Evidence mapPaperPMID 40629787Full record

Observational studyAnnals of cardiac anaesthesia2025

EVLW by Lung Ultrasound to Predict Short-Term Post Operative Outcomes in Pediatric Cardiac Surgery - A Prospective Observational Study.

Anitha Diwakar, Pankaj Punetha, Anuradha Kamat, Kolli S Chalam

Abstract readObservational Study
In one paragraph

Observational study in Annals of cardiac anaesthesia, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

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1citing papers in PubMed
field-weighted citation impact
1 · What the graph read from it

What it found

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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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3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Article
4 · The record

Corrections and comments

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5 · Who and what money

Authors and funding

4 authors.

Anitha DiwakarDepartment of Anaesthesiology, Sri Sathya Sai Institute of Higher Medical Sciences, Bengaluru, Karnataka, India.
Pankaj Punetha
Anuradha Kamat
Kolli S Chalam

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundExtravascular lung water (EVLW) in children undergoing cardiac surgery may affect the outcomes after surgery. The study aimed to evaluate if extravascular lung water assessed by ultrasound could serve as a predictor of short-term postoperative outcomes in pediatric cardiac surgery. MATERIAL AND

methodsThis is a prospective observational study conducted at a tertiary care facility involving children aged 6 months to 12 years who were scheduled for cardiac surgery. A lung ultrasound assessment was carried out before the operation (T0), immediately after the surgery (T1), 6 to 8 hours after surgery (T2), and 18 to 24 hours postoperatively (T3). A score was assigned based on the presence of extravascular lung water indicated by B lines. Pearson's correlation analysis was performed to examine the relationship between the lung ultrasound score of extravascular lung water and the duration of mechanical ventilation and the length of stay in the intensive care unit, with fluid balance, inotrope score, and oxygenation status being analyzed secondarily.

resultsThe EVLW score demonstrated a positive relationship with the duration of mechanical ventilation across all time points, with correlation coefficients of r = 0.56 at T0, r = 0.70 at T1, r = 0.40 at T2, and r = 0.52 at T3. The most pronounced correlation occurred at T1, where r = 0.7 was observed. A moderate positive correlation with the duration of ICU stay was noted at the time points T0, T1, and T3. The EVLW score at T1 proved to be significant in linear regression analysis for prediction of both the duration of mechanical ventilation and the length of stay in the ICU.

conclusionsThe EVLW score measured at T1, which is immediately after surgery, can serve as an indicator of short-term postoperative outcomes in pediatric cardiac surgery related to the duration of mechanical ventilation.

Indexed as

Cardiac Surgical ProceduresExtravascular Lung WaterLungPostoperative ComplicationsChildChild, PreschoolFemaleHumansInfantLength of StayMalePredictive Value of TestsProspective StudiesRespiration, ArtificialTreatment OutcomeUltrasonographyCardiac surgeryextravascular lung watermechanical ventilation timepediatric patients

Identifiers

PMID40629787
PMCPMC12324780

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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.