Evidence map›Paper›PMID 26921853›Full record

ArticleEpilepsy research2016

Major and minor complications in extraoperative electrocorticography: A review of a national database.

John D Rolston, Dario J Englot, Susannah Cornes, Edward F Chang

Open access · greenAbstract read
In one paragraph

Article in Epilepsy research, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed, 1 pooled it
2.5field-weighted citation impact, top 12% 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

10 citing papers in PubMed, 1 synthesis or guideline pooled it, 27 citations in OpenAlex.

  1. Pooled it
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  5. Review
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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

4 authors at 2 institutions in 1 country.

John D RolstonDepartment of Neurological Surgery, University of California, San Francisco, CA, USA. Electronic address: john.rolston@ucsf.edu.
Dario J EnglotDepartment of Neurological Surgery, University of California, San Francisco, CA, USA.
Susannah CornesDepartment of Neurology, University of California, San Francisco, CA, USA.
Edward F ChangDepartment of Neurological Surgery, University of California, San Francisco, CA, USA.
Neurological Surgery · USUniversity of California, San Francisco · US

Funding

Resting-State Functional Connectivity Analysis in Focal Neocortical EpilepsyF32NS086353 · NINDS · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI ENGLOT, DARIO J · 2014 to 2014
$59k
High-density electrocorticography to understand cortical speech arrest sitesF32DC013953 · NIDCD · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI ROLSTON, JOHN D · 2014 to 2014
$57k
NIDCD NIH HHS F32 DC013953NINDS NIH HHS F32 NS086353
6 · The paper itself

Abstract

The risk profile of extraoperative electrocorticography (ECoG) is documented almost exclusively by case series from a limited number of academic medical centers. These studies tend to underreport minor complications, like urinary tract infections (UTIs) and deep venous thromboses (DVTs), that nevertheless affect hospital cost, length of stay, and the patient's quality of life. Herein, we used data from the American College of Surgeons (ACS) National Surgical Quality Improvement Program (NSQIP) to estimate the rate of adverse events in extraoperative ECoG surgeries. NSQIP is a validated dataset containing nearly 3 million procedures from over 600 North American hospitals, and uses strict criteria for the documentation of complications. Major complications occurred in 3.4% of 177 extraoperative ECoG cases, while minor complications occurred in 9.6%. The most common minor complication was bleeding requiring a transfusion in 3.4% of cases, followed by sepsis, DVT, and UTI each in 2.3% of cases. No mortality was reported. Overall, in a national database containing a heterogeneous population of hospitals, major complications of extraoperative ECoG were rare (3.4%). Complications such as UTI and DVT tend to be underreported in retrospective case series, yet make up a majority of minor complications for ECoG patients in this dataset.

Indexed as

AdultDatabases, FactualElectrocorticographyFemaleGeneral SurgeryHumansMalePostoperative ComplicationsQuality ImprovementSocieties, MedicalUnited StatesAdverse eventsComplicationsECoGEpilepsyPatient safetySeizures

Identifiers

PMID26921853
PMCPMC5274526
OpenAlexW2263862811

What OpenQuestion holds

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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.