Evidence map›Paper›PMID 26038056›Full record

ArticleEuropean journal of trauma and emergency surgery : official publication of the European Trauma Society2016

Infectious complications and mortality in an American acute care surgical service.

B R Bruns, M Lissauer, R Tesoriero, M Narayan, L Buchanan, S M Galvagno, Jose Diaz

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In one paragraph

Article in European journal of trauma and emergency surgery : official publication of the European Trauma Society, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed, 1 pooled it
–field-weighted citation impact, top 99% 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

2 citing papers in PubMed, 1 synthesis or guideline pooled it, 2 citations in OpenAlex.

  1. Pooled it
  2. 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

7 authors at 3 institutions in 1 country.

B R BrunsUniversity of Maryland Medical Center, R Adams Cowley Shock Trauma Center, 22 S. Greene St., Baltimore, MD, 21201, USA. bbruns@umm.edu.ORCID http://orcid.org/0000-0002-1927-2925
M LissauerRutgers, Robert Wood Johnson Medical School, 89 French Street, New Brunswick, NJ, 08901, USA.
R TesorieroUniversity of Maryland Medical Center, R Adams Cowley Shock Trauma Center, 22 S. Greene St., Baltimore, MD, 21201, USA.
M NarayanUniversity of Maryland Medical Center, R Adams Cowley Shock Trauma Center, 22 S. Greene St., Baltimore, MD, 21201, USA.
L BuchananUniversity of Maryland Medical Center, R Adams Cowley Shock Trauma Center, 22 S. Greene St., Baltimore, MD, 21201, USA.
S M GalvagnoDepartment of Anesthesiology and the Program in Trauma, Shock Trauma Center, 22 S. Greene St., Baltimore, MD, 21201, USA.
Jose DiazUniversity of Maryland Medical Center, R Adams Cowley Shock Trauma Center, 22 S. Greene St., Baltimore, MD, 21201, USA.
University of Maryland, Baltimore · USInternational Trauma Anesthesia and Critical Care Society · USRutgers, The State University of New Jersey · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundAcute care surgery (ACS) services have evolved in an effort to provide 24-h surgical services for a wide array of general surgical emergencies. The formation of ACS services has been shown to improve outcomes and lead to more expeditious care. Despite the advances of ACS, the etiology and timing of patient mortality has yet to be described. We hypothesized that infectious complications occur more frequently in ACS patients that die during their hospitalization.

methodsA retrospective review of a local ACS service (non-trauma) registry was conducted. Demographic variables, admission and discharge data, and ICD-9 codes were collected. ICD-9 codes were used to identify patients with sepsis, shock, GI perforation, peritonitis, and other hospital acquired infections (urinary tract, bloodstream, and ventilator-associated pneumonias). Univariate and multivariate logistic regression analysis was performed to model the outcome of death.

results1,329 patients were analyzed. 53 % were male with the mean age of 52 years and an average length of stay of 13 days. 106 (8 %) died while in the hospital. Of the patients who died, 34 (32 %) died within 7 days of admission. The majority of mortalities (56 %) occurred after hospital day 14. In ACS patients that died, there were significantly higher rates of sepsis, shock, peritonitis, urinary tract infections, and VAP. After adjustment; age, sepsis on admission, and shock on admission were associated with greater odds of death.

conclusionACS patients with sepsis and shock have higher mortality rate than those patients without. The majority of ACS patient deaths occurred after hospital day 14. Further investigation and continued focus on preventing and rapidly treating infectious complications as they arise is warranted.

Indexed as

Critical CareCross InfectionEmergency Medical ServicesSurgical Procedures, OperativeFemaleHospitalizationHospital MortalityHumansLength of StayMaleMiddle AgedOutcome Assessment, Health CarePostoperative ComplicationsRegistriesUnited StatesAcute care surgeryEmergency general surgerySeptic shockSurgical infections

Identifiers

PMID26038056
OpenAlexW349593946

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.