Evidence map›Paper›PMID 33783905›Full record

ArticleHead & neck2021

An improved predictive model for postoperative pulmonary complications after free flap reconstructions in the head and neck.

Derek K Smith, Robert E Freundlich, Justin R Shinn, C Burton Wood, Sarah L Rohde, Matthew D McEvoy

Open access · greenAbstract read
In one paragraph

Article in Head & neck, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
0.4field-weighted citation impact, top 39% 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

5 citing papers in PubMed, 5 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

6 authors at 1 institution in 1 country.

Derek K SmithDepartment of Oral and Maxillofacial Surgery and Biostatistics, Vanderbilt University Medical Center, Nashville, Tennessee, USA.ORCID 0000-0001-6323-8700
Robert E FreundlichDepartment of Anesthesiology, Vanderbilt University Medical Center, Nashville, Tennessee, USA.
Justin R ShinnDepartment of Otolaryngology-Head and Neck Surgery, Vanderbilt University Medical Center, Nashville, Tennessee, USA.
C Burton WoodDepartment of Otolaryngology-Head and Neck Surgery, Vanderbilt University Medical Center, Nashville, Tennessee, USA.
Sarah L RohdeDepartment of Otolaryngology-Head and Neck Surgery, Vanderbilt University Medical Center, Nashville, Tennessee, USA.
Matthew D McEvoyDepartment of Anesthesiology, Vanderbilt University Medical Center, Nashville, Tennessee, USA.
Vanderbilt University Medical Center · US

Funding

Institutional Career Development CoreKL2TR002245 · NCATS · VANDERBILT UNIVERSITY MEDICAL CENTER · PI Julie A. Bastarache · 2017 to 2026
$9.3M
Reducing Reintubation Risk in High-Risk Cardiac Surgery Patients with High-Flow Nasal Cannula -the "I-CAN" studyK23HL148640 · NHLBI · VANDERBILT UNIVERSITY MEDICAL CENTER · PI FREUNDLICH, ROBERT EDWARD · 2020 to 2024
$867k
Developing an oral health screening tool for an integrated model of care to reduce treatment-related oral morbidity in head and neck cancer survivorK23DE028010 · NIDCR · VANDERBILT UNIVERSITY MEDICAL CENTER · PI SMITH, DEREK KYLE · 2019 to 2023
$632k
NCATS NIH HHS KL2 TR002245NCATS NIH HHS KL2TR00224504NHLBI NIH HHS K23 HL148640NIDCR NIH HHS K23 DE028010
6 · The paper itself

Abstract

backgroundCommonly used predictive models for postoperative pulmonary complications (PPCs) do not perform when applied to head and neck cases. A head and neck-specific risk prediction tool is needed.

methodsData on 794 free flap head and neck surgery cases at a single center were abstracted from the electronic medical record. Each case was reviewed for the development of PPCs. A predictive model was developed and was then compared to existing predictive models for PPCs.

resultsThe least absolute shrinkage and selection operator procedure identified age, alcohol use, history of congestive heart failure, preoperative packed cell volume, preoperative oxygen saturation, and preoperative metabolic equivalents as predictors of PPCs in the head and neck population. The model demonstrated an area under the receiving operating characteristic curve of 0.75 (0.69-0.80) with moderately good calibration. Comparisons to the performance of existing models demonstrate superior performance.

conclusionsThe model for the development of PPCs developed in this article displays superior performance to existing models.

Indexed as

Free Tissue FlapsHead and Neck NeoplasmsPlastic Surgery ProceduresHumansLungPostoperative ComplicationsRetrospective StudiesRisk Factorsfree flap surgeryhead and neck cancerLASSOpostoperative pulmonary complicationspredictive modeling

Identifiers

PMID33783905
PMCPMC8197740
OpenAlexW3149042890

What OpenQuestion holds

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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.