Evidence map›Paper›PMID 33677649›Full record

ArticleWorld journal of surgery2021

Guidelines for Perioperative Care for Emergency Laparotomy Enhanced Recovery After Surgery (ERAS) Society Recommendations: Part 1-Preoperative: Diagnosis, Rapid Assessment and Optimization.

Carol J Peden, Geeta Aggarwal, Robert J Aitken, Iain D Anderson, Nicolai Bang Foss, Zara Cooper, Jugdeep K Dhesi, W Brenton French, Michael C Grant, Folke Hammarqvist and 16 more

Registry-linked trialOpen access · hybridAbstract read
PubMed Full text at PMC 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 NCT05351970 (Barbed Suture vs. Monofilament for Emergency Midline Laparotomy Closure, a Retrospective Analysis), which is not on this map. Cited by 78 papers, 5 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
78citing papers in PubMed, 5 pooled it
16.2field-weighted citation impact, top 1% 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.

NCT05351970 completednot on this map

Barbed Suture vs. Monofilament for Emergency Midline Laparotomy Closure, a Retrospective Analysis

TypeobservationalSponsorFundación para el Fomento de la Investigación Sanitaria y Biomédica de la Comunitat ValencianaRan2021 to 2023Enrolled128ConditionsIncisional Hernia of Midline of AbdomenArmsBarbed
3 · Its place in the literature

Who cites it

78 citing papers in PubMed, 5 syntheses or guidelines pooled it, 152 citations in OpenAlex.

  1. Guideline
  2. Guideline
  3. Enhanced recovery after surgery protocols following emergency intra-abdominal surgery: a systematic review and meta-analysis.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2024
    Pooled it
  4. Small bowel anastomosis in peritonitis compared to enterostomy formation: a systematic review.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2023
    Pooled it
  5. Pooled it
  6. Article
  7. Surgeon-perceived intraoperative complexity is associated with early adverse outcomes after major emergency abdominal surgery: a prospective cohort study.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2026
    Article
  8. Artificial intelligence for predicting 30-day mortality after emergency laparotomy.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2026
    Article
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  13. Observational
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  20. Review

18 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

26 authors at 20 institutions in 7 countries.

