Evidence map›Paper›PMID 35616446›Full record

ArticleAnnals of the Royal College of Surgeons of England2023

The effect of anaesthetic use on healing in sub cutaneous abscess management: a retrospective before and after cohort study.

H H Elkadi, E Dodd, T Poulton, W Bolton, J R Burke, J Tiernan, D Jayne

Open access · greenAbstract read
In one paragraph

Article in Annals of the Royal College of Surgeons of England, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
0.4field-weighted citation impact, top 38% 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

2 citing papers in PubMed, 2 citations in OpenAlex.

  1. Article
  2. 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

7 authors at 2 institutions in 1 country.

H H ElkadiSt. James's University Hospital, Leeds Teaching Hospital Trust, UK.
E DoddSt. James's University Hospital, Leeds Teaching Hospital Trust, UK.
T PoultonUniversity of Leeds, UK.
W BoltonSt James's University Hospital, Leeds, UK.
J R BurkeSt. James's University Hospital, Leeds Teaching Hospital Trust, UK.
J TiernanSt. James's University Hospital, Leeds Teaching Hospital Trust, UK.
D JayneSt. James's University Hospital, Leeds Teaching Hospital Trust, UK.
St James's University Hospital · GBUniversity of Leeds · GB

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionThere is wide variation in the management of simple subcutaneous abscesses in the UK and no national guidelines describing best practice. During the SARS-CoV-2 pandemic, regional or local anaesthesia (LA) use was recommended instead of general anaesthesia. This study aimed to assess the effect of anaesthetic use on outcomes following incision and drainage (I&D) of simple subcutaneous abscesses.

methodsTwo cohorts of patients undergoing abscess incision and drainage at St. James' University Hospital in Leeds were identified retrospectively over a 14-week period before (P1) and after (P2) the introduction of the COVID-19 anaesthetic guidelines. The number of follow-up appointments for repacking and representation to healthcare services 30 days after I&D were used as surrogate endpoints for wound healing.

resultsA total of 133 patients were included (

conclusionsDrainage of simple subcutaneous abscess under 5cm in diameter is safe under LA, with no significant difference in surrogate endpoints of wound healing observed in this patient cohort. Recurrent packing may not be required. Future work should explore patient-reported outcomes, including pain management, cosmesis and the cost and sustainability implications of a change in this common procedure.

Indexed as

AnestheticsCOVID-19Skin DiseasesAbscessCohort StudiesDrainageHumansRetrospective StudiesSARS-CoV-2Wound HealingAnestheticsAbscessAnaestheticCOVID-19Drainage

Identifiers

PMID35616446
PMCPMC9974350
OpenAlexW4281572694

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.