Evidence map›Paper›PMID 32002431›Full record

ArticleJournal of education and health promotion2019

Effect of orthopedic surgery delay and counseling on postoperative complications and mortality rate in patients aged over 55 years in a teaching hospital.

Ladan Ghadami, Seyed Amir Mahlisha Kazemi Shishvan, Arash Shirdel, Abolfazl Dorost, Abbas Homauni, Nayereh Sadat Rohollahi, Arash Jafarieh

Open access · goldAbstract read
In one paragraph

Article in Journal of education and health promotion, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
0.4field-weighted citation impact, top 31% 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

2 citing papers in PubMed, 6 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 1 country.

Ladan GhadamiDepartment of Health Care Management, South Tehran Branch, Islamic Azad University, Tehran, Iran.
Seyed Amir Mahlisha Kazemi ShishvanDepartment of Orthopedic, Shariati Hospital, Tehran University of Medical Sciences, Tehran, Iran.
Arash ShirdelDepartment of Health Economics and Management, School of Public Health, Tehran University of Medical Sciences, Tehran, Iran.
Abolfazl DorostDepartment of Health Economics and Management, School of Public Health, Tehran University of Medical Sciences, Tehran, Iran.
Abbas HomauniDepartment of Health Economics and Management, School of Public Health, Tehran University of Medical Sciences, Tehran, Iran.
Nayereh Sadat RohollahiDepartment of Anesthesia and Operating Room Technology, School of Allied Medical, Tehran University of Medical Sciences, Tehran, Iran.
Arash JafariehDepartment of Anesthesia, Amir Alam Hospital, Tehran University of Medical Sciences, Tehran, Iran.
Tehran University of Medical Sciences · IRIslamic Azad University South Tehran Branch · IRShariati Hospital · IR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

aimThe purpose of this study was to investigate the effects of delay in the operation and counseling on postoperative complications and mortality rates in elderly patients. METHODOLOGY: The present study was a descriptive cross-sectional research. Population of this study was the entire elderly hospitalized patients who aged over 55 years for emergency orthopedic surgeries in a teaching hospital in Tehran. Surgery delays were then determined after examining the checklists, and the relationship between the variables and surgery delays, number of preoperative counseling, complications, and mortality rate was evaluated. Data were analyzed using the Mann-Whitney U-test and Pearson correlation coefficient in SPSS 18 at a 0.05 significance level.

resultsOverall, 89.9% of the patients had counseling. The average hospitalization days were 5 days until surgery, and the standard deviation was 0.50. The mean counseling number was 5.5. The relationship between number of counseling and surgical delays was significant. Delay in surgery in this age group, mortality, and the chances of death have become 2.7 times more than who had not a surgical delay. No significant relationship was observed between surgery delay and the incidence of Deep Venous Thrombosis (

conclusionsThe delay in surgery in the elderly causes an increase in mortality. Considering the findings of this study and the importance of emergency orthopedic surgeries in the elderly, to reduce the surgical delays and the mortality rate in the elderly, the establishment of a surgical team for elderly patients in hospitals is recommended.

Indexed as

Complicationsconsultationelderlymortalityorthopedic surgery

Identifiers

PMID32002431
PMCPMC6967122
OpenAlexW3013726613

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-SA
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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.