Evidence map›Paper›PMID 20624281›Full record

Trial reportBMC surgery2010

Decompressive laparotomy with temporary abdominal closure versus percutaneous puncture with placement of abdominal catheter in patients with abdominal compartment syndrome during acute pancreatitis: background and design of multicenter, randomised, controlled study.

Dejan V Radenkovic, Djordje Bajec, Nenad Ivancevic, Vesna Bumbasirevic, Natasa Milic, Vasilije Jeremic, Pavle Gregoric, Aleksanadar Karamarkovic, Borivoje Karadzic, Darko Mirkovic and 3 more

Open access · goldAbstract readComparative StudyMulticenter StudyRandomized Controlled Trial
In one paragraph

Trial report in BMC surgery, 2010. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
14citing papers in PubMed, 1 pooled it
3.4field-weighted citation impact, top 8% of its field
1 · What the graph read from it

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.

2 · The registry

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.

3 · Its place in the literature

Who cites it

14 citing papers in PubMed, 1 synthesis or guideline pooled it, 43 citations in OpenAlex.

  1. Interventions for necrotising pancreatitis.The Cochrane database of systematic reviews · 2016
    Pooled it
  2. Article
  3. Article
  4. Review
  5. Review
  6. Review
  7. Evaluation and management of acute pancreatitis.World journal of clinical cases · 2019
    Review
  8. Article
  9. 2019 WSES guidelines for the management of severe acute pancreatitis.World journal of emergency surgery : WJES · 2019
    Review
  10. Review
  11. Surgery for Acute Pancreatitis.The Indian journal of surgery · 2015
    Article
  12. Study on acute recent stage pancreatitis.World journal of gastroenterology · 2014
    Review
  13. Article
  14. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

13 authors at 4 institutions in 1 country.

Dejan V RadenkovicCenter for Emergency Surgery, Clinical Center of Serbia, University of Belgrade, Serbia. dejanr@sbb.rs
Djordje Bajec
Nenad Ivancevic
Vesna Bumbasirevic
Natasa Milic
Vasilije Jeremic
Pavle Gregoric
Aleksanadar Karamarkovic
Borivoje Karadzic
Darko Mirkovic
Dragoljub Bilanovic
Radoslav Scepanovic
Vladimir Cijan
University of Belgrade · RSMilitary Medical Academy · RSUniversity Hospital Center Dr Dragiša Mišović · RSUniversity Hospital Medical Center Bezanijska kosa · RS

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundDevelopment of abdominal compartment syndrome (ACS) in patients with severe acute pancreatitis (SAP) has a strong impact on the course of disease. Number of patients with this complication increases during the years due more aggressive fluid resuscitation, much bigger proportion of patients who is treated conservatively or by minimal invasive approach, and efforts to delay open surgery. There have not been standard recommendations for a surgical or some other interventional treatment of patients who develop ACS during the SAP. The aim of DECOMPRESS study was to compare decompresive laparotomy with temporary abdominal closure and percutaneus puncture with placement of abdominal catheter in these patients.

methodsOne hundred patients with ACS will be randomly allocated to two groups: I) decompresive laparotomy with temporary abdominal closure or II) percutaneus puncture with placement of abdominal catheter. Patients will be recruited from five hospitals in Belgrade during two years period. The primary endpoint is the mortality rate within hospitalization. Secondary endpoints are time interval between intervention and resolving of organ failure and multi organ dysfunction syndrome, incidence of infectious complications and duration of hospital and ICU stay. A total sample size of 100 patients was calculated to demonstrate that decompresive laparotomy with temporary abdominal closure can reduce mortality rate from 60% to 40% with 80% power at 5% alfa.

conclusionDECOMPRESS study is designed to reveal a reduction in mortality and major morbidity by using decompresive laparotomy with temporary abdominal closure in comparison with percutaneus puncture with placement of abdominal catheter in patients with ACS during SAP.

trial registrationClinicalTrials.gov Identifier: NTC00793715.

Indexed as

Abdominal Wound Closure TechniquesCatheterizationDecompression, SurgicalAbdomenAcute DiseaseClinical ProtocolsCompartment SyndromesFemaleHumansLaparotomyMalePancreatitisResearch Design

Identifiers

PMID20624281
PMCPMC2913911
OpenAlexW2008411260

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

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 OpenQuestion graph.