Comparing cardiac troponin levels using sevoflurane and isoflurane in patients undergoing cardiac surgery: a systematic review and meta-analysis.
Identifieur interne : 000172 ( Main/Exploration ); précédent : 000171; suivant : 000173Comparing cardiac troponin levels using sevoflurane and isoflurane in patients undergoing cardiac surgery: a systematic review and meta-analysis.
Auteurs : Hossein Hosseinifard [Iran] ; Nashmil Ghadimi [Iran] ; Sara Kaveh [Iran] ; Hossein Shabaninejad [Iran, Royaume-Uni] ; Alaadine Lijassi [Maroc] ; Rasoul Azarfarin [Iran]Source :
- Journal of cardiovascular and thoracic research [ 2008-5117 ] ; 2020.
Abstract
Introduction: Cardiac troponin is one of the heart biomarkers and its high levels correlates with a high risk of cardiomyocytes damage. This study aimed to compare sevoflurane and isoflurane effect on troponin levels in patients undergoing cardiac surgery. Methods: We systematically searched for RCTs which had been published in Cochrane library, PubMed, Web of science, CRD, Scopus, and Google Scholar by the end of February 30th, 2019. The quality of articles was evaluated with the Cochrane checklist. GRADE was used for quality of evidence for this meta-analysis. Meta-analysis was done based on random or fixed effect model. Results: Five studies with total of 190 (sevoflurane) and 191 (isoflurane) patients were included. The results showed that pooled mean difference of troponin levels between the two groups was significant at ICU admission time and 24 hours after entering. The comparison of troponin level changes between the two groups (baseline = at time ICU) in 24 and 48 hours after ICU admission was significant. Conclusion: This meta-analysis showed that blood troponin levels were significantly lower at the time of arrival in ICU with isoflurane and after 24 hours with sevoflurane. Generally, given the small mean difference between isoflurane and sevoflurane, it seems that none of the medications has a negative effect on the cardiac troponin level.
DOI: 10.34172/jcvtr.2020.01
PubMed: 32211131
PubMed Central: PMC7080340
Affiliations:
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sevoflurane and isoflurane in patients undergoing cardiac surgery: a systematic review and meta-analysis.</title><author><name sortKey="Hosseinifard, Hossein" sort="Hosseinifard, Hossein" uniqKey="Hosseinifard H" first="Hossein" last="Hosseinifard">Hossein Hosseinifard</name><affiliation wicri:level="1"><nlm:affiliation>Biostatistics, School of Health Management and Information Sciences, Iran University of Medical Sciences, Tehran, Iran.</nlm:affiliation><country xml:lang="fr">Iran</country><wicri:regionArea>Biostatistics, School of Health Management and Information Sciences, Iran University of Medical Sciences, Tehran</wicri:regionArea><wicri:noRegion>Tehran</wicri:noRegion></affiliation></author><author><name sortKey="Ghadimi, Nashmil" sort="Ghadimi, Nashmil" uniqKey="Ghadimi N" first="Nashmil" last="Ghadimi">Nashmil Ghadimi</name><affiliation wicri:level="1"><nlm:affiliation>Health Technology Assessment, School of Health Management and Information Sciences, Iran University of Medical Sciences, Tehran, Iran.</nlm:affiliation><country xml:lang="fr">Iran</country><wicri:regionArea>Health Technology Assessment, School of Health Management and Information Sciences, Iran University of Medical Sciences, Tehran</wicri:regionArea><wicri:noRegion>Tehran</wicri:noRegion></affiliation></author><author><name sortKey="Kaveh, Sara" sort="Kaveh, Sara" uniqKey="Kaveh S" first="Sara" last="Kaveh">Sara Kaveh</name><affiliation wicri:level="1"><nlm:affiliation>Health Technology Assessment, School of Health Management and Information Sciences, Iran University of Medical Sciences, Tehran, Iran.</nlm:affiliation><country xml:lang="fr">Iran</country><wicri:regionArea>Health Technology Assessment, School of Health Management and Information Sciences, Iran University of Medical Sciences, Tehran</wicri:regionArea><wicri:noRegion>Tehran</wicri:noRegion></affiliation></author><author><name sortKey="Shabaninejad, Hossein" sort="Shabaninejad, Hossein" uniqKey="Shabaninejad H" first="Hossein" last="Shabaninejad">Hossein Shabaninejad</name><affiliation wicri:level="1"><nlm:affiliation>Department of Health Services Management, School of Health Management and Information Sciences, Iran University of Medical Sciences, Tehran, Iran.