Evidence map›Paper›PMID 26817651›Full record

ArticleWorld journal of surgery2016

Preoperative Pneumonia and Postoperative Venous Thrombosis: A Cohort Study of 427,656 Patients Undergoing Major General Surgery.

Karim Z Masrouha, Khaled M Musallam, Frits R Rosendaal, Jamal J Hoballah, Faek R Jamali

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Article in World journal of surgery, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
1.3field-weighted citation impact, top 19% 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

6 citing papers in PubMed, 12 citations in OpenAlex.

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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

5 authors at 3 institutions in 3 countries.

Karim Z MasrouhaDepartment of Surgery, Division of Orthopaedic Surgery, American University of Beirut Medical Center, Beirut, Lebanon.
Khaled M MusallamDepartment of Internal Medicine, American University of Beirut Medical Center, Beirut, Lebanon.
Frits R RosendaalDepartments of Clinical Epidemiology and Thrombosis & Haemostasis, Leiden University Medical Center, Leiden, The Netherlands.
Jamal J HoballahDepartment of Surgery, Division of Vascular Surgery, American University of Beirut Medical Center, Beirut, Lebanon.
Faek R JamaliDepartment of Surgery, Division of General Surgery, American University of Beirut Medical Center, P.O. Box 11-0236, Beirut, 1107 2020, Lebanon. fj03@aub.edu.lb.
American University of Beirut Medical Center · LBFondazione IRCCS Ca' Granda Ospedale Maggiore Policlinico · ITLeiden University Medical Center · NL

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe literature is sparse regarding the association between pneumonia and venous thrombosis in surgical patients. The aim of this study was to investigate the risk of postoperative venous thrombosis in patients who fit the criteria for preoperative pneumonia using data from the ongoing American College of Surgeons National Surgical Quality Improvement Program (ACS NSQIP) database while adjusting for potential confounders.

methodsThis is a cohort study using data from the ACS NSQIP database participating sites from 2008 (211 sites) and 2009 (237 sites). 427,656 patients undergoing major general surgery were included. The 30-day risk of postoperative venous thrombosis including deep vein thrombosis (DVT) and pulmonary embolism (PE) was evaluated in patients with preoperative pneumonia diagnosed before undergoing major general surgery.

resultsPatients with preoperative pneumonia had a higher incidence of both 30-day DVT and PE than patients without preoperative pneumonia. After adjusting for all potential confounders, the effect estimates for the association between preoperative pneumonia and venous thrombosis were DVT, OR: 1.67 (95% CI 1.32-2.11) and PE, OR: 2.18 (95% CI 1.48-3.22).

conclusionsA large, multicenter database of surgical patients showed that preoperative pneumonia may increase risk for developing venous thrombosis. This adds to our understanding of risk factors for venous thrombosis and suggests a potential benefit of diagnosing preoperative pneumonia in patients undergoing major general surgery.

Indexed as

AdultAgedDatabases, FactualFemaleHumansIncidenceMaleMiddle AgedPneumoniaPostoperative ComplicationsPreoperative PeriodPulmonary EmbolismRetrospective StudiesRisk FactorsSurgical Procedures, OperativeVenous Thrombosis

Identifiers

PMID26817651
OpenAlexW2298055750

What OpenQuestion holds

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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.