Evidence mapPaperPMID 31741899Full record

ArticleIndian journal of endocrinology and metabolism

Continuation of Metformin Till Night Before Surgery and Lactate Levels in Patients Undergoing Coronary Artery Bypass Graft Surgery.

Tarannum Bano, Sunil Kumar Mishra, Mohammad Shafi Kuchay, Yatin Mehta, Naresh Trehan, Pooja Sharma, Manish Kumar Singh, Ambrish Mithal

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Article in Indian journal of endocrinology and metabolism. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed, 1 pooled it
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

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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

5 citing papers in PubMed, 1 synthesis or guideline pooled it.

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4 · The record

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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.

Tarannum BanoDivision of Endocrinology and Diabetes, Medanta The Medicity Hospital, Gurugram, Haryana, India.
Sunil Kumar MishraDivision of Endocrinology and Diabetes, Medanta The Medicity Hospital, Gurugram, Haryana, India.
Mohammad Shafi KuchayDivision of Endocrinology and Diabetes, Medanta The Medicity Hospital, Gurugram, Haryana, India.
Yatin MehtaInstitute of Critical Care and Anesthesia, Medanta The Medicity Hospital, Gurugram, Haryana, India.
Naresh TrehanDepartment of Cardiothoracic and Vascular Surgery, Medanta The Medicity Hospital, Gurugram, Haryana, India.
Pooja SharmaInstitute of Education and Research, Medanta The Medicity Hospital, Gurugram, Haryana, India.
Manish Kumar SinghInstitute of Education and Research, Medanta The Medicity Hospital, Gurugram, Haryana, India.
Ambrish MithalDivision of Endocrinology and Diabetes, Medanta The Medicity Hospital, Gurugram, Haryana, India.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundLactic acidosis is a rare but serious complication associated with metformin therapy in certain high-risk patients. NICE guidelines and the British National Formulary advise the discontinuation of metformin before surgery. The drug manufacturer's datasheet advises the withdrawal of metformin 48 h before surgery. However, the data regarding perioperative use of metformin is scarce.

aimsTo evaluate the effect of continuation of metformin till night before surgery on lactate levels in patients undergoing coronary artery bypass graft (CABG) surgery. MATERIALS AND

methodsIn this prospective cohort study, 1,800 consecutive patients who underwent CABG between 1

resultsThe mean metformin dose was 1,124.6 mg/day (SD: 509.3; range: 500-2,500 mg/day). Mean postoperative lactate levels were 1.91 ± 0.7 in Met group, 2.04 ± 0.79 in Non-Met group, and 2.07 ± 0.78 in Non-Diab group. Lactic acidosis occurred in 41 patients and there was no difference among the groups [Met group = 18 (4.7%); Non-Met group = 14 (5.9%)]. Among secondary outcome measures, acute renal failure occurred more frequently in diabetic patients [Met group = 46 (11.9%) and Non-Met group = 32 (13.4%)] as compared with non-diabetic patients. There were no differences with regard to pneumonia, length of ICU stay, and duration of ventilatory support among the three groups.

conclusionsContinuation of metformin till night before surgery is not associated with significant changes in lactate levels in patients undergoing CABG.

Indexed as

Coronary artery bypass graftlactate levelslactic acidosismetformintype 2 diabetes

Identifiers

PMID31741899
PMCPMC6844171

What Socratic holds

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LicenceCC BY-NC-SA
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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 Socratic graph.