Evidence map›Paper›PMID 32661691›Full record

ArticleWorld journal of surgery2020

Prognostic Factors of Preoperative Examinations for Non-occlusive Mesenteric Ischemia: A Multicenter Retrospective Project Study Conducted by the Japanese Society for Abdominal Emergency Medicine.

Shuji Suzuki, Hiroshi Kondo, Akira Furukawa, Kentaro Kawai, Takafumi Yukaya, Takashi Shimazui, Masaji Tani, Masakazu Yamamoto

Abstract readMulticenter Study
PubMed Publisher
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 15 papers.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed
3.5field-weighted citation impact, top 7% 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

15 citing papers in PubMed, 30 citations in OpenAlex.

  1. Article
  2. Article
  3. Nonocclusive Mesenteric Ischemia: A Review for Interventional Radiologists.Interventional radiology (Higashimatsuyama-shi (Japan) · 2025
    Review
  4. Article
  5. Article
  6. Article
  7. Non-Occlusive Mesenteric Ischemia in Cardiac Arrest Patients.Reviews in cardiovascular medicine · 2023
    Review
  8. Article
  9. Article
  10. Article
  11. Article
  12. Observational
  13. Article
  14. Article
  15. 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

8 authors at 8 institutions in 1 country.

Shuji SuzukiDepartment of Gastroenterological Surgery, Ibaraki Medical Center, Tokyo Medical University, 3-20-1 Chuo, Amimachi, Ibaraki, 300-0395, Japan. ssuzuki@tokyo-med.ac.jp.
Hiroshi KondoDepartment of Radiology, Teikyo University Graduate School of Medicine, Tokyo, Japan.
Akira FurukawaDepartment of Radiology, Tokyo Metropolitan University, Tokyo, Japan.
Kentaro KawaiEmergency and Critical Care Medicine, Tokyo Medical University, Tokyo, Japan.
Takafumi YukayaDepartment of Surgery and Science, Graduate School of Medical Sciences, Kyushu University, Fukuoka, Japan.
Takashi ShimazuiDepartment of Emergency and Critical Care Medicine, Chiba University Graduate School of Medicine, Chiba, Japan.
Masaji TaniDepartment of Surgery, Shiga University of Medical Science, Shiga, Japan.
Masakazu YamamotoDepartment of Gastroenterological Surgery, Tokyo Women's Medical University, Tokyo, Japan.
Chiba University · JPKyushu University · JPShiga University of Medical Science · JPTeikyo University · JPTokyo Medical University · JPTokyo Medical University Ibaraki Medical Center · JPTokyo Metropolitan University · JPTokyo Women's Medical University · JP

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundNon-occlusive mesenteric ischemia (NOMI) has a high mortality rate, but the analyses of preoperative prognostic factors for improving survival in patients suspected of having NOMI are scarce. We aimed to analyze the prognostic factors of preoperative examinations for NOMI.

methodsThe clinical data of 224 patients with NOMI were retrospectively collected for a multicenter survey. Clinicophysiological factors were compared between the survivors and non-survivors (N = 107/117) and between the operative and non-operative cases (N = 180/44) by univariate analysis using chi-square test and multivariate analysis using Cox proportional hazard models. In the operative cases, the prognostic operative factors were also analyzed.

resultsThe overall mortality rate for NOMI was 52.2%. There were 129 male and 95 female patients. The mean age was 71.23 (14-94) years. Univariate analysis showed that cardiovascular complication, shock, abdominal pain, average blood pressure, systemic inflammatory response syndrome, aspartic aminotransferase, alanine transaminase, creatine phosphokinase, lactate dehydrogenase, base excess, prothrombin time-international normalized ratio, D-dimer, and fibrinogen degradation products were independent prognostic factors. Multivariate analysis showed that average blood pressure and base excess were independent prognostic factors. Among patients undergoing surgery, those with bowel resection had better prognosis than those without bowel resection, but those with long bowel resection had worse prognosis than those with short resection. Additional postoperative treatment was not effective compared with operation alone (P = 0.011).

conclusionsPrognostic factors of preoperative examinations for NOMI were average blood pressure and base excess. Patients with long bowel resection should be carefully monitored owing to their poor prognosis.

Indexed as

Mesenteric IschemiaPreoperative CareAdolescentAdultAgedAged, 80 and overEmergency MedicineFemaleHumansJapanMaleMiddle AgedPrognosisRetrospective StudiesSocieties, MedicalYoung Adult

Identifiers

PMID32661691
OpenAlexW3043418166

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Registered trials

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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.