Evidence map›Paper›PMID 29018814›Full record

ArticleBioMed research international2017

The Impact of Frailty on Morbidity and Mortality following Open Emergent Colectomies.

Dominick V Congiusta, Prashanth Palvannan, Aziz M Merchant

Open access · hybridAbstract read
In one paragraph

Article in BioMed research international, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed
1.8field-weighted citation impact, top 17% 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

8 citing papers in PubMed, 27 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

3 authors at 1 institution in 1 country.

Dominick V CongiustaNew Jersey Medical School, Department of Surgery, Rutgers Biomedical and Health Sciences, Newark, NJ, USA.
Prashanth PalvannanNew Jersey Medical School, Department of Surgery, Rutgers Biomedical and Health Sciences, Newark, NJ, USA.
Aziz M MerchantNew Jersey Medical School, Department of Surgery, Rutgers Biomedical and Health Sciences, Newark, NJ, USA.ORCID 0000-0003-1091-938X
Rutgers, The State University of New Jersey · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundElderly and frail patients undergo open emergency colectomies and are at greater risk for complications. The relationship between frailty and open emergent colectomies is yet unexplored.

objectiveThe purpose of this study was to evaluate the relationship between frailty and outcomes after open emergent colorectal surgery.

designUsing the American College of Surgeons National Quality Improvement Program database, a validated modified frailty index was used, along with logistic regression, to assess the relationship between frailty and outcomes.

main outcome measuresOutcomes included mortality (primary), Clavien-Dindo Complication Grade >3, reintubation, ventilator >48 hours, and reoperation (secondary).

resultsThe rates for 30-day mortality, Clavien-Dindo Grade >3, reintubation, ventilator > 48 hours, and reoperation in our cohort were 16.6%, 36.9%, 8.6%, 23.9%, and 15.0%, respectively. There was a statistically significant increase in prevalence of all outcomes with increasing frailty. LIMITATIONS: A causal relationship between frailty and complications cannot be established in a retrospective analysis. Also, extrapolation of our data to reflect outcomes beyond 30 days must be done with caution.

conclusionsFrailty is a statistically significant predictor of mortality and morbidity after open emergent colectomies and can be used in an acute care setting.

Indexed as

AdultAgedAged, 80 and overColectomyDatabases, FactualFemaleFrail ElderlyFrailtyHumansLogistic ModelsMaleMiddle AgedPostoperative ComplicationsReoperationRetrospective StudiesRisk Assessment

Identifiers

PMID29018814
PMCPMC5606101
OpenAlexW2752526399

What OpenQuestion holds

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LicenceCC BY
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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.