Evidence map›Paper›PMID 38485487›Full record

ArticleBMJ open2024

Inhaled Nitric Oxide ReDuce postoperatIve pulmoNAry complicaTions in patiEnts with recent COVID-19 infection (INORDINATE): protocol for a randomised controlled trial.

Ziyu Zheng, Lini Wang, Shuxiu Wang, Qianqian Fan, Hui Zhang, Gang Luo, Baobao Gao, Xue Yang, Bingqing Zhao, Xiaomei Wang and 3 more

Registry-linked trialOpen access · goldAbstract readClinical Trial Protocol
In one paragraph

Article in BMJ open, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT05721144 (Inhaled NO ReDuce postoperatIve pulmoNAry complicATions in patiEnts With Recent COVID-19 Infection), which is not on this map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
0.4field-weighted citation impact, top 38% of its field
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.

NCT05721144 phase2completednot on this map

Inhaled NO ReDuce postoperatIve pulmoNAry complicATions in patiEnts With Recent COVID-19 Infection

TypeinterventionalSponsorXijing HospitalRan2023 to 2024Enrolled660ConditionsNitric Oxide, COVID-19, Surgery, Postoperative ComplicationsArmsNitric Oxide Gas
3 · Its place in the literature

Who cites it

1 citing paper in PubMed, 1 citations in OpenAlex.

  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

13 authors at 1 institution in 1 country.

Ziyu ZhengDepartment of Anesthesiology and Perioperative Medicine, Xijing Hospital, Xian, Shaanxi, China.ORCID 0000-0001-8221-3541
Lini WangDepartment of Anesthesiology and Perioperative Medicine, Xijing Hospital, Xian, Shaanxi, China.
Shuxiu WangDepartment of Anesthesiology and Perioperative Medicine, Xijing Hospital, Xian, Shaanxi, China.
Qianqian FanDepartment of Anesthesiology and Perioperative Medicine, Xijing Hospital, Xian, Shaanxi, China.
Hui ZhangDepartment of Anesthesiology and Perioperative Medicine, Xijing Hospital, Xian, Shaanxi, China.
Gang LuoDepartment of Anesthesiology and Perioperative Medicine, Xijing Hospital, Xian, Shaanxi, China.
Baobao GaoDepartment of Anesthesiology and Perioperative Medicine, Xijing Hospital, Xian, Shaanxi, China.
Xue YangDepartment of Anesthesiology and Perioperative Medicine, Xijing Hospital, Xian, Shaanxi, China.
Bingqing ZhaoDepartment of Anesthesiology and Perioperative Medicine, Xijing Hospital, Xian, Shaanxi, China.
Xiaomei WangDepartment of Anesthesiology and Perioperative Medicine, Xijing Hospital, Xian, Shaanxi, China.
Hailong DongDepartment of Anesthesiology and Perioprative Medicine, Fourth Military Medical University, Xijing Hospital, Xi'an, Shaanxi, China.
Huang NieDepartment of Anesthesiology, Xijing Hospital, The fourth Military Medical University, Xi'an, China.
Chong LeiDepartment of Anesthesiology and Perioperative Medicine, Xijing Hospital, Xian, Shaanxi, China crystalleichong@126.com.ORCID 0000-0003-4259-4479
Xijing Hospital · CN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundA history of SARS-CoV-2 infection has been reported to be associated with an increased risk of postoperative pulmonary complications (PPCs). Even mild PPCs can elevate the rates of early postoperative mortality, intensive care unit (ICU) admission and prolong the length of ICU and/or hospital stays. Consequently, it is crucial to develop perioperative management strategies that can mitigate these increased risks in surgical patients who have recently been infected with SARS-CoV-2. Accumulating evidence suggests that nitric oxide (NO) inhalation might be effective in treating COVID-19. NO functions in COVID-19 by promoting vasodilation, anticoagulation, anti-inflammatory and antiviral effects. Therefore, our study hypothesises that the perioperative use of NO can effectively reduce PPCs in patients with recent SARS-CoV-2 infection. METHOD AND ANALYSIS: A prospective, double-blind, single-centre, randomised controlled trial is proposed. The trial aims to include participants who are planning to undergo surgery with general anaesthesia and have been recently infected with SARS-CoV-2 (within 7 weeks). Stratified allocation of eligible patients will be performed at a 1:1 ratio based on the predicted risk of PPCs using the Assess Respiratory Risk in Surgical Patients in Catalonia risk index and the time interval between infection and surgery.The primary outcome of the study will be the presence of PPCs within the first 7 days following surgery, including respiratory infection, respiratory failure, pleural effusion, atelectasis, pneumothorax, bronchospasm and aspiration pneumonitis. The primary outcome will be reported as counts (percentage) and will be compared using a two-proportion χ ETHICS AND DISSEMINATION: The trial is approved by the Institutional Review Board of Xijing Hospital (KY20232058-F1). The findings, including positive, negative and inconclusive results, will be published in scientific journals with peer-review processes. TRIAL REGISTRATION NUMBER: NCT05721144.

Indexed as

COVID-19East Asian PeopleHumansNitric OxidePostoperative ComplicationsProspective StudiesRandomized Controlled Trials as TopicSARS-CoV-2Treatment OutcomeNitric OxideANAESTHETICSCOVID-19PrognosisSURGERY

Identifiers

PMID38485487
PMCPMC10941156
OpenAlexW4394760450

What Socratic holds

Textmetadata
LicenceCC BY-NC
Read underepoch 390

Registered trials

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.