Evidence map›Paper›PMID 33614937›Full record

ArticleLaryngoscope investigative otolaryngology2021

Evaluation of the Braden scale in predicting surgical outcomes in older patients undergoing major head and neck surgery.

Rajan Grewal, Michael C Sklar, John R de Almeida, Wei Xu, Jie Su, Carissa M Thomas, Shabbir M H Alibhai, David P Goldstein

Open access · goldAbstract read
In one paragraph

Article in Laryngoscope investigative otolaryngology, 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
3.0field-weighted citation impact, top 9% 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, 7 citations in OpenAlex.

  1. Pooled it
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  3. Article
  4. 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 3 institutions in 2 countries.

Rajan GrewalDepartment of Otolaryngology Head and Neck Surgery/Surgical Oncology University Health Network, Princess Margaret Cancer Center, University of Toronto Toronto Ontario Canada.
Michael C SklarInterdepartmental Division of Critical Care Medicine University of Toronto Toronto Ontario Canada.
John R de AlmeidaDepartment of Otolaryngology Head and Neck Surgery/Surgical Oncology University Health Network, Princess Margaret Cancer Center, University of Toronto Toronto Ontario Canada.
Wei XuDepartment of Biostatistics Princess Margaret Cancer Center, University of Toronto Toronto Ontario Canada.
Jie SuDepartment of Biostatistics Princess Margaret Cancer Center, University of Toronto Toronto Ontario Canada.
Carissa M ThomasDepartment of Otolaryngology-Head & Neck Surgery University of Alabama at Birmingham Birmingham Alabama USA.ORCID https://orcid.org/0000-0003-0765-5731
Shabbir M H AlibhaiDepartment of Medicine University Health Network, Department of Medicine, University of Toronto Toronto Ontario Canada.
David P GoldsteinDepartment of Otolaryngology Head and Neck Surgery/Surgical Oncology University Health Network, Princess Margaret Cancer Center, University of Toronto Toronto Ontario Canada.ORCID https://orcid.org/0000-0001-9390-7928
University Health Network · CAUniversity of Toronto · CAUniversity of Alabama at Birmingham · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundBeing able to predict negative postoperative outcomes is important for helping select patients for treatment as well for informed decision-making by patients. Frailty measures are often time and resource intensive to use as screening measures, whereas the Braden scale, a commonly used measure to assess patients at risk of developing pressure ulcers after surgery, may be a potential tool to predict postoperative complication rates and longer length of stay (LOS) in patients undergoing major head and neck cancer surgery.

methodsA retrospective analysis of Braden scale scores was performed on a prospectively collected cohort of patients undergoing major head and neck surgery recruited between December 2011 and April 2014. The association of Braden scale score with the primary outcomes of complications and LOS was analyzed using logistic regression and linear regression models on univariate analysis (UVA), respectively. Multivariate analysis (MVA) was performed based on a backward stepwise selection algorithm.

resultsThere were 232 patients with a mean (SD) Braden scale score of 14.9 (2.8) with a range from 9 to 23. The Braden scale (β = -.07 per point; 95% CI -0.09, -0.04,

conclusionIn the sample population, the Braden scale did not demonstrate an ability to predict negative outcomes in head and neck surgery patients. LEVEL OF EVIDENCE: Level 2b individual cohort study.

Indexed as

Braden scalecomplicationshead neck surgerylength of stay

Identifiers

PMID33614937
PMCPMC7883615
OpenAlexW3112835385

What OpenQuestion holds

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LicenceCC BY-NC-ND
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Registered trials

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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.