Evidence map›Paper›PMID 42087219›Full record

ArticleJournal of cardiothoracic surgery2026

Ultra-fast-track extubation is associated with reduced EEG abnormalities and improved early outcomes after pediatric cardiac surgery: a propensity score-matched cohort study.

Xiaowei Li, Rouyi Lin, Na Du, Jinqing Feng, Na Zhou, Shuyao Ning, Xinxin Chen, Li Ma, Mingjie Zhang, Huaizhen Wang and 1 more

Abstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in Journal of cardiothoracic surgery, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
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

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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

11 authors.

Xiaowei LiGuangdong Provincial Key Laboratory of Research in Structural Birth Defect Disease, Women and Children's Medical Center Affiliated to Guangzhou Medical University, Guangdong, China.
Rouyi LinGuangdong Provincial Key Laboratory of Research in Structural Birth Defect Disease, Women and Children's Medical Center Affiliated to Guangzhou Medical University, Guangdong, China.
Na DuGuangdong Provincial Key Laboratory of Research in Structural Birth Defect Disease, Women and Children's Medical Center Affiliated to Guangzhou Medical University, Guangdong, China.
Jinqing FengGuangdong Provincial Key Laboratory of Research in Structural Birth Defect Disease, Women and Children's Medical Center Affiliated to Guangzhou Medical University, Guangdong, China.
Na ZhouGuangdong Provincial Key Laboratory of Research in Structural Birth Defect Disease, Women and Children's Medical Center Affiliated to Guangzhou Medical University, Guangdong, China.
Shuyao NingDepartment of Electroneurophysiology, Women and Children's Medical Center Affiliated to Guangzhou Medical University, Guangdong, China.
Xinxin ChenGuangdong Provincial Key Laboratory of Research in Structural Birth Defect Disease, Women and Children's Medical Center Affiliated to Guangzhou Medical University, Guangdong, China.
Li MaGuangdong Provincial Key Laboratory of Research in Structural Birth Defect Disease, Women and Children's Medical Center Affiliated to Guangzhou Medical University, Guangdong, China.
Mingjie ZhangDepartment of Radiology, Women and Children's Medical Center Affiliated to Guangzhou Medical University, Guangdong, China.
Huaizhen WangGuangdong Provincial Key Laboratory of Research in Structural Birth Defect Disease, Women and Children's Medical Center Affiliated to Guangzhou Medical University, Guangdong, China.
Jia LiGuangdong Provincial Key Laboratory of Research in Structural Birth Defect Disease, Women and Children's Medical Center Affiliated to Guangzhou Medical University, Guangdong, China. jiali_beijing@126.com.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Ultra-fast-track extubation (UF) improves postoperative recovery in cardiac surgery, but its cerebral effects remain unclear. This study compared UF and conventional extubation (CE) in children with congenital heart disease (CHD) after cardiopulmonary bypass (CPB), focusing on electroencephalographic (EEG) abnormalities during the initial 48 postoperative hours. Of 352 CHD patients undergoing CPB, 57 UF and 295 CE cases were propensity score-matched (PSM) (1:2), yielding 55 PSM-UF and 89 PSM-CE subjects. Intra/postoperative EEGs were analyzed for background abnormalities (sleep-wake cycle) and epileptiform discharges (seizures, spikes/sharp waves). Clinical parameters including STS-EACTS mortality risk and CPB duration were balanced. The PSM-UF group demonstrated milder background abnormalities (P = 0.02) and lower incidence of unresolved abnormalities at 48 h (7% vs. 24%, P = 0.009). Epileptiform activity was significantly reduced (0% vs. 11% seizures, P = 0.007; P = 0.008 for spikes/sharp waves). UF patients showed superior cerebral oxygen saturation (ScO

Indexed as

Airway ExtubationCardiac Surgical ProceduresElectroencephalographyHeart Defects, CongenitalPostoperative ComplicationsCardiopulmonary BypassChildChild, PreschoolCohort StudiesFemaleHumansInfantLength of StayMalePropensity ScoreRetrospective StudiesEEG background and abnormalitiesElectroencephalographyPediatric cardiac surgeryUltra-fast-track extubation

Identifiers

PMID42087219
PMCPMC13317213

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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.