneral thoracic and cardiovascular surgery2024

Autologous cell salvage in off-pump coronary artery bypass surgery reduces post-operative complications: a retrospective weighted-matching analysis.

Amber Malhotra, Md Anamul Islam, Giuseppe Tavilla, Nikki E Williams, Thomas d'Amato

Abstract readComparative Study
PubMed Publisher
In one paragraph

Article in General thoracic and cardiovascular surgery, 2024. 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
0.7field-weighted citation impact, top 40% 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

2 citing papers in PubMed, 3 citations in OpenAlex.

  1. Article
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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

5 authors at 1 institution in 1 country.

Amber MalhotraDepartment of Cardiovascular Surgery, Baylor Scott & White Medical Center-Temple, Temple, TX, USA.
Md Anamul IslamDepartment of Cardiovascular Surgery, Baylor Scott & White Medical Center-Temple, Temple, TX, USA. md.islam@bswhealth.org.
Giuseppe TavillaDepartment of Cardiovascular Surgery, Baylor Scott & White Medical Center-Temple, Temple, TX, USA.
Nikki E WilliamsDepartment of Cardiovascular Surgery, Baylor Scott & White Medical Center-Temple, Temple, TX, USA.
Thomas d'AmatoDepartment of Cardiovascular Surgery, Baylor Scott & White Medical Center-Temple, Temple, TX, USA.
Baylor Scott & White Medical Center - Temple · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesBlood transfusion plays a crucial role in coronary artery bypass grafting (CABG). The choice between autologous cell saver (CS) and allogenic blood transfusion (ABT) has been a continuous debate in the medical community, especially within cardiac surgery. This study aimed to assess the outcomes of off-pump CABG (OPCAB) surgery in patients receiving blood solely via cell salvage compared to those receiving ABT or a combination of ABT and CS perioperatively.

methodsA total of 414 patients who underwent isolated OPCAB surgery at our cardiovascular clinic were analyzed. Among them, 250 patients (60.4%) received blood via CS alone, while 164 patients (39.6%) received either ABT or a mix of ABT and CS. Stabilized inverse probability treatment weighted (IPTW) matching technique ensured balance in baseline covariates.

resultsWe found no significant differences in 30-day mortality rates between the CS and ABT groups. The CS group displayed significantly lower rates of overall complications, encompassing stroke, acute kidney injury, atrial fibrillation, and pulmonary complications. Rates of sepsis, readmission, gastrointestinal complications, heparin-induced thrombosis, and deep venous thrombosis were comparable between the two groups. However, in contrast to the ABT group, the CS group exhibited significantly shorter median lengths of hospital stay (LOHS), ICU stay, and ventilation time, along with higher rates of discharge to home rather than acute care facilities.

conclusionOur data suggest that autologous blood transfusion via CS results in fewer perioperative complications and faster recovery following OPCAB procedures as compared to ABT.

Indexed as

Coronary Artery Bypass, Off-PumpOperative Blood SalvagePostoperative ComplicationsAgedBlood Transfusion, AutologousCoronary Artery DiseaseFemaleHumansLength of StayMaleMiddle AgedRetrospective StudiesRisk AssessmentRisk FactorsTime FactorsTreatment OutcomeBlood transfusionCell saverCoronary artery bypass graftPost-operative complications

Identifiers

PMID38502459
OpenAlexW4392959878

What OpenQuestion holds

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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.