Evidence map›Paper›PMID 38608712›Full record

SynthesisArquivos de neuro-psiquiatria2024

General anesthesia versus conscious sedation in mechanical thrombectomy for patients with acute ischemic stroke: systematic review and meta-analysis.

Ana Clara Felix De Farias Santos, Luciano Lobão Salim Coelho, Guilherme de Carvalho Caldas, Luziany Carvalho Araújo, Vivian Dias Baptista Gagliardi, Leonardo Augusto Carbonera

Open access · goldAbstract readSystematic ReviewMeta-AnalysisComparative Study
In one paragraph

Synthesis in Arquivos de neuro-psiquiatria, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
1.9field-weighted citation impact, top 14% 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

5 citing papers in PubMed, 5 citations in OpenAlex.

  1. Article
  2. Article
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  5. 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

6 authors at 6 institutions in 3 countries.

Ana Clara Felix De Farias SantosUniversidad Privada Franz Tamayo, Facultad de Ciencias de la Salud, La Paz, Bolivia.ORCID 0009-0004-0007-0866
Luciano Lobão Salim CoelhoUDI Hospital Rede D'Or São Luiz, São Luís MA, Brazil.ORCID 0009-0002-4541-6942
Guilherme de Carvalho CaldasNeurosurgical Innovations and Training Center, WCMC, New York, New York, United States.ORCID 0009-0006-2488-7322
Luziany Carvalho AraújoEbserh, Universidade Federal de Pernambuco, Hospital das Clínicas,, Recife PE, Brazil.ORCID 0000-0001-5072-8487
Vivian Dias Baptista GagliardiSanta Casa de Misericórdia de São Paulo, São Paulo SP, Brazil.ORCID 0000-0003-3182-5147
Leonardo Augusto CarboneraHospital Moinhos de Vento, Serviço de Neurologia e Neurocirurgia, Porto Alegre RS, Brazil.ORCID 0000-0002-9313-7967
Columbia University Irving Medical Center · USHospital das Clínicas da Universidade Federal de Pernambuco · BRHospital Moinhos de Vento · BRHospital São Paulo · BRIrmandade da Santa Casa de Misericórdia de São Paulo · BRUniversidad Privada Franz Tamayo · BO

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundAfter recently published randomized clinical trials, the choice of the best anesthetic procedure for mechanical thrombectomy (MT) in acute ischemic stroke (AIS) due to large vessel occlusion (LVO) is not definite.

objectiveTo compare the efficacy and safety of general anesthesia (GA)

methodsPubMed, Embase, and Cochrane were systematically searched for randomized controlled trials (RCTs) comparing GA

resultsEight RCTs (1,300 patients) were included, of whom 650 (50%) underwent GA. Recanalization success was significantly higher in the GA group (OR 1.68; 95% CI 1.26-2.24;

conclusionDespite the increase in recanalization success rates in the GA group, GA and CS show similar rates of good functional recovery, three-month mortality, incidence of pneumonia, and cerebral hemorrhage in patients undergoing MT.

Indexed as

Anesthesia, GeneralIschemic StrokeProcedural SedationRandomized Controlled Trials as TopicThrombectomyHumansTreatment Outcome

Identifiers

PMID38608712
PMCPMC11014755
OpenAlexW4394741680

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.