Evidence map›Paper›PMID 34142227›Full record

ArticleChild's nervous system : ChNS : official journal of the International Society for Pediatric Neurosurgery2021

Risk factors for surgical site infection in pediatric posterior fossa tumors.

Amparo Sáenz, Eugenia Badaloni, Miguel Grijalba, Juan F Villalonga, Romina Argañaraz, Beatriz Mantese

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Article in Child's nervous system : ChNS : official journal of the International Society for Pediatric Neurosurgery, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
1.4field-weighted citation impact, top 20% 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

6 citing papers in PubMed, 16 citations in OpenAlex.

  1. Postoperative meningitis in pediatric posterior fossa tumors: risk stratification and the role of early CSF cytology.Child's nervous system : ChNS : official journal of the International Society for Pediatric Neurosurgery · 2026
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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 2 institutions in 1 country.

Amparo SáenzNeurosurgery Department, Juan P. Garrahan Children's Hospital, Buenos Aires, Argentina. amparosaenzmaza@gmail.com.ORCID 0000-0002-6675-5428
Eugenia BadaloniNeurosurgery Department, Juan P. Garrahan Children's Hospital, Buenos Aires, Argentina.
Miguel GrijalbaNeurosurgery Department, Juan P. Garrahan Children's Hospital, Buenos Aires, Argentina.
Juan F VillalongaFacultad de Medicina LINT , Universidad Nacional de Tucumán , Tucumán, Argentina.
Romina ArgañarazNeurosurgery Department, Juan P. Garrahan Children's Hospital, Buenos Aires, Argentina.
Beatriz ManteseNeurosurgery Department, Juan P. Garrahan Children's Hospital, Buenos Aires, Argentina.
Garrahan Hospital · ARNational University of Tucumán · AR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposePosterior fossa tumors are the most frequent pediatric solid tumor. Its main treatment is a surgical resection. Being a frequent procedure does not mean that it is exempt from complications, such as surgical site infections (SSI). The main objective of this paper is to study the risk factors associated with SSI following a resection of posterior fossa tumors in a purely pediatric population.

methodsA retrospective case-control study including all posterior fossa tumor surgeries performed at our hospital between January 2014 and December 2019 was conducted. All patients with a diagnosis of a postoperative SSI have been included as cases, and those who had surgery and no infectious complications have been considered as controls.

resultsWhen analyzing risk factors, we have found that patients with ventriculoperitoneal shunt (VPS) (p = 0.03) or external ventricular drainage (EVD) (p = 0.005) placement had a greater chance of presenting a postoperative surgical site infection. Prolonged operative time (p < 0.001) and cerebrospinal fluid (CSF) leak through the wound (p = 0.002) also caused an increase in the risk of SSI in the postoperative period. A higher hemoglobin value (p = 0.002) would seem to be a preventive factor.

conclusionsSome strategies that could help to reduce the risk of infections are managing hydrocephalus preferably with endoscopic third ventriculostomy, minimizing the needed operative time to perform the procedure, obtaining an adequate serum hemoglobin level, and avoiding CSF leak through the wound.

Indexed as

HydrocephalusInfratentorial NeoplasmsCase-Control StudiesChildHumansPostoperative ComplicationsRetrospective StudiesRisk FactorsSurgical Wound InfectionVentriculostomyInfectionsMorbidityPosterior fossa tumorPostoperative complicationRisk factors

Identifiers

PMID34142227
OpenAlexW3170116068

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.