Evidence map›Paper›PMID 34880667›Full record

ArticleInternational journal of general medicine2021

Computed Tomography Imaging Assessment of the Effect of Vancomycin Paste on Poststernotomy Healing.

Mohammad Abd Alkhalik Basha, Dina Said Shemais, Essam Saad Abdelwahed, Rabab Mahmoud Elfwakhry, Ayman Fathy Zeid, Ahmed A El-Hamid M Abdalla, Sameh Abdelaziz Aly, Dalia Said Abdelrahman, Anwar A Elshenawy, Waleed Mansour and 3 more

Abstract read
In one paragraph

Article in International journal of general medicine, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed, 1 pooled it
–field-weighted citation impact
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

3 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Article
  3. 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

13 authors.

Mohammad Abd Alkhalik BashaDepartment of Radiodiagnosis, Faculty of Human Medicine, Zagazig University, Zagazig, Egypt.ORCID 0000-0002-9075-8020
Dina Said ShemaisDepartment of Cardiothoracic Surgery, Faculty of Human Medicine, Zagazig University, Zagazig, Egypt.
Essam Saad AbdelwahedDepartment of Cardiothoracic Surgery, Faculty of Human Medicine, Zagazig University, Zagazig, Egypt.
Rabab Mahmoud ElfwakhryDepartment of Radiodiagnosis, Faculty of Human Medicine, Zagazig University, Zagazig, Egypt.
Ayman Fathy ZeidDepartment of Radiodiagnosis, Faculty of Human Medicine, Zagazig University, Zagazig, Egypt.
Ahmed A El-Hamid M AbdallaDepartment of Radiodiagnosis, Faculty of Human Medicine, Zagazig University, Zagazig, Egypt.
Sameh Abdelaziz AlyDepartment of Radiodiagnosis, Faculty of Human Medicine, Benha University, Benha, Egypt.
Dalia Said AbdelrahmanDepartment of Radiodiagnosis, Faculty of Human Medicine, Benha University, Benha, Egypt.
Anwar A ElshenawyDepartment of Surgical Oncology, Faculty of Human Medicine, Aswan University, Aswan, Egypt.
Waleed MansourDepartment of Chest Medicine, Faculty of Human Medicine, Zagazig University, Zagazig, Egypt.ORCID 0000-0001-9115-2197
Khaled Ahmed Ahmed ElbannaDepartment of Internal Medicine, Faculty of Human Medicine, Zagazig University, Zagazig, Egypt.
Mohammad El TahlawiDepartment of Cardiology, Faculty of Human Medicine, Zagazig University, Zagazig, Egypt.
Nezar ElnahalDepartment of Cardiothoracic Surgery, Faculty of Human Medicine, Zagazig University, Zagazig, Egypt.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeTo assess vancomycin paste effect on poststernotomy healing in high-risk coronary artery bypass grafting (CABG) patients compared to bone wax using the 6-point computed tomography (CT) score. Additionally assessed the reliability of this score and its relationship to the occurrence of infection. PATIENTS AND

methodsA prospective comparative analysis included 126 high-risk CABG patients. The patients were randomly assigned into bone wax or vancomycin paste for sternal haemostasis. All patients were submitted to CT examinations 6-months postoperative. Two radiologists independently reviewed all CT scans to assess sternal healing using the 6-point CT score. The CT healing score of the two groups was compared. The kappa statistics were used to calculate the inter-reader agreement (IRA) of the 6-point CT score.

resultsThe final analysis included 61 patients in each group. The main CT score for sternal healing was 3.9±0.4 in the vancomycin group and 3.3±0.8 in the bone wax group. Patients in the vancomycin group had a higher statistically significant improvement in CT healing score than those in the bone wax group (

conclusionVancomycin paste had a better CT healing score and can be used as a sternal haemostatic material instead of bone wax. The 6-point CT healing score is a reliable diagnostic tool for evaluating sternal healing.

Indexed as

computed tomographyCTpoststernotomysternal healingvancomycin paste

Identifiers

PMID34880667
PMCPMC8648099

What OpenQuestion holds

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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.