Evidence map›Paper›PMID 39440093›Full record

ArticleProceedings (Baylor University. Medical Center)2024

Implementation of a standardized epidural top-up algorithm for inadequate labor epidural analgesia: a single-center retrospective study.

Jack Zeitz, Anne Waddle, Sloan Long, Dylan Grote, Cole Sorrels, Michael P Hofkamp

Abstract read
In one paragraph

Article in Proceedings (Baylor University. Medical Center), 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
–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

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.

  1. Response to "a standardized algorithm for assessing labor analgesia".Proceedings (Baylor University. Medical Center) · 2025
    Article
  2. A standardized algorithm for assessing labor epidural analgesia.Proceedings (Baylor University. Medical Center) · 2024
    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

6 authors.

Jack ZeitzTexas A&M University School of Medicine, College Station, Texas, USA.
Anne WaddleTexas A&M University School of Medicine, College Station, Texas, USA.
Sloan LongTexas A&M University School of Medicine, College Station, Texas, USA.
Dylan GroteTexas A&M University School of Medicine, College Station, Texas, USA.
Cole SorrelsTexas A&M University School of Medicine, College Station, Texas, USA.
Michael P HofkampDepartment of Anesthesiology, Baylor Scott & White Medical Center - Temple, Temple, Texas, USA.ORCID https://orcid.org/0000-0002-5749-2849

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: We hypothesized that implementation of a labor epidural management algorithm would increase the labor epidural catheter replacement rate at our hospital. Methods: Our institutional review board approved this study and waived the requirement for informed consent. Patients who had labor epidural analgesia and delivered vaginally or had replacement of an epidural catheter prior to vaginal delivery from August 1, 2022 to December 31, 2022 and from August 1, 2023 to December 31, 2023 were included in the study. Study investigators entered data from the electronic medical record into REDCap. Results: A total of 530 and 740 patients received labor epidural analgesia and met inclusion criteria before and after implementation of the algorithm, respectively. Patients who received labor epidural analgesia after implementation of the protocol had an absolute increase of 1.0% in the catheter replacement rate, which was not statistically significant ( Conclusion: After implementation of a labor epidural catheter management algorithm, patients had an increase in labor epidural catheter replacement that was not statistically significant.

Indexed as

Epidural anesthesiahealth care qualityobstetric delivery

Identifiers

PMID39440093
PMCPMC11492741

What OpenQuestion holds

Textmetadata
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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.