Carol J PedenDepartment of Anesthesiology and Gehr Family Center for Health Systems Science & Innovation, Keck School of Medicine, University of Southern California, 2020 Zonal Avenue IRD 322, Los Angeles, CA, 90033, USA. carol.peden@med.usc.edu.ORCID http://orcid.org/0000-0001-5795-4217
Geeta AggarwalDepartment of Anesthesia and Intensive Care Medicine, Royal Surrey County Hospital, Guildford, Surrey, UK.ORCID http://orcid.org/0000-0002-5423-8730
Robert J AitkenSir Charles Gardiner Hospital, Hospital Avenue, Nedlands, WA, 6009, Australia.ORCID http://orcid.org/0000-0001-5653-6478
Iain D AndersonSalford Royal NHS Foundation Trust, Stott La, Salford, M6 8HD, UK.
Nicolai Bang FossHvidovre University Hospital, Copenhagen, Denmark.
Zara CooperHarvard Medical School, Kessler Director, Center for Surgery and Public Health, Brigham and Women's Hospital and Division of Trauma, Burns, Surgical Critical Care, and Emergency Surgery, Brigham and Women's Hospital, 1620, Tremont Street, Boston, MA, 02120, USA.ORCID http://orcid.org/0000-0003-2688-5794
Jugdeep K DhesiFaculty of Life Sciences and Medicine, School of Population Health & Environmental Sciences, Guy's and St Thomas' NHS Foundation Trust, King's College London, Division of Surgery & Interventional Science, University College London, London, UK.
W Brenton FrenchDepartment of Surgery, Virginia Commonwealth University Health System, 1200 E. Broad Street, Richmond, VA, 23298, USA.
Michael C GrantDepartment of Anesthesiology and Critical Care Medicine, Department of Surgery, The Johns Hopkins University School of Medicine, 1800 Orleans Street, Baltimore, MD, 21287, USA.
Folke HammarqvistDepartment of Emergency and Trauma Surgery, Karolinska University Hospital, CLINTEC, Karolinska Institutet, Stockholm, Sweden.
Sarah P HareDepartment of Anaesthesia, Perioperative Medicine and Critical Care, Medway Maritime Hospital, Windmill Road, Gillingham, Kent, ME7 5NY, UK.
Joaquim M HavensDivision of Trauma, Burns and Surgical Critical Care, Brigham and Women's Hospital, 75 Francis Street, Boston, MA, 02115, USA.
Daniel N HolenaDepartment of Surgery and Critical Care Medicine, University of Pennsylvania, Philadelphia, PA, 19104, USA.
Martin HübnerDepartment of Visceral Surgery, Lausanne University Hospital CHUV, University of Lausanne (UNIL), Rue du Bugnon 46, 1011, Lausanne, Switzerland.
Jeniffer S KimGehr Family Center for Health Systems Science & Innovation, Keck School of Medicine, University of Southern California, 2020 Zonal Avenue IRD 322, Los Angeles, CA, 90033, USA.
Nicholas P LeesDepartment of General & Colorectal Surgery, Salford Royal NHS Foundation Trust, Scott La, Salford, M6 8HD, UK.ORCID http://orcid.org/0000-0003-1272-990X
Olle LjungqvistDepartment of Surgery, Faculty of Medicine and Health, School of Health and Medical Sciences, Örebro University, Örebro, Sweden.
Dileep N LoboGastrointestinal Surgery, Nottingham Digestive Diseases Centre and National Institute for Health Research (NIHR) Nottingham Biomedical Research Centre, Nottingham University Hospitals and University of Nottingham, Queen's Medical Centre, Nottingham, NG7 2UH, UK.ORCID http://orcid.org/0000-0003-1187-5796
Shahin MohseniDivision of Trauma and Emergency Surgery, Department of Surgery, Orebro University Hospital & School of Medical Sciences, Örebro University, 701 85, Örebro, Sweden.ORCID http://orcid.org/0000-0001-7097-487X
Carlos A OrdoñezDivision of Trauma and Acute Care Surgery, Department of Surgery, Fundación Valle del Lili, Cra 98 No. 18 - 49, 760032, Cali, Colombia.ORCID http://orcid.org/0000-0003-4495-7405
Nial QuineyDepartment of Anesthesia and Intensive Care Medicine, Royal Surrey County Hospital, Egerton Road, Guildford, Surrey, GU5 7XX, UK.
Richard D UrmanDepartment of Anesthesiology, Perioperative and Pain Medicine, Brigham and Women's Hospital / Harvard Medical School, 75 Francis Street, Boston, MA, 02115, USA.ORCID http://orcid.org/0000-0002-0516-5977
Elizabeth WickDepartment of Surgery, University of California San Francisco, 513 Parnassus Ave HSW1601, San Francisco, CA, 94143, USA.
Christopher L WuDepartment of Anesthesiology, Critical Care and Pain Medicine-Hospital for Special Surgery, 535 East 70th Street, New York, NY, 10021, USA.
Tonia Young-FadokDivision of Colon and Rectal Surgery, Department of Surgery, Mayo Clinic College of Medicine, Mayo Clinic Arizona, 5777 E. Mayo Blvd, Phoenix, AZ, 85054, USA.
Michael ScottDepartment of Anesthesiology and Critical Care Medicine, University of Pennsylvania, 3400 Spruce St, Philadelphia, PA, 19104, USA.ORCID http://orcid.org/0000-0003-3643-3505
Brigham and Women's Hospital · USÖrebro University · SERoyal Surrey County Hospital · GBSalford Royal NHS Foundation Trust · GBUniversity of Southern California · USFundación Valle del Lili · COHospital for Special Surgery · USHospital of the University of Pennsylvania · USHvidovre Hospital · DKJohns Hopkins University · USKarolinska University Hospital · SEKing's College London · GBMayo Clinic in Arizona · USMedway Maritime Hospital · GBSir Charles Gairdner Hospital · AUUniversity of California, San Francisco · USUniversity of Lausanne · CHUniversity of Nottingham · GBUniversity of Pennsylvania · USVirginia Commonwealth University · US

Funding

Medical Research Council MR/P021220/1
6 · The paper itself

Abstract

backgroundEnhanced Recovery After Surgery (ERAS) protocols reduce length of stay, complications and costs for a large number of elective surgical procedures. A similar, structured approach appears to improve outcomes, including mortality, for patients undergoing high-risk emergency general surgery, and specifically emergency laparotomy. These are the first consensus guidelines for optimal care of these patients using an ERAS approach.

methodsExperts in aspects of management of the high-risk and emergency general surgical patient were invited to contribute by the International ERAS® Society. Pubmed, Cochrane, Embase, and MEDLINE database searches on English language publications were performed for ERAS elements and relevant specific topics. Studies on each item were selected with particular attention to randomized controlled trials, systematic reviews, meta-analyses and large cohort studies, and reviewed and graded using the Grading of Recommendations, Assessment, Development and Evaluation (GRADE) system. Recommendations were made on the best level of evidence, or extrapolation from studies on non-emergency patients when appropriate. The Delphi method was used to validate final recommendations. The guideline has been divided into two parts: Part 1-Preoperative Care and Part 2-Intraoperative and Postoperative management. This paper provides guidelines for Part 1.

resultsTwelve components of preoperative care were considered. Consensus was reached after three rounds.

conclusionsThese guidelines are based on the best available evidence for an ERAS approach to patients undergoing emergency laparotomy. Initial management is particularly important for patients with sepsis and physiological derangement. These guidelines should be used to improve outcomes for these high-risk patients.

Indexed as

Enhanced Recovery After SurgeryElective Surgical ProceduresHumansLaparotomyLength of StayPerioperative CarePostoperative ComplicationsPreoperative Care

Identifiers

PMID33677649
PMCPMC8026421
OpenAlexW3135217781

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.