Knowledge domains and hotspots in corticosteroid use for cardiac surgery: a 23-Year bibliometric and visualized analysis

Abstract Background The safety and efficacy of prophylactic corticosteroid administration during the perioperative period of cardiac surgery have undergone extensive and comprehensive examination. In this study, we conducted a bibliometric analysis of publications addressing corticosteroid use in th...

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Main Authors: Wan-wan Zou, Qi-kun Zhu, Song Yang, En-ze Bian, Wei-zhong Zhuang, Jian-zheng Cen, Qiang Gao
Format: Article
Language:English
Published: BMC 2025-07-01
Series:Journal of Cardiothoracic Surgery
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Online Access:https://doi.org/10.1186/s13019-025-03552-1
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author Wan-wan Zou
Qi-kun Zhu
Song Yang
En-ze Bian
Wei-zhong Zhuang
Jian-zheng Cen
Qiang Gao
author_facet Wan-wan Zou
Qi-kun Zhu
Song Yang
En-ze Bian
Wei-zhong Zhuang
Jian-zheng Cen
Qiang Gao
author_sort Wan-wan Zou
collection DOAJ
description Abstract Background The safety and efficacy of prophylactic corticosteroid administration during the perioperative period of cardiac surgery have undergone extensive and comprehensive examination. In this study, we conducted a bibliometric analysis of publications addressing corticosteroid use in the perioperative period of cardiac surgery, aiming to elucidate the principal research trajectories and emerging trends spanning the past 23 years. Methods We performed a search in the Web of Science Core Collection for publications related to the application of corticosteroids during the perioperative period of cardiac surgery, spanning from the year 2000 to October 30, 2023. Bibliometric analysis was conducted employing the biblioshiny package in R, VOSviewer, and CiteSpace. Results We identified 293 eligible publications concerning corticosteroid use during the perioperative period of cardiac surgery. Publication volume increased significantly in 2001 and 2014. Keyword co-occurrence analysis revealed four primary clusters: cardiopulmonary bypass, systemic inflammatory response, methylprednisolone, and dysfunction. Over recent decades, research focus has shifted from examining how prophylactic corticosteroid use attenuates postoperative inflammation to investigating its potential effects on clinical complications following cardiac surgery. Conclusions Considerable heterogeneity in inflammatory response phenotypes among individuals may lead to significant differences in the clinical effectiveness of prophylactic corticosteroid interventions. Thus, developing personalized treatment strategies should become a major focus in future research.
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series Journal of Cardiothoracic Surgery
spelling doaj-art-8307eb3e2638452ab5be6ddd92bac2532025-08-20T03:06:05ZengBMCJournal of Cardiothoracic Surgery1749-80902025-07-0120111110.1186/s13019-025-03552-1Knowledge domains and hotspots in corticosteroid use for cardiac surgery: a 23-Year bibliometric and visualized analysisWan-wan Zou0Qi-kun Zhu1Song Yang2En-ze Bian3Wei-zhong Zhuang4Jian-zheng Cen5Qiang Gao6School of Medicine, South China University of TechnologyDepartment of Cardiovascular Surgery, Guangdong Cardiovascular Institute, Guangdong Provincial People’s Hospital, Guangdong Academy of Medical Sciences, Southern Medical UniversityDepartment of Cardiovascular Surgery, Guangdong Cardiovascular Institute, Guangdong Provincial People’s Hospital, Guangdong Academy of Medical Sciences, Southern Medical UniversityDepartment of Cardiovascular Surgery, Guangdong Cardiovascular Institute, Guangdong Provincial People’s Hospital, Guangdong Academy of Medical Sciences, Southern Medical UniversityDepartment of Cardiovascular Surgery, Guangdong Cardiovascular Institute, Guangdong Provincial People’s Hospital, Guangdong Academy of Medical Sciences, Southern Medical UniversityDepartment of Cardiovascular Surgery, Guangdong Cardiovascular Institute, Guangdong Provincial People’s Hospital, Guangdong Academy of Medical Sciences, Southern Medical UniversitySchool of Medicine, South China University of TechnologyAbstract Background The safety and efficacy of prophylactic corticosteroid administration during the perioperative period of cardiac surgery have undergone extensive and comprehensive examination. In this study, we conducted a bibliometric analysis of publications addressing corticosteroid use in the perioperative period of cardiac surgery, aiming to elucidate the principal research trajectories and emerging trends spanning the past 23 years. Methods We performed a search in the Web of Science Core Collection for publications related to the application of corticosteroids during the perioperative period of cardiac surgery, spanning from the year 2000 to October 30, 2023. Bibliometric analysis was conducted employing the biblioshiny package in R, VOSviewer, and CiteSpace. Results We identified 293 eligible publications concerning corticosteroid use during the perioperative period of cardiac surgery. Publication volume increased significantly in 2001 and 2014. Keyword co-occurrence analysis revealed four primary clusters: cardiopulmonary bypass, systemic inflammatory response, methylprednisolone, and dysfunction. Over recent decades, research focus has shifted from examining how prophylactic corticosteroid use attenuates postoperative inflammation to investigating its potential effects on clinical complications following cardiac surgery. Conclusions Considerable heterogeneity in inflammatory response phenotypes among individuals may lead to significant differences in the clinical effectiveness of prophylactic corticosteroid interventions. Thus, developing personalized treatment strategies should become a major focus in future research.https://doi.org/10.1186/s13019-025-03552-1BibliometricCiteSpaceVOSviewerCorticosteroidsCardiac surgery
spellingShingle Wan-wan Zou
Qi-kun Zhu
Song Yang
En-ze Bian
Wei-zhong Zhuang
Jian-zheng Cen
Qiang Gao
Knowledge domains and hotspots in corticosteroid use for cardiac surgery: a 23-Year bibliometric and visualized analysis
Journal of Cardiothoracic Surgery
Bibliometric
CiteSpace
VOSviewer
Corticosteroids
Cardiac surgery
title Knowledge domains and hotspots in corticosteroid use for cardiac surgery: a 23-Year bibliometric and visualized analysis
title_full Knowledge domains and hotspots in corticosteroid use for cardiac surgery: a 23-Year bibliometric and visualized analysis
title_fullStr Knowledge domains and hotspots in corticosteroid use for cardiac surgery: a 23-Year bibliometric and visualized analysis
title_full_unstemmed Knowledge domains and hotspots in corticosteroid use for cardiac surgery: a 23-Year bibliometric and visualized analysis
title_short Knowledge domains and hotspots in corticosteroid use for cardiac surgery: a 23-Year bibliometric and visualized analysis
title_sort knowledge domains and hotspots in corticosteroid use for cardiac surgery a 23 year bibliometric and visualized analysis
topic Bibliometric
CiteSpace
VOSviewer
Corticosteroids
Cardiac surgery
url https://doi.org/10.1186/s13019-025-03552-1
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