Evidence map›Paper›PMID 33604712›Full record

ArticleWorld journal of surgery2021

Changes in Serum Lactate Level Predict Postoperative Intra-Abdominal Infection After Pancreatic Resection.

Yatong Li, Lixin Chen, Cheng Xing, Cheng Ding, Hanyu Zhang, Shunda Wang, Yun Long, Junchao Guo, Quan Liao, Taiping Zhang and 2 more

Registry-linked trialAbstract read
PubMed Publisher
In one paragraph

Article in World journal of surgery, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT05052619 (A Prospective, Randomized Clinical Trial to Treat Intra-abdominal Infection Preventively After Pancreatic Surgery Based on Serum Lactate Changes), which is not on this map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
0.5field-weighted citation impact, top 33% 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.

NCT05052619 naunknown statusnot on this map

A Prospective, Randomized Clinical Trial to Treat Intra-abdominal Infection Preventively After Pancreatic Surgery Based on Serum Lactate Changes

TypeinterventionalSponsorPeking Union Medical College HospitalRan2021 to 2026Enrolled297ConditionsPostoperative Infection, Lactate, AntibioticsArmsPreventive use of advanced antibiotics, Routine
3 · Its place in the literature

Who cites it

4 citing papers in PubMed, 10 citations in OpenAlex.

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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

12 authors at 2 institutions in 1 country.

Yatong LiDepartment of General Surgery, Peking Union Medical College Hospital, Beijing, 100730, China.
Lixin ChenDepartment of General Surgery, Peking Union Medical College Hospital, Beijing, 100730, China.
Cheng XingDepartment of General Surgery, Peking Union Medical College Hospital, Beijing, 100730, China.
Cheng DingDepartment of General Surgery, Peking Union Medical College Hospital, Beijing, 100730, China.
Hanyu ZhangDepartment of General Surgery, Peking Union Medical College Hospital, Beijing, 100730, China.
Shunda WangDepartment of General Surgery, Peking Union Medical College Hospital, Beijing, 100730, China.
Yun LongDepartment of Intensive Care Unit, Peking Union Medical College Hospital, Beijing, China.
Junchao GuoDepartment of General Surgery, Peking Union Medical College Hospital, Beijing, 100730, China.
Quan LiaoDepartment of General Surgery, Peking Union Medical College Hospital, Beijing, 100730, China.
Taiping ZhangDepartment of General Surgery, Peking Union Medical College Hospital, Beijing, 100730, China.
Yupei ZhaoDepartment of General Surgery, Peking Union Medical College Hospital, Beijing, 100730, China.
Menghua DaiDepartment of General Surgery, Peking Union Medical College Hospital, Beijing, 100730, China. daimh@pumch.cn.
Chinese Academy of Medical Sciences & Peking Union Medical College · CNPeking Union Medical College Hospital · CN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivePostoperative intra-abdominal infection is one of the most serious complications after pancreatic resection. In this article, we investigated the relationship between serum lactate level and postoperative infection, to suggest a new predictor of potential infection risk after pancreatectomy.

methodsA retrospective analysis of 156 patients who underwent pancreatic surgery and admitted in the intensive care unit for recovery after surgery between August 2017 and August 2019 was performed.

resultsThe basic characteristics, preoperative information, pathological diagnoses, surgical methods, and intraoperative situations of patients in the postoperative intra-abdominal infection group (n = 52) and non-infection group (n = 104) showed no significant differences. With the same postoperative treatments and results of fluid balance, blood pressure maintenance, and laboratory tests, postoperative serum lactate level increased much higher in the infection group than non-infection group (P < 0.001), while the base excess level declined much lower (P = 0.002). Patients in the infection group needed more time to elute lactate (P < 0.001), and stayed longer in the intensive care unit after surgery (P = 0.007). The overall postoperative complications were certainly more in the infection group (P < 0.001), resulting in a longer hospitalization time (P < 0.001).

conclusionsWhen patients recovered smoothly from anesthesia with a stable hemodynamics situation and normal results of laboratory tests, abnormally high serum lactate level could be a predictor of postoperative intra-abdominal infection after pancreatic resection.

Indexed as

Intraabdominal InfectionsPancreatectomyHumansLactatesPostoperative ComplicationsRetrospective StudiesLactates

Identifiers

PMID33604712
OpenAlexW3133242501

What OpenQuestion holds

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Registered trials

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.