Evidence map›Paper›PMID 26566434›Full record

ArticleAnnals of medicine and surgery (2012)2015

Non-trauma surgical emergencies in adults: Spectrum, challenges and outcome of care.

N A Ibrahim, M A Oludara, A Ajani, I Mustafa, R Balogun, O Idowu, R Osuoji, F O Omodele, A O A Aderounmu, B A Solagberu

Abstract read
In one paragraph

Article in Annals of medicine and surgery (2012), 2015. 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
–field-weighted citation impact
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.

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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.

N A IbrahimDepartment of Surgery, Lagos State University Teaching Hospital (LASUTH), P.M.B. 21105, Ikeja, Lagos, Nigeria.
M A OludaraDepartment of Surgery, Lagos State University Teaching Hospital (LASUTH), P.M.B. 21105, Ikeja, Lagos, Nigeria.
A AjaniDepartment of Surgery, Lagos State University Teaching Hospital (LASUTH), P.M.B. 21105, Ikeja, Lagos, Nigeria.
I MustafaDepartment of Surgery, Lagos State University Teaching Hospital (LASUTH), P.M.B. 21105, Ikeja, Lagos, Nigeria.
R BalogunDepartment of Surgery, Lagos State University Teaching Hospital (LASUTH), P.M.B. 21105, Ikeja, Lagos, Nigeria.
O IdowuDepartment of Surgery, Lagos State University Teaching Hospital (LASUTH), P.M.B. 21105, Ikeja, Lagos, Nigeria.
R OsuojiDepartment of Surgery, Lagos State University Teaching Hospital (LASUTH), P.M.B. 21105, Ikeja, Lagos, Nigeria.
F O OmodeleDepartment of Surgery, Lagos State University Teaching Hospital (LASUTH), P.M.B. 21105, Ikeja, Lagos, Nigeria.
A O A AderounmuDepartment of Surgery, Ladoke Akintola University Teaching Hospital (LAUTECH), P.M.B. 2000, Ogbomoso, Oyo State, Nigeria.
B A SolagberuDepartment of Surgery, Lagos State University Teaching Hospital (LASUTH), P.M.B. 21105, Ikeja, Lagos, Nigeria.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionSignificant deaths of between 21% and 38% occur from non-trauma surgical conditions in the accident and emergency room. Access to emergency surgical care is limited in many developing countries including Nigeria. We aimed to study the spectrum of non-trauma surgical emergencies, identify challenges in management and evaluate outcomes.

methodsA one year prospective cohort study of all non-trauma emergencies in adults seen at the surgical emergency room of LASUTH from 1st October, 2011 to 30th September, 2012 was conducted. Data was analyzed using SPSS version 15.0.

resultsOf a total of 7536 patients seen, there were 7122 adults. Those with non-trauma conditions were 2065 representing 29% of adult emergencies. Age ranged between 15 and 97 years and male to female ratio was 1.7:1. Acute abdomen (30%), urological problems (18%) and malignancies (10%) were the most common. Among 985 patients requiring admission only 464 (47%) were admitted while the remaining 53% were referred to other centers. Emergency surgical intervention was carried out in 222 patients representing 48% of admitted patients. There were 12 (24%) non-trauma deaths in the emergency room. They were due to acute abdomen and malignancies in half of the cases.

conclusionFacilities for patients needing emergency care were inadequate with more than half of those requiring admission referred. Attention should be paid to the provision of emergency surgical services to the teeming number of patients seen on yearly basis in the Teaching Hospital.

Indexed as

EmergenciesFacilityNon-traumaOutcomeSpectrum

Identifiers

PMID26566434
PMCPMC4600937

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LicenceCC BY-NC-ND
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Registered trials

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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.