Evidence map›Paper›PMID 35052290›Full record

ArticleHealthcare (Basel, Switzerland)2022

The Severity of Postoperative Pancreatic Fistula Predicts 30-Day Unplanned Hospital Visit and Readmission after Pancreaticoduodenectomy: A Single-Center Retrospective Cohort Study.

Hao-Wei Kou, Chih-Po Hsu, Yi-Fu Chen, Jen-Fu Huang, Shih-Chun Chang, Chao-Wei Lee, Shang-Yu Wang, Chun-Nan Yeh, Ta-Sen Yeh, Tsann-Long Hwang and 1 more

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

Article in Healthcare (Basel, Switzerland), 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
0.2field-weighted citation impact, top 49% 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

0 citing papers in PubMed, 2 citations in OpenAlex.

No citing paper in PubMed yet.

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

11 authors at 1 institution in 1 country.

Hao-Wei KouDepartment of Surgery, Division of General Surgery, Linkou Chang Gung Memorial Hospital, Chang Gung University, Taoyuan City 333, Taiwan.ORCID 0000-0002-9360-908X
Chih-Po HsuDepartment of Surgery, Division of Trauma and Emergency Surgery, Linkou Chang Gung Memorial Hospital, Chang Gung University, Taoyuan City 333, Taiwan.
Yi-Fu ChenDepartment of Surgery, Division of General Surgery, Linkou Chang Gung Memorial Hospital, Chang Gung University, Taoyuan City 333, Taiwan.
Jen-Fu HuangDepartment of Surgery, Division of Trauma and Emergency Surgery, Linkou Chang Gung Memorial Hospital, Chang Gung University, Taoyuan City 333, Taiwan.
Shih-Chun ChangDepartment of Surgery, Division of General Surgery, Linkou Chang Gung Memorial Hospital, Chang Gung University, Taoyuan City 333, Taiwan.ORCID 0000-0002-6214-9973
Chao-Wei LeeDepartment of Surgery, Division of General Surgery, Linkou Chang Gung Memorial Hospital, Chang Gung University, Taoyuan City 333, Taiwan.ORCID 0000-0002-6853-4557
Shang-Yu WangDepartment of Surgery, Division of General Surgery, Linkou Chang Gung Memorial Hospital, Chang Gung University, Taoyuan City 333, Taiwan.ORCID 0000-0003-1514-3015
Chun-Nan YehDepartment of Surgery, Division of General Surgery, Linkou Chang Gung Memorial Hospital, Chang Gung University, Taoyuan City 333, Taiwan.ORCID 0000-0003-1455-092X
Ta-Sen YehDepartment of Surgery, Division of General Surgery, Linkou Chang Gung Memorial Hospital, Chang Gung University, Taoyuan City 333, Taiwan.
Tsann-Long HwangDepartment of Surgery, Division of General Surgery, Linkou Chang Gung Memorial Hospital, Chang Gung University, Taoyuan City 333, Taiwan.
Jun-Te HsuDepartment of Surgery, Division of General Surgery, Linkou Chang Gung Memorial Hospital, Chang Gung University, Taoyuan City 333, Taiwan.
Chang Gung University · TW

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundUnplanned hospital visits (UHV) and readmissions after pancreaticoduodenectomy (PD) impact patients' postoperative recovery and are associated with increased financial burden and morbidity. The aim of this study is to identify predictive factors related to these events and target the potentially preventable UHV and readmissions.

methodsWe enrolled 518 patients in this study. Characteristics were compared between patients with or without UHV and readmissions.

resultsThe unplanned visit and readmission rate was 23.4% and 15.8%, respectively. Postoperative pancreatic fistula (POPF) grade B or C, the presence of postoperative biliary drainage, and reoperation were found to be predictive factors for UHV, whereas POPF grade B or C and the presence of postoperative biliary drainage were independently associated with hospital readmission. The most common reason for readmission was an infection, followed by failure to thrive. The overall mortality rate in the readmission group was 4.9%.

conclusionsUHV and readmissions remain common among patients undergoing PD. Patients with grade B or C POPF assessed during index hospitalization harbor an approximately two-fold increased risk of subsequent unplanned visits or readmissions compared to those with no POPF or biochemical leak. Proper preventive strategies should be adopted for high-risk patients in this population to maintain the continuum of healthcare and improve quality.

Indexed as

pancreatic fistulapancreaticoduodenectomyreadmissionunplanned hospital visit

Identifiers

PMID35052290
PMCPMC8775671
OpenAlexW4206021125

What OpenQuestion holds

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LicenceCC BY
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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.