Evidence map›Paper›PMID 30828616›Full record

ArticleLaryngoscope investigative otolaryngology2019

Population-based study of congenital heart disease and revisits after pediatric tonsillectomy.

Rebecca Miller, Dmitry Tumin, Christopher McKee, Vidya T Raman, Joseph D Tobias, Jennifer N Cooper

Abstract read
In one paragraph

Article in Laryngoscope investigative otolaryngology, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed, 1 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

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

2 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. 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

6 authors.

Rebecca MillerDepartment of Anesthesiology and Pain Medicine Nationwide Children's Hospital Columbus Ohio.ORCID https://orcid.org/0000-0001-9629-4848
Dmitry TuminDepartment of Anesthesiology and Pain Medicine Nationwide Children's Hospital Columbus Ohio.ORCID https://orcid.org/0000-0002-9180-7656
Christopher McKeeDepartment of Anesthesiology and Pain Medicine Nationwide Children's Hospital Columbus Ohio.
Vidya T RamanDepartment of Anesthesiology and Pain Medicine Nationwide Children's Hospital Columbus Ohio.
Joseph D TobiasDepartment of Anesthesiology and Pain Medicine Nationwide Children's Hospital Columbus Ohio.
Jennifer N CooperThe Research Institute Nationwide Children's Hospital Columbus Ohio.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveAccurate assessment of risk factors such as congenital heart disease (CHD) can aid in risk stratification of children presenting for surgery. Risk stratification is especially important in tonsillectomy ± adenoidectomy (T/A), a common pediatric procedure that is usually performed electively, but that has a high rate of adverse events. In this study, we examined the association of CHD with revisits after T/A.

methodsWe identified children who underwent T/A at hospitals and hospital-owned facilities during 2010 to 2014 using the State Inpatient Databases and State Ambulatory Surgery and Services Databases of Florida, Georgia, Iowa, New York, and Utah. We evaluated the association between CHD severity and the occurrence of an unplanned hospital readmission or ED visit within 30 days following discharge using multivariable logistic regression.

resultsThe analysis included 244,598 patients, of whom 858 had minor or major CHD. In multivariable analysis, CHD was not associated with an increased risk of 30-day revisits (minor OR = 1.1; 95% CI: 0.8, 1.5;

conclusionNeither minor nor major CHD was independently associated with an increased risk of 30-day revisits among children undergoing T/A. Other characteristics, particularly non-cardiac comorbidities, socioeconomic status, and geographic region may be of greater utility for predicting revisit risk following pediatric T/A. LEVEL OF EVIDENCE: 2b.

Indexed as

Congenital heart diseaserisk stratificationtonsillectomy

Identifiers

PMID30828616
PMCPMC6383313

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Registered trials

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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.