Evidence map›Paper›PMID 31276518›Full record

ArticlePloS one2019

Risk factors for postoperative meningitis after microsurgery for vestibular schwannoma.

Bowen Huang, Yanming Ren, Chenghong Wang, Zhigang Lan, Xuhui Hui, Wenke Liu, Yuekang Zhang

Erratum issuedOpen access · goldAbstract read
In one paragraph

Article in PloS one, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 8 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed, 1 pooled it
0.8field-weighted citation impact, top 26% 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

8 citing papers in PubMed, 1 synthesis or guideline pooled it, 18 citations in OpenAlex.

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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

7 authors at 2 institutions in 1 country.

Bowen HuangDepartment of Neurosurgery, West China Hospital, Sichuan University, Chengdu, Sichuan, PR China.
Yanming RenDepartment of Neurosurgery, West China Hospital, Sichuan University, Chengdu, Sichuan, PR China.
Chenghong WangDepartment of Neurosurgery, West China Hospital, Sichuan University, Chengdu, Sichuan, PR China.
Zhigang LanDepartment of Neurosurgery, West China Hospital, Sichuan University, Chengdu, Sichuan, PR China.
Xuhui HuiDepartment of Neurosurgery, West China Hospital, Sichuan University, Chengdu, Sichuan, PR China.
Wenke LiuDepartment of Neurosurgery, West China Hospital, Sichuan University, Chengdu, Sichuan, PR China.
Yuekang ZhangDepartment of Neurosurgery, West China Hospital, Sichuan University, Chengdu, Sichuan, PR China.
West China Hospital of Sichuan University · CNSichuan University · CN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveMeningitis after microsurgery for vestibular schwannoma (VS) is a severe complication that results in high morbidity. However, few studies have focused on meningitis after VS surgery. The purpose of this study was to identify the risk factors for meningitis after VS surgery.

methodsWe performed a retrospective analysis of all VS patients who underwent microsurgery and survived for at least 7 days after surgery, between 1 June 2015 and 30 November 2018 at West China Hospital of Sichuan University. Univariate and multivariate analyses were performed to identify the risk factors for postoperative meningitis (POM).

resultsWe enrolled 410 patients, 27 of whom had POM. Through univariate analysis, the factors of hydrocephalus (p = 0.018), Koos grade IV (p = 0.04), operative duration > 3 hours (p = 0.03) and intraoperative bleeding volume ≥400 ml (p = 0. 02) were significantly correlated with POM. The multivariate analysis showed that Koos grade IV (p = 0.04; OR = 3.19; 95% CI 1.032-3.190), operation duration > 3 hours (p = 0.03; OR = 7.927; 95% CI 1.043-60.265), and intraoperative bleeding volume ≥ 400 ml (p = 0.02; OR = 2.551; 95% CI 1.112-5.850) were the independent influencing factors of POM.

conclusionsKoos grade IV, operation duration > 3 hours, and intraoperative blood loss ≥ 400 ml were identified as independent risk factors for POM after microsurgery for VS. POM also caused a prolonged hospital stay.

Indexed as

Blood Loss, SurgicalMagnetic Resonance ImagingMeningitisNeuroma, AcousticPostoperative ComplicationsAdolescentAdultAgedFemaleHumansMaleMicrosurgeryMiddle AgedRetrospective StudiesRisk FactorsTime Factors

Identifiers

PMID31276518
PMCPMC6611559
OpenAlexW2956034420

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LicenceCC BY
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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.