Evidence map›Paper›PMID 41080075›Full record

Trial reportDrug design, development and therapy2025

Effects of Sevoflurane Versus Propofol Total Intravenous Anaesthesia on Renal Function in Elderly Patients Undergoing Hip Fracture Surgery: A Randomised Controlled Trial.

Yang Zhang, Hui Chen, Ke Peng, Jing Yan, Xiao-Wen Meng, Hua-Yue Liu, Hong Liu, Xi-Sheng Shan, Fu-Hai Ji

Abstract readComparative StudyRandomized Controlled Trial
In one paragraph

Trial report in Drug design, development and therapy, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing 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

5 citing papers in PubMed.

  1. Trial
  2. Review
  3. Article
  4. Article
  5. 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.

Yang Zhang *Department of Anaesthesiology, First Affiliated Hospital of Soochow University, Suzhou, Jiangsu, People's Republic of China.
Hui Chen *Department of Anaesthesiology, First Affiliated Hospital of Soochow University, Suzhou, Jiangsu, People's Republic of China.
Ke Peng *Department of Anaesthesiology, First Affiliated Hospital of Soochow University, Suzhou, Jiangsu, People's Republic of China.ORCID 0000-0003-2879-1759
Jing YanDepartment of Anaesthesiology, First Affiliated Hospital of Soochow University, Suzhou, Jiangsu, People's Republic of China.
Xiao-Wen MengDepartment of Anaesthesiology, First Affiliated Hospital of Soochow University, Suzhou, Jiangsu, People's Republic of China.ORCID 0000-0001-6961-8683
Hua-Yue LiuDepartment of Anaesthesiology, First Affiliated Hospital of Soochow University, Suzhou, Jiangsu, People's Republic of China.
Hong LiuDepartment of Anaesthesiology and Pain Medicine, University of California Davis Health, Sacramento, CA, USA.ORCID 0000-0003-3611-7131
Xi-Sheng ShanDepartment of Anaesthesiology, First Affiliated Hospital of Soochow University, Suzhou, Jiangsu, People's Republic of China.ORCID 0000-0003-4779-1906
Fu-Hai JiDepartment of Anaesthesiology, First Affiliated Hospital of Soochow University, Suzhou, Jiangsu, People's Republic of China.ORCID 0000-0001-6649-665X

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Purpose: The impact of propofol-based total intravenous anaesthesia (TIVA) versus sevoflurane anaesthesia on renal function remains uncertain. We investigated the effect of anaesthetic type (propofol or sevoflurane) on renal function in elderly patients undergoing hip fracture surgery. Patients and Methods: In this randomised controlled trial, 66 elderly patients scheduled for hip fracture surgery were randomly allocated to either propofol or sevoflurane maintenance anaesthesia. The primary outcome was estimated glomerular filtration rate (eGFR) 1 hour postoperatively. Results: The mean age was 70 yr and 53% were female. Compared with the sevoflurane group, the propofol group exhibited significantly higher eGFR levels at 1 hour postoperatively (mean [SD]: 89.4 [13.4] vs 80.1 [17.3] mL min Conclusion: Propofol-based TIVA was associated with higher eGFR at 1 hour postoperatively, along with increased urine output, greater urinary sodium excretion, and lower plasma renin levels during anaesthesia in elderly patients compared with sevoflurane anaesthesia. These findings warrant further investigation to determine their implications for long-term renal outcomes and intraoperative fluid management in this vulnerable population. Trial Registration: Chinese Clinical Trial Registry (ChiCTR2300070049).

Indexed as

Anesthesia, IntravenousAnesthetics, IntravenousHip FracturesKidneyPropofolSevofluraneAgedAged, 80 and overAnesthetics, InhalationFemaleGlomerular Filtration RateHumansMaleAnesthetics, InhalationAnesthetics, IntravenousPropofolSevofluraneHip fracture surgerypropofolrenal functionreninsevofluranesodium excretion

Identifiers

PMID41080075
PMCPMC12513251

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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.