Evidence map›Paper›PMID 40994487›Full record

ArticleSaudi journal of anaesthesia

Patient blood management for patients undergoing cardiac surgery in Middle Eastern countries: Multicenter survey.

Ahmed Abdalwahab, Ahmed Abuzaid, Hossam Walley, Doaa Fawzy Abdelfattah, Sarah A Elmetwally, Ahmed Elsherbeny

Abstract read
In one paragraph

Article in Saudi journal of anaesthesia. 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

6 authors.

Ahmed AbdalwahabDepartment of Anaesthesia, Faculty of Medicine, Cairo University, Cairo, Egypt.
Ahmed AbuzaidDepartment of Anesthesia, Prince Sultan Cardiac Centre, Riyadh, KSA.
Hossam WalleyDepartment of Anesthesia, Saud Al-Babatin Cardiac Centre, Dammam, KSA.
Doaa Fawzy AbdelfattahDepartment of Anaesthesia, Faculty of Medicine, Cairo University, Cairo, Egypt.
Sarah A ElmetwallyDepartment of Anaesthesia, Faculty of Medicine, Cairo University, Cairo, Egypt.
Ahmed ElsherbenyDepartment of Anaesthesia, Faculty of Medicine, Cairo University, Cairo, Egypt.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: The purpose of this survey was to delineate and compare patient blood management (PBM) approaches in cardiac surgery across nine Middle Eastern countries while identifying the main challenges against the implementation of the PBM program in cardiac surgery as reported by the surveyed centers. Design: An online survey was established to assess current PBM practices in surveyed countries, including risk factors for bleeding or transfusion, management of preoperative anemia in elective cases, and antifibrinolytic use. Setting: This questionnaire was conducted among cardiac anesthesiologists in Middle Eastern countries in 2024. Participants: Only doctors participated voluntarily in this survey. Interventions: No intervention. Measurements: We assessed the extent of adoption of PBM practices in surveyed countries for patients who underwent cardiac surgery with cardiopulmonary bypass. Main Results: Of 40 survey responses, 26 (60%) were eligible for analysis. Most respondents were cardiac anesthesiologists. Key risk factors of bleeding or transfusion identified by over 70% of respondents included redo cardiac surgery, preoperative anemia, recent clopidogrel use, thrombocytopenia <100 × 10 Conclusion: PBM practices in Middle Eastern cardiac centers are heterogeneous, reflecting inconsistent adoption of guidelines. Enhanced training, institutional support, and homogenized national protocols are needed to standardize PBM in the region.

Indexed as

Cardiac surgerymiddle eastpatient blood management

Identifiers

PMID40994487
PMCPMC12456628

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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.