Evidence map›Paper›PMID 33470374›Full record

ArticleArquivos brasileiros de cirurgia digestiva : ABCD = Brazilian archives of digestive surgery2021

ACERTO PROJECT: IMPACT ON ASSISTANCE OF A PUBLIC EMERGENCY HOSPITAL.

Mauricio Adam Feitosa Sampaio, Simone Losekann Pereira Sampaio, Plinio da Cunha Leal, Ed Carlos Rey Moura, Lívia Goreth Galvão Serejo Alvares, Caio Marcio Barros DE-Oliveira, Orlando Jorge Martins Torres, Marília da Glória Martins

Open access · diamondAbstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in Arquivos brasileiros de cirurgia digestiva : ABCD = Brazilian archives of digestive surgery, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed, 1 pooled it
0.2field-weighted citation impact, top 41% 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

4 citing papers in PubMed, 1 synthesis or guideline pooled it, 4 citations in OpenAlex.

  1. PERIOPERATIVE CARE IN DIGESTIVE SURGERY: THE ERAS AND ACERTO PROTOCOLS - BRAZILIAN COLLEGE OF DIGESTIVE SURGERY POSITION PAPER.Arquivos brasileiros de cirurgia digestiva : ABCD = Brazilian archives of digestive surgery · 2024
    Guideline
  2. Article
  3. Article
  4. MULTIPROFESSIONAL ELECTRONIC PROTOCOL FOR DIGESTIVE SURGERY VALIDATION.Arquivos brasileiros de cirurgia digestiva : ABCD = Brazilian archives of digestive surgery · 2021
    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 2 institutions in 1 country.

Mauricio Adam Feitosa SampaioMedical Course, Uniceuma, São Luís, MA, Brazil.ORCID http://orcid.org/0000-0003-2381-2506
Simone Losekann Pereira SampaioNursing Course, Uniceuma, São Luís, MA, Brazil.ORCID http://orcid.org/0000-0003-3452-5414
Plinio da Cunha LealPostgraduate Program in Adult Health, Federal University of Maranhão, São Luís, MA, Brazil.ORCID http://orcid.org/0000-0003-1336-8528
Ed Carlos Rey MouraPostgraduate Program in Adult Health, Federal University of Maranhão, São Luís, MA, Brazil.ORCID http://orcid.org/0000-0002-7752-0683
Lívia Goreth Galvão Serejo AlvaresCourse of Medicine, Federal University of Maranhão, São Luís, MA, Brazil.ORCID http://orcid.org/0000-0002-0884-190X
Caio Marcio Barros DE-OliveiraPostgraduate Program in Adult Health, Federal University of Maranhão, São Luís, MA, Brazil.ORCID http://orcid.org/0000-0002-5068-9067
Orlando Jorge Martins TorresCourse of Medicine, Federal University of Maranhão, São Luís, MA, Brazil.ORCID http://orcid.org/0000-0002-7398-5395
Marília da Glória MartinsCourse of Medicine, Federal University of Maranhão, São Luís, MA, Brazil.ORCID http://orcid.org/0000-0001-5300-0117
Universidade Federal do Maranhão · BRUniversidade Ceuma · BR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundIn Brazil, the goal-based approach was named Project ACERTO and has obtained good results when applied in elective surgeries with shorter hospitalization time, earlier return to activities without increased morbidity and mortality.

aimTo analyze the impact of ACERTO on emergency surgery care.

methodsAn intervention study was performed at a trauma hospital. Were compared 452 patients undergoing emergency surgery and followed up by the general surgery service from October to December 2018 (pre-ACERTO, n=243) and from March to June 2019 (post-ACERTO, n=209). Dietary reintroduction, volume of infused postoperative venous hydration, duration of use of catheters, probes and drains, postoperative analgesia, prevention of postoperative vomiting, early mobilization and physiotherapy were evaluated.

resultsAfter the ACERTO implantation there was earlier reintroduction of the diet, the earlier optimal caloric intake, earlier venous hydration withdrawal, higher postoperative analgesia prescription, postoperative vomiting prophylaxis and higher physiotherapy and mobilization prescription were achieved early in all (p<0.01); in the multivariate analysis there was no change in the complication rates observed before and after ACERTO (10.7% vs. 7.7% (p=0.268) and there was a decrease in the length of hospitalization after ACERTO (8,5 vs. 6,1 dias (p=0.008).

conclusionThe implementation of the ACERTO project decreased the length of hospital stay, improved medical care provided without increasing the rates of complications evaluated.

Indexed as

AdultAgedAged, 80 and overBrazilClinical ProtocolsElective Surgical ProceduresEmergency Service, HospitalFemaleHospitals, PublicHumansLength of StayMaleMiddle AgedPatient DischargePostoperative ComplicationsRecovery of Function

Identifiers

PMID33470374
PMCPMC7812687
OpenAlexW3122546040

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.