Evidence map›Paper›PMID 27241669›Full record

ArticleOsteoporosis international : a journal established as result of cooperation between the European Foundation for Osteoporosis and the National Osteoporosis Foundation of the USA2016

Clinical characteristics and risk factors of postoperative pneumonia after hip fracture surgery: a prospective cohort study.

H Lv, P Yin, A Long, Y Gao, Z Zhao, J Li, L Zhang, L Zhang, P Tang

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Article in Osteoporosis international : a journal established as result of cooperation between the European Foundation for Osteoporosis and the National Osteoporosis Foundation of the USA, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 76 papers, 7 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
76citing papers in PubMed, 7 pooled it
4.1field-weighted citation impact, top 6% 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

76 citing papers in PubMed, 7 syntheses or guidelines pooled it, 129 citations in OpenAlex.

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16 more citing papers are in PubMed but not listed here.

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

9 authors at 3 institutions in 1 country.

H LvDepartment of Orthopedics, General Hospital of Chinese PLA, No. 28 Fuxing Road, Beijing, 100853, China.
P YinDepartment of Orthopedics, General Hospital of Chinese PLA, No. 28 Fuxing Road, Beijing, 100853, China.
A LongDepartment of Orthopedics, General Hospital of Chinese PLA, No. 28 Fuxing Road, Beijing, 100853, China.
Y GaoDepartment of Orthopedics, General Hospital of Chinese PLA, No. 28 Fuxing Road, Beijing, 100853, China.
Z ZhaoDepartment of Orthopedics, Beijing Tsinghua Changgung Hospital, Beijing, 102218, China.
J LiDepartment of Orthopedics, General Hospital of Chinese PLA, No. 28 Fuxing Road, Beijing, 100853, China.
L ZhangDepartment of Orthopedics, General Hospital of Chinese PLA, No. 28 Fuxing Road, Beijing, 100853, China.
L ZhangDepartment of Orthopedics, General Hospital of Chinese PLA, No. 28 Fuxing Road, Beijing, 100853, China. zhanglcheng218@126.com.
P TangDepartment of Orthopedics, General Hospital of Chinese PLA, No. 28 Fuxing Road, Beijing, 100853, China. pftang301@126.com.
Chinese PLA General Hospital · CNBeijing Luhe Hospital Affiliated to Capital Medical University · CNBeijing Tsinghua Chang Gung Hospital · CN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

unlabelledIn this study, we attempt to determine the clinical characteristic and risk factors of postoperative pneumonia (POP) after hip fracture surgery in a well-defined hip fracture cohort. We find that intrinsic factors as well as major clinical interventions were all important risk factors of POP.

introductionPostoperative pneumonia (POP) is one of the major complications following hip fractures surgery. However, the risk factors of POP are not well studied in hip fracture cohorts. We attempt to determine the clinical characteristic and risk factors of POP after hip fracture surgery in a well-defined hip fracture cohort.

methodsDatasets from a prospective hip fracture cohort study with a 2-year follow-up period, from 2000 to 2011, were reanalyzed for characteristics of POP. Multivariate Cox proportional regression was used to evaluate the association between the incidence of POP and all-cause mortality. Multivariate logistic regression was used to screen for potential risk factors of POP by analyzing demographic factors, comorbidities, major clinical interventions, and hematological parameters.

resultsIn 1429 patients who underwent hip surgery, the incidence of POP was 4.9 % (n = 70). All-cause mortality of patients with POP was significantly higher than that of patients without POP at 30 days (hazard ratio (HR) 3.05, 95 % confidence intervals (CI) 1.88-4.94), 1 year (HR 1.87, 95 % CI 1.41-2.48), and 2 years (HR 1.57, 95 % CI 1.23-1.99) postoperatively. Multivariate logistic regression showed that intrinsic factors (advanced age, anemia, diabetes, prior stroke, number of comorbidities, ASA score ≥III, and some laboratory biomarkers) as well as major clinical interventions were all significant risk factors for POP.

conclusionIntrinsic factors and major clinical interventions were all important risk factors of POP in patients after hip fracture surgery. Targeted preventive measures to mitigate the above risk factors may help in reducing the incidence of POP.

Indexed as

AgedAged, 80 and overFemaleHip FracturesHumansIncidenceKaplan-Meier EstimateMaleMortalityPneumoniaPostoperative ComplicationsProspective StudiesRisk FactorsHip fracturePostoperative complicationPostoperative pneumoniaPrognosisRisk factors

Identifiers

PMID27241669
OpenAlexW2412386331

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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.