Evidence map›Paper›PMID 29085880›Full record

ArticleSurgery research and practice2017

Vacuum-Assisted Abdominal Closure Is Safe and Effective: A Cohort Study in 74 Consecutive Patients.

R O Jensen, T Buchbjerg, R M Simonsen, R Eckardt, N Qvist

Registry-linked trialOpen access · hybridAbstract read
In one paragraph

Article in Surgery research and practice, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT04986943 (Use of the ABTHERA ADVANCE™ Open Abdomen Dressing in Patients With Necrotizing Pancreatitis), which is not on this map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
0.4field-weighted citation impact, top 32% 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.

NCT04986943 completednot on this mapstarted 2020, after this paper: background citation

Use of the ABTHERA ADVANCE™ Open Abdomen Dressing in Patients With Necrotizing Pancreatitis

TypeobservationalSponsorWake Forest University Health SciencesRan2020 to 2023Enrolled3ConditionsNecrotizing PancreatitisArmsUsing ABTHERA Advance without a Wittmann Patch
3 · Its place in the literature

Who cites it

1 citing paper in PubMed, 7 citations in OpenAlex.

  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 at 1 institution in 1 country.

R O JensenDepartment of Surgery, OUH, Sdr. Boulevard 29, 5000 Odense C, Denmark.ORCID 0000-0001-8733-6938
T BuchbjergDepartment of Surgery, OUH, Sdr. Boulevard 29, 5000 Odense C, Denmark.ORCID 0000-0003-0636-5812
R M SimonsenDepartment of Surgery, OUH, Sdr. Boulevard 29, 5000 Odense C, Denmark.ORCID 0000-0002-3191-2323
R EckardtDepartment of Surgery, OUH, Sdr. Boulevard 29, 5000 Odense C, Denmark.
N QvistDepartment of Surgery, OUH, Sdr. Boulevard 29, 5000 Odense C, Denmark.
Odense University Hospital · DK

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundVacuum-assisted closure (VAC) has, in many instances, become the treatment of choice in patients with abdominal catastrophes. This study describes the use and outcome of ABThera KCI® VAC in the Region Southern Denmark covering a population of approximately 1.202 mill inhabitants.

methodA prospective multicenter study including all patients treated with VAC during an eleven-month period.

resultsA total of 74 consecutive patients were included. Median age was 64.4 (9-89) years, 64% were men, and median body mass index was 25 (17-42). Duration of VAC treatment was median 4.5 (0-39) days with median 1 (0-16) dressing changes. Seventy per cent of the patients attended the intensive care unit. The 90-day mortality was 15%. A secondary closure of the fascia was obtained in 84% of the surviving patients. Only one patient developed an enteroatmospheric fistula. Patients with secondary closure were less likely to develop large hernias and had better self-evaluated physical health score (

conclusionThe abdominal VAC treatment in patients with abdominal catastrophes is safe and with a relative low complication rate. Whether it might be superior to conventional treatment with primary closure when possible has yet to be proven in a randomized study.

Identifiers

PMID29085880
PMCPMC5612310
OpenAlexW2754470127

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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.