Evidence map›Paper›PMID 30674295›Full record

ArticleBMC cancer2019

A comprehensive study of risk factors for post-operative pneumonia following resection of meningioma.

M R Zuo, R F Liang, M Li, Y F Xiang, S X Zhang, Y Yang, X Wang, Q Mao, Y H Liu

Abstract read
In one paragraph

Article in BMC cancer, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
14citing papers in PubMed, 3 pooled it
–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

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3 · Its place in the literature

Who cites it

14 citing papers in PubMed, 3 syntheses or guidelines pooled it.

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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

9 authors.

M R ZuoDepartment of Neurosurgery, West China Hospital, Sichuan University, Cheng Du, 610000, China.
R F LiangDepartment of Neurosurgery, West China Hospital, Sichuan University, Cheng Du, 610000, China.
M LiDepartment of Neurosurgery, West China Hospital, Sichuan University, Cheng Du, 610000, China.
Y F XiangDepartment of Neurosurgery, West China Hospital, Sichuan University, Cheng Du, 610000, China.
S X ZhangDepartment of Neurosurgery, West China Hospital, Sichuan University, Cheng Du, 610000, China.
Y YangDepartment of Neurosurgery, West China Hospital, Sichuan University, Cheng Du, 610000, China.
X WangDepartment of Neurosurgery, West China Hospital, Sichuan University, Cheng Du, 610000, China.
Q MaoDepartment of Neurosurgery, West China Hospital, Sichuan University, Cheng Du, 610000, China.
Y H LiuDepartment of Neurosurgery, West China Hospital, Sichuan University, Cheng Du, 610000, China. yhliu2001@163.com.

Funding

Key Research and Development Project from the Department of Science and Technology of Sichuan Province 2017SZ0006
6 · The paper itself

Abstract

backgroundPost-operative pneumonia (Pop) following meningioma surgery is the dominant systemic complication which could cause serious threats to patients. It is unclear whether hematological biochemical markers are independently associated with the Pop. This study attempted to perform a more comprehensive study of taking both clinical factors and hematological biomarkers into account to promote the management of patients after meningioma surgery.

methodsWe collected clinical and hematological parameters of 1156 patients undergoing meningioma resection from January 2009 to January 2013. According to whether the symptoms of pneumonia had manifested,patients were divided into the Pop group and the Non-Pop group. We analyzed the distinctions of clinical factors between the two groups. We successively performed univariate and multivariate regression analysis to identify risk factors independently associated with the Pop.

results4.4% patients infected with the Pop (51 of 1156). The median age at diagnosis of the Pop patients was significantly older than the Non-Pop group (p = 0.002). There were strike distinctions of post-operative hospital stays between two groups, with 21 days and 7 days each (p < 0.001). On multivariate analysis, tumor relapse (p < 0.001), skull base lesions (p = 0.001), intra-operative blood transfusion (p = 0.018) and cardiovascular diseases (p = 0.001) were linked with increased risk of the Pop following meningioma resection. For hematological biochemical markers, it was the factor of Red blood cell distribution width-standard deviation (RDW-SD) (OR 5.267, 95%CI 1.316, 21.078; p = 0.019) and Neutrophils lymphocytes ratio (NLR) (OR 2.081, 95%CI 1.063, 4.067; p = 0.033) that could appreciably predict the Pop.

conclusionsApart from tumor recurrence, localizations, intra-operative blood transfusion and cardiovascular diseases are independent risk factors for the Pop. We initially found hematological RDW-SD and NLR are also important predictors.

Indexed as

AdultAgedBiomarkersChinaErythrocyte IndicesFemaleHumansLeukocyte CountLymphocytesMaleMeningeal NeoplasmsMeningiomaMiddle AgedNeutrophilsPneumoniaPostoperative ComplicationsBiomarkersHematological indicatorsMeningiomaPost-operative pneumoniaRisk factors

Identifiers

PMID30674295
PMCPMC6345042

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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.