ArticleJournal of cardiothoracic surgery2026
Predictive value of intraoperative hemodynamics and heart rate variability for postoperative emergence quality in children undergoing transcatheter VSD closure.
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.
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.
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.
Who cites it
0 citing papers in PubMed.
No citing paper in PubMed yet.
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
1 author.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundTo study the predictive values of intraoperative hemodynamics and heart rate (HR) variability for the postoperative emergence quality of children undergoing transcatheter closure of ventricular septal defects.
methodsA total of 110 pediatric patients treated from January 2023 to January 2024 were divided into good and poor emergence groups according to the presence of emergence delirium and/or agitation. Hemodynamic and HR variability parameters were recorded at four time points (T0: start of surgery; T1: 30 min; T2: 60 min; T3: 30 min before end).
resultsThe good emergence group showed significantly lower HR from T0 to T3 and higher systolic and diastolic blood pressure from T1 to T3 and T2 to T3 compared with the poor emergence group (P < 0.05). Across T0-T3, total power (TP), high-frequency (HF), and low-frequency (LF) components were significantly higher, whereas the LF/HF ratio was significantly lower in the good emergence group (P < 0.05). At T2, TP was 586.20 ± 130.07 ms² versus 422.16 ± 86.85 ms², HF was 152.36 ± 26.02 ms² versus 93.57 ± 20.49 ms², and the LF/HF ratio was 1.07 ± 0.16 versus 1.35 ± 0.29 in the good and poor groups, respectively. The combined predictive value of intraoperative hemodynamics and HR variability showed an AUC of 0.892 (95% CI: 0.825-0.959), with 93.55% sensitivity and 79.75% specificity.
conclusionsMore stable intraoperative hemodynamics and higher HR variability were associated with better postoperative emergence quality. The combined assessment demonstrated high predictive accuracy, suggesting potential clinical utility.
Indexed as
Identifiers
What Socratic holds
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.