Evidence map›Paper›PMID 28971302›Full record

ArticleJournal of gastrointestinal surgery : official journal of the Society for Surgery of the Alimentary Tract2017

Risk Factors for Postoperative Complications Following Diverting Loop Ileostomy Takedown.

Anuradha R Bhama, Farwa Batool, Stacey D Collins, Jane Ferraro, Robert K Cleary

Abstract read
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In one paragraph

Article in Journal of gastrointestinal surgery : official journal of the Society for Surgery of the Alimentary Tract, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
18citing papers in PubMed, 2 pooled it
1.3field-weighted citation impact, top 18% 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

18 citing papers in PubMed, 2 syntheses or guidelines pooled it, 29 citations in OpenAlex.

  1. Pooled it
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  12. Defining Anastomotic Leak and the Clinical Relevance of Leaks.Clinics in colon and rectal surgery · 2021
    Review
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  15. Article
  16. Article
  17. Journey for patients following ileostomy creation is not straightforward.International journal of colorectal disease · 2019
    Article
  18. Readmission After Elective Ileostomy in Colorectal Surgery Is Predictable.JSLS : Journal of the Society of Laparoendoscopic Surgeons
    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 at 2 institutions in 1 country.

Anuradha R BhamaDivision of Colon and Rectal Surgery, Department of Surgery, St. Joseph Mercy Health System - Ann Arbor, Ann Arbor, MI, 48106, USA. anuradha.bhama@gmail.com.
Farwa BatoolDivision of Colon and Rectal Surgery, Department of Surgery, St. Joseph Mercy Health System - Ann Arbor, Ann Arbor, MI, 48106, USA.
Stacey D CollinsMichigan Surgical Quality Collaborative, University of Michigan, Ann Arbor, MI, 48104, USA.
Jane FerraroDivision of Colon and Rectal Surgery, Department of Surgery, St. Joseph Mercy Health System - Ann Arbor, Ann Arbor, MI, 48106, USA.
Robert K ClearyDivision of Colon and Rectal Surgery, Department of Surgery, St. Joseph Mercy Health System - Ann Arbor, Ann Arbor, MI, 48106, USA.
Mercy Health System · USUniversity of Michigan–Ann Arbor · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionDiverting loop ileostomies are frequently created to divert the fecal stream in an effort to protect downstream anastomoses. These are later reversed to restore intestinal continuity. The goal of this study is to evaluate risk factors for postoperative complications following diverting loop ileostomy takedown. MATERIALS AND

methodsPatients who underwent diverting loop ileostomy takedown between January 1, 2010 and April 28, 2015 were identified in the Michigan Surgical Quality Collaborative registry. Candidate covariates were identified and a hierarchical logistic regression model was used to identify risk factors for postoperative complications.

results1,737 patients met the inclusion criteria. Rates of postoperative complications were generally low. Mean length of stay (LOS) was 5.6 (± 4.5) days. Outcomes of interest were the following: overall morbidity, serious morbidity, extended LOS, SSI, UTI, pneumonia, readmission, reoperation, and mortality. Risk factors for these outcomes included the following: ASA class, bleeding disorder, prolonged operative time, race, tobacco use, gender, steroid use, peripheral vascular disease, weight loss, and functional status.

conclusionsDiverting loop ileostomy takedown has a complication rate of approximately 20%. Higher ASA class, longer operative times, history of bleeding disorder, and functional status were identified as risk factors for most complications.

Indexed as

AdultAgedFemaleHumansIleostomyLength of StayMaleMiddle AgedPatient ReadmissionPneumoniaPostoperative ComplicationsRegistriesReoperationRisk FactorsSurgical Wound InfectionUrinary Tract InfectionsColorectal outcomesDiverting loop ileostomyIleostomyIleostomy reversalPostoperative complications

Identifiers

PMID28971302
OpenAlexW2761512872

What OpenQuestion holds

Textmetadata
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.