</nlm:affiliation><country xml:lang="fr">Iran</country><wicri:regionArea>Department of Health Services Management, School of Health Management and Information Sciences, Iran University of Medical Sciences, Tehran</wicri:regionArea><wicri:noRegion>Tehran</wicri:noRegion></affiliation><affiliation wicri:level="1"><nlm:affiliation>Population Health Sciences Institute, Newcastle University, Newcastle, United Kingdom.</nlm:affiliation><country xml:lang="fr">Royaume-Uni</country><wicri:regionArea>Population Health Sciences Institute, Newcastle University, Newcastle</wicri:regionArea><wicri:noRegion>Newcastle</wicri:noRegion></affiliation></author><author><name sortKey="Lijassi, Alaadine" sort="Lijassi, Alaadine" uniqKey="Lijassi A" first="Alaadine" last="Lijassi">Alaadine Lijassi</name><affiliation wicri:level="3"><nlm:affiliation>Faculty of Medicine and Pharmacy of Rabat, Mohammed V University of Rabat, Rabat, Morocco.</nlm:affiliation><country xml:lang="fr">Maroc</country><wicri:regionArea>Faculty of Medicine and Pharmacy of Rabat, Mohammed V University of Rabat, Rabat</wicri:regionArea><placeName><settlement type="city">Rabat</settlement><region nuts="2">Rabat-Salé-Kénitra</region></placeName></affiliation></author><author><name sortKey="Azarfarin, Rasoul" sort="Azarfarin, Rasoul" uniqKey="Azarfarin R" first="Rasoul" last="Azarfarin">Rasoul Azarfarin</name><affiliation wicri:level="1"><nlm:affiliation>Echocardiography Research Center, Rajaie Cardiovascular Medical and Research Center, Iran University of Medical Sciences, Tehran, Iran.</nlm:affiliation><country xml:lang="fr">Iran</country><wicri:regionArea>Echocardiography Research Center, Rajaie Cardiovascular Medical and Research Center, Iran University of Medical Sciences, Tehran</wicri:regionArea><wicri:noRegion>Tehran</wicri:noRegion></affiliation></author></analytic><series><title level="j">Journal of cardiovascular and thoracic research</title><idno type="ISSN">2008-5117</idno><imprint><date when="2020" type="published">2020</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><i><b>Introduction:</b></i> Cardiac troponin is one of the heart biomarkers and its high levels correlates with a high risk of cardiomyocytes damage. This study aimed to compare sevoflurane and isoflurane effect on troponin levels in patients undergoing cardiac surgery. <i><b>Methods:</b></i> We systematically searched for RCTs which had been published in Cochrane library, PubMed, Web of science, CRD, Scopus, and Google Scholar by the end of February 30th, 2019. The quality of articles was evaluated with the Cochrane checklist. GRADE was used for quality of evidence for this meta-analysis. Meta-analysis was done based on random or fixed effect model. <i><b>Results:</b></i> Five studies with total of 190 (sevoflurane) and 191 (isoflurane) patients were included. The results showed that pooled mean difference of troponin levels between the two groups was significant at ICU admission time and 24 hours after entering. The comparison of troponin level changes between the two groups (baseline = at time ICU) in 24 and 48 hours after ICU admission was significant. <i><b>Conclusion:</b></i> This meta-analysis showed that blood troponin levels were significantly lower at the time of arrival in ICU with isoflurane and after 24 hours with sevoflurane. Generally, given the small mean difference between isoflurane and sevoflurane, it seems that none of the medications has a negative effect on the cardiac troponin level.</div></front></TEI><pubmed><MedlineCitation Status="PubMed-not-MEDLINE" Owner="NLM"><PMID Version="1">32211131</PMID><DateRevised><Year>2020</Year><Month>09</Month><Day>28</Day></DateRevised><Article PubModel="Print-Electronic"><Journal><ISSN IssnType="Print">2008-5117</ISSN><JournalIssue CitedMedium="Print"><Volume>12</Volume><Issue>1</Issue><PubDate><Year>2020</Year></PubDate></JournalIssue><Title>Journal of cardiovascular and thoracic research</Title><ISOAbbreviation>J Cardiovasc Thorac Res</ISOAbbreviation></Journal><ArticleTitle>Comparing cardiac troponin levels using sevoflurane and isoflurane in patients undergoing cardiac surgery: a systematic review and meta-analysis.