Evidence map›Paper›PMID 24357244›Full record

ArticleWorld journal of surgery2014

General and acute care surgical procedures in patients with left ventricular assist devices.

George J Arnaoutakis, Gregory J Bittle, Jeremiah G Allen, Eric S Weiss, Jennifer Alejo, William A Baumgartner, Ashish S Shah, Christopher L Wolfgang, David T Efron, John V Conte

Abstract readEvaluation Study
PubMed Publisher
In one paragraph

Article in World journal of surgery, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed, 1 pooled it
0.8field-weighted citation impact, top 26% 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

7 citing papers in PubMed, 1 synthesis or guideline pooled it, 20 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Article
  4. Article
  5. Article
  6. Emergency abdominal surgery in patients with left ventricular assist device: short- and long-term results.Postepy w kardiologii interwencyjnej = Advances in interventional cardiology · 2017
    Article
  7. Unexpected diagnosis in a patient with a left ventricular assist device: rectal cancer.Archives of medical sciences. Atherosclerotic diseases · 2017
    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

10 authors at 3 institutions in 1 country.

George J ArnaoutakisDivision of Cardiac Surgery, Department of Surgery, The Johns Hopkins Hospital, 1800 North Orleans Street/Blalock 655, Baltimore, MD, 21287, USA, gja10@jhmi.edu.
Gregory J Bittle
Jeremiah G Allen
Eric S Weiss
Jennifer Alejo
William A Baumgartner
Ashish S Shah
Christopher L Wolfgang
David T Efron
John V Conte
Johns Hopkins University · USJohns Hopkins Bayview Medical Center · USJohns Hopkins Hospital · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundLeft ventricular assist devices (LVADs) have become common as a bridge to heart transplant as well as destination therapy. Acute care surgical (ACS) problems in this population are prevalent but remain ill-defined. Therefore, we reviewed our experience with ACS interventions in LVAD patients.

methodsA total of 173 patients who received HeartMate(®) XVE or HeartMate(®) II (HMII) LVADs between December 2001 and March 2010 were studied. Patient demographics, presentation of ACS problem, operative intervention, co-morbidities, transplantation, complications, and survival were analyzed.

resultsA total of 47 (27 %) patients underwent 67 ACS procedures at a median of 38 days after device implant (interquartile range 15-110), with a peri-operative mortality rate of 5 % (N = 3). Demographics, device type, and acuity were comparable between the ACS and non-ACS groups. A total of 21 ACS procedures were performed emergently, eight were urgent, and 38 were elective. Of 29 urgent and emergent procedures, 28 were for abdominal pathology. In eight patients, the cause of the ACS problem was related to LVADs or anticoagulation. Cumulative survival estimates revealed no survival differences if patients underwent ACS procedures (p = 0.17). Among HMII patients, transplantation rates were unaffected by an ACS intervention (p = 0.2).

conclusionsACS problems occur frequently in LVAD patients and are not associated with adverse outcomes in HMII patients. The acute care surgeon is an integral member of a comprehensive approach to effective LVAD management.

Indexed as

Heart-Assist DevicesAdultEmergenciesFemaleFollow-Up StudiesHeart TransplantationHumansKaplan-Meier EstimateMaleMiddle AgedOutcome Assessment, Health CareRetrospective StudiesSurgical Procedures, OperativeSurvival Rate

Identifiers

PMID24357244
OpenAlexW2035544462

What OpenQuestion holds

Textmetadata
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.