Evidence map›Paper›PMID 33553050›Full record

ArticleJournal of the West African College of Surgeons

RISK FACTORS FOR READMISSION AND LENGTH OF INPATIENT STAY IN RURAL GHANA FOLLOWING EXPLORATORY LAPAROTOMY.

B S Hendriksen, D Morrell, L Keeney, X Candela, J Oh, C S Hollenbeak, T E Arkorful, C Newton, F Amponsah-Manu

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

Article in Journal of the West African College of Surgeons. 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
–field-weighted citation impact, top 61% 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, 2 citations in OpenAlex.

  1. Review
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

9 authors at 2 institutions in 1 country.

B S HendriksenDepartment of Surgery, Penn State Health Milton S. Hershey Medical Center, Hershey, PA, USA.
D MorrellDepartment of Surgery, Penn State Health Milton S. Hershey Medical Center, Hershey, PA, USA.
L KeeneyDepartment of Surgery, Penn State Health Milton S. Hershey Medical Center, Hershey, PA, USA.
X CandelaPenn State College of Medicine, Hershey, PA, USA.
J OhDepartment of Surgery, Penn State Health Milton S. Hershey Medical Center, Hershey, PA, USA.
C S HollenbeakDepartment of Surgery, Penn State Health Milton S. Hershey Medical Center, Hershey, PA, USA.
T E ArkorfulDepartment of Surgery, Eastern Regional Hospital, Koforidua, Ghana.
C NewtonDepartment of Surgery, Eastern Regional Hospital, Koforidua, Ghana.
F Amponsah-ManuDepartment of Surgery, Penn State Health Milton S. Hershey Medical Center, Hershey, PA, USA.
Penn State Milton S. Hershey Medical Center · USPennsylvania State University · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundIncreased inpatient length of stay (LOS) and readmission represent significant economic burden on patients and families faced with surgical disease in low-middle income countries given limited surgical access, infrastructure, and variable insurance status. STUDY

aimIdentify risk factors for readmission and inpatient LOS in postoperative care in the Eastern Regional Hospital, Ghana. STUDY

designRetrospective case series.

settingEastern Regional Hospital, Koforidua, Ghana.

methodsData for exploratory laparotomy procedures were obtained from surgical case logs collected at the regional referral hospital in Koforidua, Eastern Region, Ghana from July 2017 to June 2018. This information was combined with the hospital electronic medical records to collect demographic data, laboratory values, and outcomes. Multivariable analyses were used to model LOS and readmission.

resultsThe study included 346 exploratory laparotomy procedures (286 adult, 60 pediatric) for various surgical diseases. The overall 30-day readmission rate was 9.2%. Average LOS was 12.0±20.4 days for readmitted patients and 6.7±5.5 days for patients without readmission. Readmitted patients were more likely to have had preoperative anemia (p=0.009), surgical site infection (

conclusionPreoperative anemia and surgical site infections represent risk factors for readmission in rural Ghana. Anemia is also associated with longer LOS. Future interventions aimed at treating anemia and preventing surgical site infections may reduce some of the post-operative burden placed on patients and their families.

Indexed as

exploratory laparotomylength of stayreadmissionsurgical burden of disease

Identifiers

PMID33553050
PMCPMC7861195
OpenAlexW3128930690

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.