Evidence map›Paper›PMID 34418977›Full record

ArticleBMC gastroenterology2021

Emergency gastrointestinal surgery in patients undergoing antithrombotic therapy in a single general hospital: a propensity score-matched analysis.

Shinya Abe, Katsunori Ami, Akira Katsuno, Noriyasu Tamura, Toshiko Harada, Shunsuke Hamasaki, Yusuke Kitagawa, Taku Machida, Naoyuki Umetani

Open access · goldAbstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in BMC gastroenterology, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact, top 91% 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

1 citing paper in PubMed, 2 citations in OpenAlex.

  1. Review
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

9 authors at 1 institution in 1 country.

Shinya AbeDepartment of Digestive Surgery, Kawakita General Hospital, 1-7-3 Kitaasagaya, Suginami-ku, Tokyo, 166-0001, Japan. sa61451689@gmail.com.
Katsunori AmiDepartment of Digestive Surgery, Kawakita General Hospital, 1-7-3 Kitaasagaya, Suginami-ku, Tokyo, 166-0001, Japan.
Akira KatsunoDepartment of Digestive Surgery, Kawakita General Hospital, 1-7-3 Kitaasagaya, Suginami-ku, Tokyo, 166-0001, Japan.
Noriyasu TamuraDepartment of Digestive Surgery, Kawakita General Hospital, 1-7-3 Kitaasagaya, Suginami-ku, Tokyo, 166-0001, Japan.
Toshiko HaradaDepartment of Digestive Surgery, Kawakita General Hospital, 1-7-3 Kitaasagaya, Suginami-ku, Tokyo, 166-0001, Japan.
Shunsuke HamasakiDepartment of Digestive Surgery, Kawakita General Hospital, 1-7-3 Kitaasagaya, Suginami-ku, Tokyo, 166-0001, Japan.
Yusuke KitagawaDepartment of Digestive Surgery, Kawakita General Hospital, 1-7-3 Kitaasagaya, Suginami-ku, Tokyo, 166-0001, Japan.
Taku MachidaDepartment of Digestive Surgery, Kawakita General Hospital, 1-7-3 Kitaasagaya, Suginami-ku, Tokyo, 166-0001, Japan.
Naoyuki UmetaniDepartment of Digestive Surgery, Kawakita General Hospital, 1-7-3 Kitaasagaya, Suginami-ku, Tokyo, 166-0001, Japan.
Showa General Hospital · JP

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThis study aimed to review and evaluate the surgical outcomes, particularly intraoperative severe blood loss and postoperative blood complications, of emergency gastrointestinal surgery in patients undergoing antithrombotic therapy (AT). Emergency surgeries for patients with antithrombotic medication have been increasing in the aging population. However, the effect of AT on intraoperative blood loss and perioperative complications remains unclear.

methodsWe retrospectively reviewed 732 patients who underwent emergency gastrointestinal surgery between April 2014 and March 2019. Patients were classified into AT group and Non-AT group, and propensity score-matched analysis was performed to compare the short surgical outcomes between the groups. Additionally, risk factors in severe estimated blood loss (EBL) and postoperative bleeding complications were assessed.

resultsAltogether, 64 patients received AT; 50 patients and 12, and 2 were given antiplatelet and anticoagulant, and both drugs, respectively. After propensity score matching, EBL (101 vs. 99 mL; p = 0.466) and postoperative complications (14 vs. 16 patients; p = 0.676) were similar between the groups (63 patients matched paired). Intraoperative severe bleeding (EBL ≥ 492 mL) occurred in 44 patients. Multivariate analysis using the full cohort revealed that antithrombotic drug use was not an independent risk factor for severe bleeding and postoperative bleeding complications.

conclusionsThis study demonstrated antithrombotic drugs do not adversely affect the perioperative outcomes of emergency gastrointestinal surgery.

Indexed as

Digestive System Surgical ProceduresFibrinolytic AgentsAgedHospitals, GeneralHumansPropensity ScoreRetrospective StudiesFibrinolytic AgentsAntithrombotic therapyEmergency surgeryGastrointestinal surgeryPropensity score matched analysis

Identifiers

PMID34418977
PMCPMC8380394
OpenAlexW3161504560

What OpenQuestion holds

Textmetadata
LicenceCC BY
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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.