Evidence map›Paper›PMID 29808261›Full record

ArticleJournal of anesthesia2018

Dependent functional status is associated with unplanned postoperative intubation after elective cervical spine surgery: a national registry analysis.

Brittany N Burton, Timothy C Lin, Alison M A'Court, Ulrich H Schmidt, Rodney A Gabriel

Abstract read
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In one paragraph

Article in Journal of anesthesia, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
0.5field-weighted citation impact, top 33% 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

4 citing papers in PubMed, 8 citations in OpenAlex.

  1. Risks for prolonged mechanical ventilation and reintubation after cervical malignant tumor surgery: a nested case-control study.European spine journal : official publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society · 2024
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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

5 authors at 1 institution in 1 country.

Brittany N BurtonDepartment of Anesthesiology, University of California, San Diego, 9500 Gilman Dr, MC 0881, La Jolla, San Diego, CA, 92093-0881, USA.
Timothy C LinDepartment of Anesthesiology, University of California, San Diego, 9500 Gilman Dr, MC 0881, La Jolla, San Diego, CA, 92093-0881, USA.
Alison M A'CourtDepartment of Anesthesiology, University of California, San Diego, 9500 Gilman Dr, MC 0881, La Jolla, San Diego, CA, 92093-0881, USA.
Ulrich H SchmidtDepartment of Anesthesiology, University of California, San Diego, 9500 Gilman Dr, MC 0881, La Jolla, San Diego, CA, 92093-0881, USA.
Rodney A GabrielDepartment of Anesthesiology, University of California, San Diego, 9500 Gilman Dr, MC 0881, La Jolla, San Diego, CA, 92093-0881, USA. ragabriel@ucsd.edu.
University of California, San Diego · US

Funding

UC San Diego Clinical and Translational Research InstituteTL1TR001443 · NCATS · UNIVERSITY OF CALIFORNIA, SAN DIEGO · PI DEPP, COLIN A. · 2015 to 2019
$3.4M
San Diego Clinical and Translational Research InstituteTL1TR000098 · NCATS · UNIVERSITY OF CALIFORNIA, SAN DIEGO · PI FIRESTEIN, GARY S · 2012 to 2014
$860k
NCATS NIH HHS TL1TR00098NCATS NIH HHS TL1TR001443
6 · The paper itself

Abstract

purposeThe impact of preoperative functional status on 30-day unplanned postoperative intubation and clinical outcomes among patients who underwent cervical spine surgery is not well-described. We hypothesized that functional dependence is associated with 30-day unplanned postoperative intubation and that among the reintubated cohort, functional dependence is associated with adverse postoperative clinical outcomes after cervical spine surgery.

methodsUtilizing the 2007-2016 American College of Surgeons National Surgical Quality Improvement Program database, we identified adult elective anterior and posterior cervical spine surgery patients by Current Procedural Terminology codes. We performed (1) a Cox Proportional Hazard analysis for the following outcomes: reintubation, prolonged ventilator use, and pneumonia and (2) an adjusted logistic regression analysis among patients that required postoperative reintubation to evaluate the association of functional status with adverse postoperative outcomes.

resultsThe sample size was 26,263, of which 550 (2.1%) were functionally dependent. The adjusted model suggested that when compared with functionally independent patients, dependent patients were at increased risk of unplanned 30-day intubation (HR 2.05, 95% CI 1.26-3.34; P = 0.003). The adjusted risk of 30-day postoperative pneumonia was significantly higher in patients with functional dependence (HR 1.61, 95% CI 1.02-2.54, P = 0.036). Among patients that required postoperative reintubation, the odds of 30-day mortality was significantly higher in patients with functional dependence (OR 5.82, 95% CI 1.59-23.4, P < 0.001).

conclusionPreoperative functional dependence is a good marker for estimating postoperative unplanned intubation following cervical spine surgery.

Indexed as

AgedCervical VertebraeDatabases, FactualElective Surgical ProceduresFemaleHumansIntubation, IntratrachealMaleMiddle AgedPneumoniaPostoperative ComplicationsPostoperative PeriodRegistriesRetrospective StudiesRisk FactorsCervical spine surgeryFunctional statusPulmonary complicationsReintubation

Identifiers

PMID29808261
OpenAlexW2806817231

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.