Evidence map›Paper›PMID 35078851›Full record

Observational studyBMJ open2022

Gastric emergencies in older adults: not always the same old story! A tertiary care emergency department observational cohort study.

Fausto Rosa, Marcello Covino, Pietro Fransvea, Valerio Cozza, Giuseppe Quero, Claudio Fiorillo, Benedetta Simeoni, Antonio La Greca, Gabriele Sganga, Antonio Gasbarrini and 3 more

Open access · goldAbstract readObservational Study
In one paragraph

Observational study in BMJ open, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
0.9field-weighted citation impact, top 29% 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

3 citing papers in PubMed, 4 citations in OpenAlex.

  1. Article
  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 at 1 institution in 1 country.

Fausto Rosa *Digestive Surgery, Fondazione Policlinico Universitario Agostino Gemelli IRCCS, Roma, Italy fausto.rosa@policlinicogemelli.it.ORCID 0000-0002-7280-8354
Marcello Covino *Emergency Medicine, Fondazione Policlinico Universitario Agostino Gemelli IRCCS, Roma, Italy.
Pietro FransveaEmergency Surgery, Fondazione Policlinico Universitario Agostino Gemelli IRCCS, Roma, Italy.
Valerio CozzaEmergency Surgery, Fondazione Policlinico Universitario Agostino Gemelli IRCCS, Roma, Italy.
Giuseppe QueroDigestive Surgery, Fondazione Policlinico Universitario Agostino Gemelli IRCCS, Roma, Italy.
Claudio FiorilloDigestive Surgery, Fondazione Policlinico Universitario Agostino Gemelli IRCCS, Roma, Italy.
Benedetta SimeoniEmergency Medicine, Fondazione Policlinico Universitario Agostino Gemelli IRCCS, Roma, Italy.
Antonio La GrecaEmergency Surgery, Fondazione Policlinico Universitario Agostino Gemelli IRCCS, Roma, Italy.
Gabriele SgangaEmergency Surgery, Fondazione Policlinico Universitario Agostino Gemelli IRCCS, Roma, Italy.
Antonio GasbarriniInternal Medicine, Fondazione Policlinico Universitario Agostino Gemelli IRCCS, Roma, Italy.
Francesco FranceschiEmergency Medicine, Fondazione Policlinico Universitario Agostino Gemelli IRCCS, Roma, Italy.
Guido CostamagnaDigestive Endoscopy, Fondazione Policlinico Universitario Agostino Gemelli IRCCS, Roma, Italy.
Sergio AlfieriDigestive Surgery, Fondazione Policlinico Universitario Agostino Gemelli IRCCS, Roma, Italy.
Agostino Gemelli University Polyclinic · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo analyse and compare the clinical outcomes between patients ≥80 years and 65-79 years, who presented to our emergency department (ED) with the two most common gastric emergency (GE) clinical presentation, that is, gastric bleeding and gastric perforation.

designSingle-centre retrospective cohort study.

participantsA total of 1011 patients were enrolled: 421 patients aged ≥80 years were compared with a group of 590 patients aged 65-79 years. PRIMARY AND SECONDARY OUTCOME MEASURES: The primary outcome was to compare the overall mortality. Secondary outcomes included major complications, in-hospital length of stay (LOS) and need for surgical procedures.

resultsPatients ≥80 years with GE had different presentations at ED compared with younger patients: they had higher gastrointestinal bleeding (24.9% vs 16.3%, p=0.001), anemisation (14.5% vs 8.8%, p

conclusionsPatients ≥80 years with GE did not have a higher mortality rate and cumulative major complications as compared to younger elderly patients. Invasive treatments were not associated with a different prognosis in this age group.

Indexed as

EmergenciesEmergency Service, HospitalAgedAged, 80 and overCohort StudiesHumansLength of StayRetrospective StudiesTertiary Health Careadult gastroenterologyadult surgeryendoscopysurgery

Identifiers

PMID35078851
PMCPMC8796243
OpenAlexW4206961120

What OpenQuestion holds

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LicenceCC BY-NC
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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.