Predictive Efficacy of the Perfusion Index for Hypotension following Spinal Anesthesia in Parturient Undergoing Elective Cesarean Section: A Systematic Review and Meta-Analysis
Abstract
:1. Introduction
2. Materials and Methods
2.1. Study Protocol
2.2. Data Source and Literature Search
2.3. Inclusion and Exclusion Criteria
2.4. Data Extraction
2.5. Outcomes and Definitions
2.6. Quality Assessment
2.7. Statistical Analysis
3. Results
3.1. Study Selection and Study Characteristics
3.2. Outcomes
4. Discussion
5. Conclusions
Author Contributions
Funding
Institutional Review Board Statement
Informed Consent Statement
Data Availability Statement
Conflicts of Interest
Appendix A
1—(“Cesarean Delivery” or “caesarean section” or “Cesarean Section” or “Abdominal Deliveries” or “C-Section” or “Postcesarean Section”). mp. |
2—exp “Cesarean Section”/ |
3—(“Post-Spinal” or “Spinal block” or “Subarachnoid block” or “Subarachnoid anesthesia” or “Intrathecal anesthesia” or “Intrathecal block” or “neuraxial anesthesia” or “Spinal-epidural anesthesia” or “Intraspinal anesthesia”). mp. |
4—exp “Anesthesia, Spinal”/ |
5—Perfusion index.mp. |
6—(“Hypotension” or “Low blood pressure”). mp. |
7—exp “Hypotension”/ |
8—(1 or 2) and (3 or 4) and 5 and (6 or 7) |
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Studies | Age (Years) | BMI or Weight * | N | Drug (Dosage) | Cutoff PI Values | Definition of Hypotension | IH | AUC | Country |
---|---|---|---|---|---|---|---|---|---|
Duggappa 2017 [17] | 25 vs. 24 | 67 vs. 68 | 120 | BUP 10 mg | 3.5 | MAP < 65 mmHg | 42.5% | 0.848 | India |
Harde 2023 [22] | 25 | 58 | 90 | BUP 10 mg | 3.5 | MAP < 65 mmHg | 72.2% | 0.917 | India |
Inamanamelluri 2022 [23] | 29 vs. 30 | 68 vs. 67 | 50 | BUP 10 mg | 2.85 | MAP < 60 mmHg or <20% of baseline | 60% | 0.888 | India |
Jabarulla 2021 [24] | 20–35 † | 79 | 63 | BUP 9 mg | 1.75 | <25% of baseline | 50.8% | 0.78 | India |
Lal 2022 [25] | 26 vs. 25 | 66 vs. 65 | 60 | BUP 10 mg | 3.5 | SBP < 80 or <20% of baseline | 56.7% | 0.74 | India |
Liu 2022 [26] | 29 | 27.8 | 1071 | BUP 15 mg | 5.845 | SBP < 90 or <20% of baseline | 44.1% | 0.8333 | China |
Nandini2022 [27] | 27 vs. 25 | 64 vs. 62 | 51 | BUP 10 mg | 3.5 | SBP < 25% of baseline | 13.7% | 0.799 | India |
Pyakurel 2020 [28] | 26 vs. 24 | 68 vs. 70 | 68 | BUP 10 mg | 3.5 | MAP < 20% of baseline | 47.1% | 0.734 | Nepal |
Shah 2021 [29] | 28 vs. 28 | 62 vs. 61 | 60 | BUP 10 mg | 3.5 | MAP < 65 mmHg | 76.7% | 0.529 | India |
Thapa 2022 [30] | 26 vs. 30 | 70 vs. 69 | 247 | BUP 11 mg | 3.5 | MAP < 20% of baseline | 60.6% | 0.908 | Nepal |
Toyama 2013 [15] | 33 | 63 | 35 | BUP 10 mg | 3.5 | SBP < 25% of baseline | 60% | 0.87 | Japan |
Xu 2017 [18] | 33 vs. 33 | 28 vs. 27 | 94 | ROP 12 mg | 2.2 | SBP < 80 mmHg | 44.7% | 0.81 | China |
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Hung, K.-C.; Liu, C.-C.; Huang, Y.-T.; Wu, J.-Y.; Chen, J.-Y.; Ko, C.-C.; Lin, C.-M.; Hsing, C.-H.; Yew, M.; Chen, I.-W. Predictive Efficacy of the Perfusion Index for Hypotension following Spinal Anesthesia in Parturient Undergoing Elective Cesarean Section: A Systematic Review and Meta-Analysis. Diagnostics 2023, 13, 2584. https://doi.org/10.3390/diagnostics13152584
Hung K-C, Liu C-C, Huang Y-T, Wu J-Y, Chen J-Y, Ko C-C, Lin C-M, Hsing C-H, Yew M, Chen I-W. Predictive Efficacy of the Perfusion Index for Hypotension following Spinal Anesthesia in Parturient Undergoing Elective Cesarean Section: A Systematic Review and Meta-Analysis. Diagnostics. 2023; 13(15):2584. https://doi.org/10.3390/diagnostics13152584
Chicago/Turabian StyleHung, Kuo-Chuan, Chien-Cheng Liu, Yen-Ta Huang, Jheng-Yan Wu, Jen-Yin Chen, Ching-Chung Ko, Chien-Ming Lin, Chung-Hsi Hsing, Ming Yew, and I-Wen Chen. 2023. "Predictive Efficacy of the Perfusion Index for Hypotension following Spinal Anesthesia in Parturient Undergoing Elective Cesarean Section: A Systematic Review and Meta-Analysis" Diagnostics 13, no. 15: 2584. https://doi.org/10.3390/diagnostics13152584
APA StyleHung, K.-C., Liu, C.-C., Huang, Y.-T., Wu, J.-Y., Chen, J.-Y., Ko, C.-C., Lin, C.-M., Hsing, C.-H., Yew, M., & Chen, I.-W. (2023). Predictive Efficacy of the Perfusion Index for Hypotension following Spinal Anesthesia in Parturient Undergoing Elective Cesarean Section: A Systematic Review and Meta-Analysis. Diagnostics, 13(15), 2584. https://doi.org/10.3390/diagnostics13152584