Evidence map›Paper›PMID 31552437›Full record

Observational studyEuropean journal of trauma and emergency surgery : official publication of the European Trauma Society2021

Digital replantation/revascularization: predictive factors to microsurgery success-a single-center study.

Ana Tejedor Navarro, Marina Vendrell Jordà, Carlos Puente Alonso

Registry-linked trialAbstract readObservational Study
PubMed Publisher
In one paragraph

Observational study in European journal of trauma and emergency surgery : official publication of the European Trauma Society, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT05155735 (Functional Outcomes of Single Digit Replantation Versus Revision Amputation, a Prospective Study), which is not on this map. Cited by 11 papers.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed
–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.

NCT05155735 unknown statusnot on this mapstarted 2023, after this paper: background citation

Functional Outcomes of Single Digit Replantation Versus Revision Amputation, a Prospective Study

TypeobservationalSponsorCentre hospitalier de l'Université de Montréal (CHUM)Ran2023 to 2024Enrolled30ConditionsAmputation, Traumatic, HandArmsReplantation, Primary wound closure
3 · Its place in the literature

Who cites it

11 citing papers in PubMed.

  1. Article
  2. Article
  3. Article
  4. Article
  5. Article
  6. Article
  7. Replantation of digit-tip amputation caused by crush injuries with supermicrosurgery technique.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2024
    Article
  8. Success Rates of Finger Revascularization and Replantation.Plastic and reconstructive surgery. Global open · 2024
    Article
  9. A comparative study of digital nerve and digital arterial repairs performed using running versus interrupted suture techniques in finger replantations.Ulusal travma ve acil cerrahi dergisi = Turkish journal of trauma & emergency surgery : TJTES · 2023
    Article
  10. Article
  11. 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

3 authors.

Ana Tejedor NavarroAnesthesiology Department, Hospital Parc Taulí, C/Parc del Taulí, 1, 08208, Barcelona, Spain. ana.tejedor@hotmail.com.ORCID http://orcid.org/0000-0002-5787-2454
Marina Vendrell JordàAnesthesiology Department, Hospital Clínic Barcelona, C/Carrer Villarroel, 170, 08036, Barcelona, Spain.
Carlos Puente AlonsoTrauma Department, Hospital Parc Taulí, C/Parc del Taulí, 1, 08208, Barcelona, Spain.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeSuccess rate in replantation/revascularization digital surgery is one of the challenges of reconstructive surgery. For this reason, investigating prognostic factors for survival and improvement of outcomes is highly relevant. The goal of this study was to establish predictive factors of survival in replantation/revascularization digital surgery.

methodsA descriptive, retrospective study was performed in patients who underwent urgent replantation/revascularization digital surgery in our center between January 2007 and July 2017. A total of 116 patients and 157 digits were included. Outcome (survival) factors evaluated were: preoperatively: age, sex, body mass index (BMI), ASA anesthesia score, comorbidities (smoking status, diabetes mellitus, hypertension), coagulation, type of lesion, number of affected digits, position of affected digits, injury mechanism, ischemia time; time between accident and the surgery; intraoperatively: anesthetic technique, fluid therapy (administered volume), length of surgery; and postoperatively: post-surgical complications, re-intervention requirements, surgical success rate. Statistical analysis was performed to evaluate outcome and elicit predictive factors.

results157 digits from a total of 116 patients were included. Statistically significant differences regarding predictors of survival of replantation were found in ischemia time (0 0.003), length of surgery (p 0.004), post-surgical complications (p 0.000) and replantation need (p 0.000). The rest of analyzed variables were not statistically significant (p > 0.05). Revascularization surgery had a greater success rate than replantation (p 0.001).

conclusionsSuccess rate in traumatic digital surgery is greater when revascularization surgery is performed, rather than replantation. Preoperative ischemia time, length of surgery, postoperative complications and re-intervention requirement are the factors that affect survival rate.

Indexed as

AdultFemaleFinger InjuriesGraft SurvivalHumansMaleMicrosurgeryMiddle AgedOperative TimePostoperative ComplicationsPrognosisReplantationRetrospective StudiesRisk FactorsVascular Surgical ProceduresAmputationDigitReplantationRevascularizationSurvival rate

Identifiers

What OpenQuestion holds

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Read underepoch 390

Registered trials

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.