Evidence map›Paper›PMID 31528457›Full record

ArticleSurgical neurology international2019

Risk factors for postoperative spinal infection: A retrospective analysis of 5065 cases.

Matt El-Kadi, Erin Donovan, Laurel Kerr, Coby Cunningham, Victor Osio, Samah Abdallah, Joseph Kazan

Open access · hybridAbstract read
In one paragraph

Article in Surgical neurology international, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed
1.8field-weighted citation impact, top 15% 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

7 citing papers in PubMed, 20 citations in OpenAlex.

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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

7 authors at 3 institutions in 2 countries.

Matt El-KadiDepartment of Neurosurgery, UPMC, Pittsburgh, PA.
Erin DonovanDepartment of Neurosurgery, UPMC, Pittsburgh, PA.
Laurel KerrDepartment of Neurosurgery, UPMC, Pittsburgh, PA.
Coby CunninghamSchool of Medicine, Drexel University, Philadelphia, PA, United States.
Victor OsioDepartment of Biology, John Hopkins University, Gibsonia, PA, United States.
Samah AbdallahDepartment of Medical School, University of Balamand, Al Kurah.
Joseph KazanSchool of Medicine, American University Beirut, Beirut, Lebanon.
UPMC Health System · USDrexel University · USUniversity of Balamand · LB

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundMultiple factors increase the risk for spinal surgical site infection (SSI): prior SSI, obesity, diabetes mellitus, advanced age, American Society of Anesthesiologists class, alcohol abuse, low prealbumin levels, smoking, history of cancer, chronic steroids, immunosuppressive drugs, rheumatoid arthritis, and hypothyroidism.

methodsHere, we performed a retrospective medical record review at one facility involving 5065 patients from 2010 to 2015. In 2011, there was an increase in the infection rate (1.07%) which prompted this analysis, resulting in the subsequent introduction of a protocol to reduce the infection risk.

resultsThe overall infection rate in this series was 0.59%. The lowest infection rate was 0.00% for anterior cervical discectomy and fusion. The highest rate of infections occurred among patients undergoing posterior cervical fusions, lumbar fusions, and tumor resections. Higher infection rates were also correlated with diabetes mellitus, obesity, and increased surgical time.

conclusionsSince 2011, we instituted a protocol to limit the risks of spinal SSIs, particularly for patients exhibiting increased medical comorbidities.

Indexed as

InfectionRisk factorsSpine surgerySurgical site infection

Identifiers

PMID31528457
PMCPMC6744732
OpenAlexW2969395550

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-SA
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.