Evidence map›Paper›PMID 39198880›Full record

ArticleJournal of cardiothoracic surgery2024

Should routine pulmonary function tests be performed in patients with left ventricular dysfunction and/or congestive heart failure undergoing cardiac surgery?

Turki B Albacker, Abdulaziz M Alhothali, Amr A Arafat, Khaled D Algarni, Ahmed Eldemerdash, Hanan Albackr, Faisal K AlGhamdi, Bakir Bakir

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In one paragraph

Article in Journal of cardiothoracic surgery, 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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0cells of the map it votes in
0citing papers in PubMed
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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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

8 authors.

Turki B AlbackerCardiac Surgery Division, Cardiac Sciences Department, College of Medicine Consultant Cardiac & Aortic Surgeon, King Fahad Cardiac Center, King Saud University Medical City, King Saud University, Riyadh, Saudi Arabia. talbacker@ksu.edu.sa.
Abdulaziz M AlhothaliCardiac Surgery Division, Cardiac Sciences Department, College of Medicine Consultant Cardiac & Aortic Surgeon, King Fahad Cardiac Center, King Saud University Medical City, King Saud University, Riyadh, Saudi Arabia.
Amr A ArafatScientific Research Center, Ministry of Defence Health Services, Riyadh, Saudi Arabia.
Khaled D AlgarniCardiac Surgery Department, Johns Hopkins Aramco Hospital, Dhahran, Saudi Arabia.
Ahmed EldemerdashCardiac Surgery Division, Cardiac Sciences Department, College of Medicine Consultant Cardiac & Aortic Surgeon, King Fahad Cardiac Center, King Saud University Medical City, King Saud University, Riyadh, Saudi Arabia.
Hanan AlbackrCardiac Surgery Division, Cardiac Sciences Department, College of Medicine Consultant Cardiac & Aortic Surgeon, King Fahad Cardiac Center, King Saud University Medical City, King Saud University, Riyadh, Saudi Arabia.
Faisal K AlGhamdiCardiac Surgery Division, Cardiac Sciences Department, College of Medicine Consultant Cardiac & Aortic Surgeon, King Fahad Cardiac Center, King Saud University Medical City, King Saud University, Riyadh, Saudi Arabia.
Bakir BakirCardiac Surgery Division, Cardiac Sciences Department, College of Medicine Consultant Cardiac & Aortic Surgeon, King Fahad Cardiac Center, King Saud University Medical City, King Saud University, Riyadh, Saudi Arabia.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundIt is controversial whether pulmonary function testing should be performed routinely in cardiac surgery patients. The aim of our study was to focus on patients who have congestive heart failure, caused by left ventricular dysfunction or left-sided heart valve disease, and study the prognostic value of performing preoperative pulmonary function testing on their postoperative outcomes.

methodsThis is a retrospective propensity score matched study that included 366 patients with congestive heart failure who underwent cardiac surgery and had preoperative pulmonary function test. The patients were divided into two groups: Group 1 who had a normal or mild reduction in pulmonary function tests and group 2 who had moderate to severe reduction in pulmonary function tests. The postoperative outcomes, including pulmonary complications, were compared between the two groups.

resultsPulmonary function tests were normal or mildly reduced in 190 patients (group 1) and moderately to severely reduced in 176 patients (group 2). Propensity matching identified 111 matched pairs in each group with balanced preoperative and operative characteristics. Compared to group 1, Group 2 had longer duration of mechanical ventilation [12 (7.5-16) vs. 9 (6.5-13) hours, p < 0.001], higher postoperative Creatinine [111 (90-142) vs. 105 (81-128) µmol/dl, p = 0.02] and higher hospital mortality (6.31% vs. 0%, p = 0.02).

conclusionRoutine Pulmonary Function Testing should be performed in patients with Left ventricular dysfunction and/or congestive heart failure undergoing cardiac surgery since moderate to severe reduction in those patients was associated with longer duration of mechanical ventilation and higher hospital mortality.

Indexed as

Cardiac Surgical ProceduresHeart FailurePropensity ScoreRespiratory Function TestsVentricular Dysfunction, LeftAgedFemaleHumansMaleMiddle AgedPostoperative ComplicationsRetrospective StudiesCongestive heart failureLeft-sided valvular dysfunctionLeft ventricular dysfunctionPulmonary complicationsPulmonary function test

Identifiers

PMID39198880
PMCPMC11350953

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LicenceCC BY-NC-ND
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Registered trials

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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.