Evidence map›Paper›PMID 32918623›Full record

ArticlePediatric surgery international2020

Risk of peri-operative complications in children receiving preoperative steroids.

Elbert J Mets, Fouad Chouairi, Humza Mirza, Omar Allam, Kitae Eric Park, Alexandra Junn, Michael Alperovich

Abstract readComparative Study
PubMed Publisher
In one paragraph

Article in Pediatric surgery international, 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
0.4field-weighted citation impact, top 32% 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. Risk Factors for Dehiscence of Operative Incisions in Newborns after Laparotomy.European journal of pediatric surgery : official journal of Austrian Association of Pediatric Surgery ... [et al] = Zeitschrift fur Kinderchirurgie · 2024
    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

7 authors at 1 institution in 1 country.

Elbert J MetsDepartment of Surgery, Section of Plastic Surgery, Yale School of Medicine, 330 Cedar Street, Boardman Building, 3rd Floor, New Haven, CT, 06510, USA.
Fouad ChouairiDepartment of Surgery, Section of Plastic Surgery, Yale School of Medicine, 330 Cedar Street, Boardman Building, 3rd Floor, New Haven, CT, 06510, USA.
Humza MirzaDepartment of Surgery, Section of Plastic Surgery, Yale School of Medicine, 330 Cedar Street, Boardman Building, 3rd Floor, New Haven, CT, 06510, USA.
Omar AllamDepartment of Surgery, Section of Plastic Surgery, Yale School of Medicine, 330 Cedar Street, Boardman Building, 3rd Floor, New Haven, CT, 06510, USA.
Kitae Eric ParkDepartment of Surgery, Section of Plastic Surgery, Yale School of Medicine, 330 Cedar Street, Boardman Building, 3rd Floor, New Haven, CT, 06510, USA.
Alexandra JunnDepartment of Surgery, Section of Plastic Surgery, Yale School of Medicine, 330 Cedar Street, Boardman Building, 3rd Floor, New Haven, CT, 06510, USA.
Michael AlperovichDepartment of Surgery, Section of Plastic Surgery, Yale School of Medicine, 330 Cedar Street, Boardman Building, 3rd Floor, New Haven, CT, 06510, USA. michael.alperovich@yale.edu.
Yale University · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundSteroid use predisposes adult patients to increased perioperative complications including wound dehiscence and delayed wound healing. A similar large study investigating the perioperative impact of steroid use in pediatric patients has not been performed.

methodsThe National Surgical Quality Improvement Project Pediatric Database was queried from 2012-2017 to identify patients who received steroid preoperatively. Patient demographics, comorbidities, surgical variables, and outcomes were compared between cohorts. Patients were propensity score matched and thirty-day adverse events were compared.

resultsOf 425,251 pediatric surgery patients, 9716 (2.3%) received preoperative steroids. Pediatric patients treated with steroids were older and had more comorbidities. After propensity score matching, the steroid population had a significantly higher rate of adverse events, including prolonged hospital stay (15.3% vs. 9.1%, p < 0.001), seizure (0.9% vs. 0.4%, p < 0.001), readmission (14.4% vs. 9.2%, p < 0.001), and death (2.2% vs. 1.1%, p < 0.001).

conclusionPreoperative steroid use is independently associated with increased 30-day postoperative adverse events among pediatric patients. Given the significant impact of steroid use on surgical outcomes, the risks and benefits of steroid treatment in children receiving surgery should be carefully evaluated.

Indexed as

Perioperative CarePropensity ScoreAdolescentChildChild, PreschoolFemaleGlucocorticoidsHumansIncidenceInfantLength of StayMalePostoperative ComplicationsRisk FactorsUnited StatesGlucocorticoidsGlucocorticoidsOperative/adverse effectsPerioperative periodSteroid use

Identifiers

PMID32918623
OpenAlexW3086106477

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.