Evidence map›Paper›PMID 40635588›Full record

ArticleAnnals of medicine2025

Effect of general anesthesia on postoperative pulmonary embolism.

Junnan Xu, Xinyuan Yu, Yilong Shi, Fengyu Chen, Liang Wang, Jie Weng, Zhiyi Wang, Yingbin Deng

Abstract read
In one paragraph

Article in Annals of medicine, 2025. 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

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

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

8 authors.

Junnan XuDepartment of Emergency Medicine, The Second Affiliated Hospital and Yuying Children's Hospital of Wenzhou Medical University, Wenzhou, China.
Xinyuan YuDepartment of Emergency Medicine, The Second Affiliated Hospital and Yuying Children's Hospital of Wenzhou Medical University, Wenzhou, China.
Yilong ShiDepartment of Emergency Medicine, The Second Affiliated Hospital and Yuying Children's Hospital of Wenzhou Medical University, Wenzhou, China.
Fengyu ChenDepartment of General Practice, Lu'an Hospital of Anhui Medical University, Lu'an, China.
Liang WangDepartment of Public Health, Marshall University, Huntington, WV, USA.
Jie WengDepartment of General Practice, The Second Affiliated Hospital and Yuying Children's Hospital of Wenzhou Medical University, Wenzhou, China.ORCID 0000-0003-1859-9309
Zhiyi WangDepartment of General Practice, The Second Affiliated Hospital and Yuying Children's Hospital of Wenzhou Medical University, Wenzhou, China.
Yingbin DengDepartment of Emergency Medicine, The Second Affiliated Hospital and Yuying Children's Hospital of Wenzhou Medical University, Wenzhou, China.ORCID 0009-0002-7140-3715

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe influence of anesthesia type and duration on the occurrence of pulmonary embolism (PE) after surgery remains controversial. This study investigates the association between anesthesia type and duration with postoperative PE.

methodsA retrospective cohort of adult patients undergoing surgery from May 2020 to August 2024 at large-scale general hospitals was analyzed. Multivariable logistic regression models were employed to adjust for potential confounders, and sensitivity analyses (using overlap weighting and array approach) were performed to validate the findings.

resultsA total of 178,052 patients were included in the analysis, of whom 91 developed PE after surgery. The median duration of general anesthesia (GA) was 1.72 h, with an interquartile range (IQR) of 1.17-2.52 h. The median duration of regional anesthesia was 1.54 h, with an IQR of 1.20-2.03 h. Anesthesia type and the duration of regional anesthesia were not associated with PE occurrence (adjusted odds ratio [aOR] [95% confidence interval, CI], 1.148 [0.671-2.098],

conclusionsOur study demonstrates that prolonged GA, particularly > 3 h, significantly increases the risk of PE.

Indexed as

Anesthesia, GeneralPostoperative ComplicationsPulmonary EmbolismAdultAgedAnesthesia, ConductionFemaleHumansLogistic ModelsMaleMiddle AgedRetrospective StudiesRisk FactorsTime FactorsAnesthesia typepulmonary embolismthe duration of anesthesia time

Identifiers

PMID40635588
PMCPMC12247096

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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.