Evidence map›Paper›PMID 39144329›Full record

ArticleJournal of thoracic disease2024

Effect of preoperative autologous platelet-rich plasmapheresis on postoperative bleeding in patients undergoing heart valve surgery.

Manman Liu, Chao Liang, Meijing Ying, Fulvia Ortolani, Biling Wu, Jie Liu, Zhen Yang, Wanxia Xiong, Ming Ding

Abstract read
In one paragraph

Article in Journal of thoracic disease, 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
–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

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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

1 citing paper in PubMed.

  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

9 authors.

Manman Liu *Department of Anesthesiology, Zhongshan Hospital (Xiamen), Fudan University, Xiamen, China.ORCID https://orcid.org/0009-0006-3789-4492
Chao Liang *Department of Anesthesiology, Zhongshan Hospital, Fudan University, Shanghai, China.
Meijing YingDepartment of Anesthesiology, Zhongshan Hospital (Xiamen), Fudan University, Xiamen, China.
Fulvia OrtolaniDepartment of Medicine, University of Udine, Udine, Italy.
Biling WuDepartment of Anesthesiology, Zhongshan Hospital (Xiamen), Fudan University, Xiamen, China.
Jie LiuDepartment of Anesthesiology, Zhongshan Hospital (Xiamen), Fudan University, Xiamen, China.
Zhen YangDepartment of Anesthesiology, Zhongshan Hospital (Xiamen), Fudan University, Xiamen, China.
Wanxia XiongDepartment of Anesthesiology, Zhongshan Hospital, Fudan University, Shanghai, China.
Ming DingDepartment of Anesthesiology, Zhongshan Hospital, Fudan University, Shanghai, China.ORCID https://orcid.org/0009-0008-0054-0708

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Cardiovascular surgeries often require deep hypothermic circulatory arrest and cardiopulmonary bypass (CPB), which can disrupt blood clotting and lead to excessive bleeding. Traditional treatments involve transfusing blood and blood products, which can have adverse effects and place significant strain on the global blood supply. Research suggests that autologous platelet-rich plasmapheresis (aPRP) may reduce the need for transfusions by preserving blood components. However, the impact of aPRP on postoperative blood loss and clinical outcomes in cardiovascular surgery remains controversial. This study aimed to examine the effects of aPRP on postoperative blood loss and recovery in patients undergoing heart valve surgery. Methods: A total of 183 patients were divided into either aPRP or control groups. The aPRP group received aPRP before CPB, whereas the control group did not. The primary endpoint was postoperative bleeding between the groups. The secondary endpoints were postoperative bleeding risk factors and clinical outcome assessment. Logistic regression analysis with covariate adjustment was used to calculate these risk factors. Results: A total of 76 patients (41.5%) in the aPRP group and 107 patients (58.5%) in the control group were included in the analysis. No significant difference was found in the occurrence of postoperative bleeding [odds ratio (OR) =0.53, 95% confidence interval (CI): 0.28-1.00, P=0.05], and the aPRP group had fewer complications than the controls (OR =0.28, 95% CI: 0.10-0.68, P=0.009). However, after adjusting for the New York Heart Association (NYHA) classification, diabetes, arrhythmology, mean activated clotting time (ACT Conclusions: Preoperative aPRP can improve postoperative outcomes and reduce complications in patients undergoing heart valve surgery.

Indexed as

Autologous platelet-rich plasmapheresis (aPRP)heart valve surgerymultiple regression analysespostoperative bleeding

Identifiers

PMID39144329
PMCPMC11320239

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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.