Evidence map›Paper›PMID 31605181›Full record

ArticleWorld journal of surgery2020

Risk Factors Associated with In-Hospital Mortality for Patients with Acute Abdomen After Cardiac Surgery.

I Djordjevic, K Eghbalzadeh, S Heinen, G Schlachtenberger, S Gerfer, A Sabashnikov, J Merkle, C Weber, E Kuhn, M Zeriouh and 4 more

Abstract read
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In one paragraph

Article in World journal of surgery, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
0.3field-weighted citation impact, top 35% 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

1 citing paper in PubMed, 4 citations in OpenAlex.

  1. 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

14 authors at 2 institutions in 2 countries.

I DjordjevicDepartment of Cardiothoracic Surgery, University Hospital Cologne, Kerpener Str. 62, 50937, Cologne, Germany. ilija.djordjevic@uk-koeln.de.ORCID 0000-0002-5810-8626
K EghbalzadehDepartment of Cardiothoracic Surgery, University Hospital Cologne, Kerpener Str. 62, 50937, Cologne, Germany.
S HeinenDepartment of Cardiac Surgery, INCCI Heart Centre, Luxembourg, Luxembourg.
G SchlachtenbergerDepartment of Cardiothoracic Surgery, University Hospital Cologne, Kerpener Str. 62, 50937, Cologne, Germany.
S GerferDepartment of Cardiothoracic Surgery, University Hospital Cologne, Kerpener Str. 62, 50937, Cologne, Germany.
A SabashnikovDepartment of Cardiothoracic Surgery, University Hospital Cologne, Kerpener Str. 62, 50937, Cologne, Germany.
J MerkleDepartment of Cardiothoracic Surgery, University Hospital Cologne, Kerpener Str. 62, 50937, Cologne, Germany.
C WeberDepartment of Cardiothoracic Surgery, University Hospital Cologne, Kerpener Str. 62, 50937, Cologne, Germany.
E KuhnDepartment of Cardiothoracic Surgery, University Hospital Cologne, Kerpener Str. 62, 50937, Cologne, Germany.
M ZeriouhDepartment of Cardiothoracic Surgery, University Hospital Cologne, Kerpener Str. 62, 50937, Cologne, Germany.
P RahmanianDepartment of Cardiothoracic Surgery, University Hospital Cologne, Kerpener Str. 62, 50937, Cologne, Germany.
N MaderDepartment of Cardiothoracic Surgery, University Hospital Cologne, Kerpener Str. 62, 50937, Cologne, Germany.
O-J LiakopoulosDepartment of Cardiothoracic Surgery, University Hospital Cologne, Kerpener Str. 62, 50937, Cologne, Germany.
T WahlersDepartment of Cardiothoracic Surgery, University Hospital Cologne, Kerpener Str. 62, 50937, Cologne, Germany.
University Hospital Cologne · DECentre Hospitalier de Luxembourg · LU

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesManagement of acute abdomen (AA) differs due to the heterogeneity of underlying pathophysiology. Complications of AA and its overall outcome after cardiac surgery are known to be associated with poor results. The aim of this retrospective analysis was to evaluate risk factors for AA in patients undergoing cardiac surgery.

methodsBetween December 2011 and December 2014, a total of 131 patients with AA after cardiac surgery were identified and retrospectively analyzed using our institutional database. Statistical analysis of risk factors concerning in-hospital mortality of mentioned patient cohort was performed using IBM SPSS Statistics.

resultsOverall in-hospital mortality was 54.2% (71/131). Analyzing in-hospital non-survivors (NS) versus in-hospital survivors (S) peripheral artery disease (28.2% vs. 11.7%; p = 0.03), the need for assist device therapy (33.8% vs. 16.7%; p = 0.03) and the requirement of hemodialysis (67.6% vs. 23.3%; p < 0.01) were significantly higher in NS. Furthermore, lactic acid values at onset of symptoms were shown to be significantly higher in NS (5.7 ± 5.7 mmol/L vs. 2.8 ± 2.9 mmol/L; p < 0.01). Assured diagnosis of mesenterial ischemia was strongly associated with worse outcome (odds ratio 10.800, 95% confidence interval 2.003-58.224; p = 0.006).

conclusionIn conclusion, in critically ill patients after performed cardiac surgery peripheral vascular disease, need for supportive hemodynamic assist device systems and occurrence of renal failure are risk factors associated with worsen outcome. Additionally, rise of lactic acid could potentially be associated with onset of intestinal malperfusion and should be taken into account in therapeutic decisions preventing fatal mesenterial ischemia.

Indexed as

Hospital MortalityAbdomen, AcuteAgedAged, 80 and overCardiac Surgical ProceduresFemaleHumansLactic AcidMaleMiddle AgedRetrospective StudiesRisk FactorsLactic Acid

Identifiers

PMID31605181
OpenAlexW2979877391

What OpenQuestion holds

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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.