Evidence map›Paper›PMID 29044303›Full record

ArticleRevista Brasileira de terapia intensiva

Immediate postoperative of bariatric surgery in the intensive care unit versus an inpatient unit. A retrospective study with 828 patients.

Guilherme Loures de Araújo Penna, Igor Pedreira Vaz, Eduardo Côrtes Fonseca, Marcelo Kalichsztein, Gustavo Freitas Nobre

Abstract readComparative Study
In one paragraph

Article in Revista Brasileira de terapia intensiva. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–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.

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

1 citing paper in PubMed.

  1. 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.

Guilherme Loures de Araújo PennaUnidade de Terapia Intensiva, Casa de Saúde São José - Rio de Janeiro (RJ), Brasil.
Igor Pedreira VazUnidade de Terapia Intensiva, Casa de Saúde São José - Rio de Janeiro (RJ), Brasil.
Eduardo Côrtes FonsecaUnidade de Terapia Intensiva, Casa de Saúde São José - Rio de Janeiro (RJ), Brasil.
Marcelo KalichszteinUnidade de Terapia Intensiva, Casa de Saúde São José - Rio de Janeiro (RJ), Brasil.
Gustavo Freitas NobreUnidade de Terapia Intensiva, Casa de Saúde São José - Rio de Janeiro (RJ), Brasil.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo compare the incidence of complications and the duration of hospitalization of patients undergoing bariatric surgery admitted to the intensive care unit or a post-surgical hospitalization unit.

methodsThis retrospective observational study included 828 patients admitted between January 2010 and February 2015 during the immediate postoperative period of bariatric surgery in a hospital. Data were collected via electronic medical records. The Mann-Whitney test was used to compare continuous variables, and the chi-square was used to compare categorical variables.

resultsPatients in both groups had similar demographic characteristics, with no significant differences in anthropometric data and comorbidities. There was no significant difference in the comparison of complications between the two groups. However, the group admitted to the intensive care unit had longer hospitalization times (median of 3 days versus 2 days, p < 0.05), and hospital costs were 8% higher.

conclusionThe present study found no benefit in the routine admittance of patients to the intensive care unit after undergoing bariatric surgery. This practice increased hospitalization time and hospital costs, which wasted resources. It is necessary to create objective criteria to identify patients requiring intensive care unit admission after bariatric surgery.

Indexed as

AdolescentAdultAgedBariatric SurgeryFemaleHospital CostsHospitalizationHumansIncidenceIntensive Care UnitsLength of StayMaleMiddle AgedPostoperative ComplicationsRetrospective StudiesStatistics, Nonparametric

Identifiers

PMID29044303
PMCPMC5632975

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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.