</ArticleTitle><Pagination><MedlinePgn>1-9</MedlinePgn></Pagination><ELocationID EIdType="doi" ValidYN="Y">10.34172/jcvtr.2020.01</ELocationID><Abstract><AbstractText><i><b>Introduction:</b></i> Cardiac troponin is one of the heart biomarkers and its high levels correlates with a high risk of cardiomyocytes damage. This study aimed to compare sevoflurane and isoflurane effect on troponin levels in patients undergoing cardiac surgery. <i><b>Methods:</b></i> We systematically searched for RCTs which had been published in Cochrane library, PubMed, Web of science, CRD, Scopus, and Google Scholar by the end of February 30th, 2019. The quality of articles was evaluated with the Cochrane checklist. GRADE was used for quality of evidence for this meta-analysis. Meta-analysis was done based on random or fixed effect model. <i><b>Results:</b></i> Five studies with total of 190 (sevoflurane) and 191 (isoflurane) patients were included. The results showed that pooled mean difference of troponin levels between the two groups was significant at ICU admission time and 24 hours after entering. The comparison of troponin level changes between the two groups (baseline = at time ICU) in 24 and 48 hours after ICU admission was significant. <i><b>Conclusion:</b></i> This meta-analysis showed that blood troponin levels were significantly lower at the time of arrival in ICU with isoflurane and after 24 hours with sevoflurane. Generally, given the small mean difference between isoflurane and sevoflurane, it seems that none of the medications has a negative effect on the cardiac troponin level.</AbstractText><CopyrightInformation>© 2020 The Author(s).</CopyrightInformation></Abstract><AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Hosseinifard</LastName><ForeName>Hossein</ForeName><Initials>H</Initials><Identifier Source="ORCID">https://orcid.org/0000-0003-1308-1244</Identifier><AffiliationInfo><Affiliation>Biostatistics, School of Health Management and Information Sciences, Iran University of Medical Sciences, Tehran, Iran.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Ghadimi</LastName><ForeName>Nashmil</ForeName><Initials>N</Initials><Identifier Source="ORCID">https://orcid.org/0000-0002-3724-0142</Identifier><AffiliationInfo><Affiliation>Health Technology Assessment, School of Health Management and Information Sciences, Iran University of Medical Sciences, Tehran, Iran.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Kaveh</LastName><ForeName>Sara</ForeName><Initials>S</Initials><Identifier Source="ORCID">https://orcid.org/0000-0002-6145-6314</Identifier><AffiliationInfo><Affiliation>Health Technology Assessment, School of Health Management and Information Sciences, Iran University of Medical Sciences, Tehran, Iran.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Shabaninejad</LastName><ForeName>Hossein</ForeName><Initials>H</Initials><Identifier Source="ORCID">https://orcid.org/0000-0001-9512-1398</Identifier><AffiliationInfo><Affiliation>Department of Health Services Management, School of Health Management and Information Sciences, Iran University of Medical Sciences, Tehran, Iran.</Affiliation></AffiliationInfo><AffiliationInfo><Affiliation>Population Health Sciences Institute, Newcastle University, Newcastle, United Kingdom.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Lijassi</LastName><ForeName>Alaadine</ForeName><Initials>A</Initials><Identifier Source="ORCID">https://orcid.org/0000-0001-8586-6230</Identifier><AffiliationInfo><Affiliation>Faculty of Medicine and Pharmacy of Rabat, Mohammed V University of Rabat, Rabat, Morocco.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Azarfarin</LastName><ForeName>Rasoul</ForeName><Initials>R</Initials><Identifier Source="ORCID">https://orcid.org/0000-0001-9630-7303</Identifier><AffiliationInfo><Affiliation>Echocardiography Research Center, Rajaie Cardiovascular Medical and Research Center, Iran University of Medical Sciences, Tehran, Iran.</Affiliation></AffiliationInfo></Author></AuthorList><Language>eng</Language><PublicationTypeList><PublicationType UI="D016428">Journal Article</PublicationType><PublicationType UI="D016454">Review</PublicationType></PublicationTypeList><ArticleDate DateType="Electronic"><Year>2020</Year><Month>02</Month><Day>12</Day></ArticleDate></Article><MedlineJournalInfo><Country>Iran</Country><MedlineTA>J Cardiovasc Thorac Res</MedlineTA><NlmUniqueID>101528712</NlmUniqueID><ISSNLinking>2008-5117</ISSNLinking></MedlineJournalInfo><KeywordList Owner="NOTNLM"><Keyword MajorTopicYN="N">Cardiac Surgery</Keyword><Keyword MajorTopicYN="N">Isoflurane</Keyword><Keyword MajorTopicYN="N">Sevoflurane</Keyword><Keyword MajorTopicYN="N">Troponin</Keyword></KeywordList></MedlineCitation><PubmedData><History><PubMedPubDate PubStatus="received"><Year>2019</Year><Month>07</Month><Day>07</Day></PubMedPubDate><PubMedPubDate PubStatus="accepted"><Year>2020</Year><Month>01</Month><Day>10</Day></PubMedPubDate><PubMedPubDate PubStatus="entrez"><Year>2020</Year><Month>3</Month><Day>27</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate 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