Evidence map›Paper›PMID 32728981›Full record

SynthesisUpdates in surgery2021

Predictors of bowel necrosis in patients with acute mesenteric ischemia: systematic review and meta-analysis.

Sameh Hany Emile, Sualeh Muslim Khan, Samer Hani Barsoum

Erratum issuedAbstract readMeta-AnalysisSystematic Review
PubMed Publisher
In one paragraph

Synthesis in Updates in surgery, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 16 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed, 1 pooled it
3.9field-weighted citation impact, top 6% 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

16 citing papers in PubMed, 1 synthesis or guideline pooled it, 30 citations in OpenAlex.

  1. Pooled it
  2. Review
  3. Article
  4. Computed Tomography Parameters for Prognosis Prediction in Non-Occlusive Mesenteric Ischemia.Medical science monitor : international medical journal of experimental and clinical research · 2024
    Article
  5. Article
  6. Review
  7. Outcome of laparotomy and conservative treatment of patients with acute mesenteric venous ischemia with viable bowel.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2023
    Article
  8. Article
  9. Article
  10. Article
  11. Review
  12. Article
  13. Article
  14. Article
  15. Acute Mesenteric Ischemia: A Challenge for the Acute Care Surgeon.Scandinavian journal of surgery : SJS : official organ for the Finnish Surgical Society and the Scandinavian Surgical Society · 2021
    Review
  16. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

3 authors at 2 institutions in 2 countries.

Sameh Hany EmileGeneral Surgery Department, Mansoura University Hospitals, Mansoura University, PO: 35516, Mansoura, Egypt. Sameh200@hotmail.com.ORCID http://orcid.org/0000-0001-7854-5244
Sualeh Muslim KhanDow Medical College, Dow University of Health Sciences, Karachi, Pakistan.
Samer Hani BarsoumGeneral Surgery Department, Mansoura University Hospitals, Mansoura University, PO: 35516, Mansoura, Egypt.
Mansoura University · EGDow University of Health Sciences · PK

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Acute mesenteric ischemia (AMI) is a serious medical condition that can progress to transmural bowel necrosis. Prediction of the onset of bowel necrosis in AMI is crucial to justify surgical intervention before more severe consequences supervene. This systematic review aimed to identify the significant predictors of bowel necrosis in AMI in the current literature. In adherence to the PRISMA guidelines, electronic databases were searched for studies that reported significant independent predictors of bowel necrosis in AMI. The quality of the studies was assessed with MINORS score. The main outcomes of the review were the incidence and predictors of bowel necrosis in patients with AMI and the mortality rate. This systematic review comprised nine articles that included 963 patients of a median age of 57 years. Irreversible bowel necrosis was found in 402 (41.7%) patients. The significant predictors of bowel necrosis were subdivided into eight clinical, seven biochemical, and six radiologic parameters. Eight parameters were reported by two or more studies, whereas 13 were reported by a single study. Based on the weight and odds ratio of the predictive parameters, a prognostic scoring system, Emile-Khan Score, was proposed. Several clinical, biochemical, and radiologic predictors of bowel necrosis were reported in the literature. Pooling of odds ratios was feasible for eight factors that were reported by more than one study. Further studies are needed to ascertain the utility of the other predictive factors.Level of evidence: Level II (systematic review and meta-analysis).

Indexed as

Acute DiseaseFemaleGastrointestinal TractHumansIncidenceMaleMesenteric IschemiaMiddle AgedNecrosisPredictive Value of TestsAcute mesenteric ischemiaBowel necrosisMeta-analysisPredictorsSystematic review

Identifiers

PMID32728981
OpenAlexW3045991512

What OpenQuestion holds

Textmetadata
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.