Evidence map›Paper›PMID 27655260›Full record

ArticleBMJ open2016

Ability of preoperative falls to predict postsurgical outcomes in non-selected patients undergoing elective surgery at an academic medical centre: protocol for a prospective cohort study.

Vanessa L Kronzer, Arbi Ben Abdallah, Sherry L McKinnon, Troy S Wildes, Michael S Avidan

Registry-linked trialAbstract read
In one paragraph

Article in BMJ open, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT02032030 (SATISFY-SOS), which is not on this map. Cited by 3 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
3citing 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.

NCT02032030 completednot on this map

SATISFY-SOS: Systematic Assessment and Targeted Improvement of Services Following Yearlong Surgical Outcomes Surveys

Typeobservational_patient_registrySponsorWashington University School of MedicineRan2012 to 2020Enrolled73,952ConditionsHeart Attack, Cardiac Arrest, Congestive Heart Failure, Atrial Fibrillation
3 · Its place in the literature

Who cites it

3 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Article
  3. 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

5 authors.

Vanessa L KronzerDepartment of Anesthesiology, Washington University School of Medicine, St. Louis, Missouri, USA.ORCID http://orcid.org/0000-0002-7489-3134
Arbi Ben AbdallahDepartment of Anesthesiology, Washington University School of Medicine, St. Louis, Missouri, USA.
Sherry L McKinnonDepartment of Anesthesiology, Washington University School of Medicine, St. Louis, Missouri, USA.
Troy S WildesDepartment of Anesthesiology, Washington University School of Medicine, St. Louis, Missouri, USA.
Michael S AvidanDepartment of Anesthesiology, Washington University School of Medicine, St. Louis, Missouri, USA.

Funding

Washington University Institute of Clinical and Translational SciencesUL1TR000448 · NCATS · WASHINGTON UNIVERSITY · PI EVANOFF, BRADLEY A · 2012 to 2016
$41.4M
Washington University Institute of Clinical and Translational SciencesTL1TR000449 · NCATS · WASHINGTON UNIVERSITY · PI EVANOFF, BRADLEY A · 2012 to 2016
$2.5M
Electroencephalograph Guidance of Anesthesia to Alleviate Geriatric Syndromes (ENUH2AG050312 · NIA · WASHINGTON UNIVERSITY · PI AVIDAN, MICHAEL SIMON · 2014 to 2014
$483k
NCATS NIH HHS TL1 TR000449NCATS NIH HHS UL1 TR000448NIA NIH HHS UH2 AG050312
6 · The paper itself

Abstract

introductionFalls are increasingly recognised for their ability to herald impending health decline. Despite the likely susceptibility of postsurgical patients to falls, a detailed description of postoperative falls in an unselected surgical population has never been performed. One study suggests that preoperative falls may forecast postoperative complications. However, a larger study with non-selected surgical patients and patient-centred outcomes is needed to provide the generalisability and justification necessary to implement preoperative falls assessment into routine clinical practice. The aims of this study are therefore twofold. First, we aim to describe the main features of postoperative falls in a population of unselected surgical patients. Second, we aim to test the hypothesis that a history of falls in the 6 months prior to surgery predicts postoperative falls, poor quality of life, functional dependence, complications and readmission. METHODS AND ANALYSIS: To achieve these goals, we study adult patients who underwent elective surgery at our academic medical centre and were recruited to participate in a prospective, survey-based cohort study called Systematic Assessment and Targeted Improvement of Services Following Yearlong Surgical Outcomes Surveys (SATISFY-SOS) (NCT02032030). Patients who reported falling in the 6 months prior to surgery will be considered 'exposed.' The primary outcome of interest is postoperative falls within 30 days of surgery. Secondary outcomes include postoperative functional dependence, quality of life (both physical and mental), in-hospital complications and readmission. Regression models will permit controlling for important confounders. ETHICS AND DISSEMINATION: The home institution's Institutional Review Board approved this study (IRB ID number 201505035). The authors will publish the findings, regardless of the results.

Indexed as

fallsfunctional dependencepatient-reported outcomespostoperativepreoperativequality of life

Identifiers

PMID27655260
PMCPMC5051422

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Registered trials

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.