Evidence map›Paper›PMID 42897475›Full record

ArticleBMC anesthesiology2026

Association of preoperative forced vital capacity with prolonged mechanical ventilation after coronary artery bypass grafting: a retrospective cohort Study.

Meng He, Liaoming He, Jinwei Zhang, Yajing Xu, Xiwei Zhang, Xiaoting Li, Jing Nie, Yongqiang Lai, Changwei Ren, Hao Cui

Abstract read
In one paragraph

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

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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

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

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

10 authors.

Meng He *Department of Cardiovascular Surgery, Beijing Anzhen Hospital, Capital Medical University, No. 2 Anzhen Street, Chaoyang District, Beijing, 100029, China.
Liaoming He *Department of Cardiovascular Surgery, Beijing Anzhen Hospital, Capital Medical University, No. 2 Anzhen Street, Chaoyang District, Beijing, 100029, China.
Jinwei ZhangDepartment of Cardiovascular Surgery, Beijing Anzhen Hospital, Capital Medical University, No. 2 Anzhen Street, Chaoyang District, Beijing, 100029, China.
Yajing XuDepartment of Cardiovascular Surgery, Beijing Anzhen Hospital, Capital Medical University, No. 2 Anzhen Street, Chaoyang District, Beijing, 100029, China.
Xiwei ZhangDepartment of Nursing, Beijing Anzhen Hospital, Capital Medical University, No.2 Anzhen Street, Beijing, Chaoyang District, 100029, China.
Xiaoting LiDepartment of Cardiovascular Surgery, Beijing Anzhen Hospital, Capital Medical University, No. 2 Anzhen Street, Chaoyang District, Beijing, 100029, China.
Jing NieDepartment of Cardiovascular Surgery, Beijing Anzhen Hospital, Capital Medical University, No. 2 Anzhen Street, Chaoyang District, Beijing, 100029, China.
Yongqiang LaiDepartment of Cardiovascular Surgery, Beijing Anzhen Hospital, Capital Medical University, No. 2 Anzhen Street, Chaoyang District, Beijing, 100029, China.
Changwei RenDepartment of Cardiovascular Surgery, Beijing Anzhen Hospital, Capital Medical University, No. 2 Anzhen Street, Chaoyang District, Beijing, 100029, China. renchangwei217@126.com.
Hao CuiDepartment of Cardiovascular Surgery, Beijing Anzhen Hospital, Capital Medical University, No. 2 Anzhen Street, Chaoyang District, Beijing, 100029, China. tsuihao@hotmail.com.

Funding

Excellent Youth Fund of the National Natural Science Foundation of China KCA-2305Natural Science Foundation of Beijing Municipality L251020
6 · The paper itself

Abstract

backgroundProlonged mechanical ventilation (PMV) is a serious complication after coronary artery bypass grafting (CABG), yet the association between preoperative pulmonary function and PMV risk remains to be comprehensively evaluated.

methodsThis study included adult patients who underwent isolated CABG with preoperative pulmonary function testing. Predicted forced vital capacity (FVC), predicted forced expiratory volume in 1 s (FEV₁), and the FEV₁/FVC ratio were assessed for their association with PMV.

resultsAmong 1,702 patients, 151 (8.9%) experienced PMV. Patients with PMV were older (65.1 ± 8.5 vs. 62.8 ± 8.8 years, P = 0.003), had higher rates of chronic obstructive pulmonary disease (9.9% vs. 5.4%, P = 0.034) and on-pump CABG (8.6% vs. 1.2%, P < 0.001), lower left ventricular ejection fraction (57.1 ± 10.3% vs. 59.1 ± 8.7%, P = 0.007), lower predicted FVC (82.9 ± 14.0% vs. 88.1 ± 14.9%, P < 0.001), and lower predicted FEV₁ (88.7 ± 15.5% vs. 92.6 ± 16.2%, P = 0.007). They also had higher perioperative mortality (4.0% vs. 0.1%, P < 0.001), longer postoperative hospital stays (10.9 ± 4.2 vs. 8.0 ± 2.6 days, P < 0.001), and greater hospitalization costs (25,309.4 [22,119.4-33,359.3] vs. 18,155.4 [16,665.8-20,001.5] USD, P < 0.001). Restricted cubic spline analysis showed no non-linear relationship between pulmonary function parameters and PMV. After multivariable adjustment, predicted FVC remained independently associated with PMV (odds ratio [OR] 0.97, 95% confidence interval [CI] 0.95-0.99, P = 0.005), whereas predicted FEV₁ did not.

conclusionsNearly one-tenth of patients undergoing CABG required PMV, which was associated with greater healthcare resource utilization and higher perioperative complications. Predicted FVC, but not predicted FEV₁, is an independent predictor of PMV.

Indexed as

Coronary Artery BypassPostoperative ComplicationsRespiration, ArtificialAgedCohort StudiesFemaleForced Expiratory VolumeHumansLength of StayMaleMiddle AgedRespiratory Function TestsRetrospective StudiesTime FactorsVital CapacityCoronary Artery Bypass GraftingForced Expiratory Volume in 1 secondForced Vital CapacityProlonged Mechanical Ventilation

Identifiers

PMID42897475
PMCPMC13682042

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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.