Evidence map›Paper›PMID 32095402›Full record

ArticlePlastic and reconstructive surgery. Global open2020

Operative Time as the Predominant Risk Factor for Transfusion Requirements in Nonsyndromic Craniosynostosis Repair.

Yehuda Chocron, Alain J Azzi, Rafael Galli, Nayif Alnaif, Jeffrey Atkinson, Roy Dudley, Jean-Pierre Farmer, Mirko S Gilardino

Open access · goldAbstract read
In one paragraph

Article in Plastic and reconstructive surgery. Global open, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
2.2field-weighted citation impact, top 13% 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

6 citing papers in PubMed, 16 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

8 authors at 1 institution in 1 country.

Yehuda ChocronDivision of Plastic and Reconstructive Surgery, McGill University, Montreal, Quebec, Canada.
Alain J AzziDivision of Plastic and Reconstructive Surgery, McGill University, Montreal, Quebec, Canada.
Rafael GalliDivision of Plastic and Reconstructive Surgery, McGill University, Montreal, Quebec, Canada.
Nayif AlnaifDivision of Plastic and Reconstructive Surgery, McGill University, Montreal, Quebec, Canada.
Jeffrey AtkinsonDepartment of Neurosurgery, McGill University, Montreal, Quebec, Canada.
Roy DudleyDepartment of Neurosurgery, McGill University, Montreal, Quebec, Canada.
Jean-Pierre FarmerDepartment of Neurosurgery, McGill University, Montreal, Quebec, Canada.
Mirko S GilardinoDivision of Plastic and Reconstructive Surgery, McGill University, Montreal, Quebec, Canada.
McGill University · CA

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Despite recent advances in surgical, anesthetic, and safety protocols in the management of nonsyndromic craniosynostosis (NSC), significant rates of intraoperative blood loss continue to be reported by multiple centers. The purpose of the current study was to examine our center's experience with the surgical correction of NSC in an effort to determine independent risk factors of transfusion requirements.

methodsA retrospective cohort study of patients with NSC undergoing surgical correction at the Montreal Children's Hospital was carried out. Baseline characteristics and perioperative complications were compared between patients receiving and not receiving transfusions and between those receiving a transfusion in excess or <25 cc/kg. Logistic regression analysis was carried out to determine independent predictors of transfusion requirements.

resultsA total of 100 patients met our inclusion criteria with a mean transfusion requirement of 29.6 cc/kg. Eighty-seven patients (87%) required a transfusion, and 45 patients (45%) required a significant (>25 cc/kg) intraoperative transfusion. Regression analysis revealed that increasing length of surgery was the main determinant for intraoperative (

conclusionsOur findings suggest increasing operative time as the predominant risk factor for intraoperative transfusion requirements. We encourage craniofacial surgeons to consider techniques to streamline the delivery of their selected procedure, in an effort to reduce operative time while minimizing the need for transfusion.

Identifiers

PMID32095402
PMCPMC7015599
OpenAlexW3002920093

What OpenQuestion holds

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LicenceCC BY-NC-ND
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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.