Evidence map›Paper›PMID 35879748›Full record

Trial reportBMC musculoskeletal disorders2022

Evaluation of open reduction of distal humerus fractures in children after implementation of an enhanced recovery after surgery program.

Jialing Lu, Mingfeng Xue, Peng Fu, Damei Qian, Xingguang Chen, Danhua Yao, Yanli Zhang

Open access · goldAbstract readRandomized Controlled Trial
In one paragraph

Trial report in BMC musculoskeletal disorders, 2022. 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
0.7field-weighted citation impact, top 31% 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, 3 citations in OpenAlex.

  1. Review
  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 1 institution in 1 country.

Jialing LuDepartment of Pediatric Orthopedics, The Second Affiliated Hospital of Jiaxing University (The Second Hospital of Jiaxing), Zhejiang, Jiaxing, 314000, People's Republic of China.
Mingfeng XueDepartment of Pediatric Orthopedics, The Second Affiliated Hospital of Jiaxing University (The Second Hospital of Jiaxing), Zhejiang, Jiaxing, 314000, People's Republic of China.
Peng FuDepartment of Pediatric Orthopedics, The Second Affiliated Hospital of Jiaxing University (The Second Hospital of Jiaxing), Zhejiang, Jiaxing, 314000, People's Republic of China.
Damei QianDepartment of Pediatric Orthopedics, The Second Affiliated Hospital of Jiaxing University (The Second Hospital of Jiaxing), Zhejiang, Jiaxing, 314000, People's Republic of China.
Xingguang ChenDepartment of Pediatric Orthopedics, The Second Affiliated Hospital of Jiaxing University (The Second Hospital of Jiaxing), Zhejiang, Jiaxing, 314000, People's Republic of China.
Danhua YaoDepartment of Pediatric Orthopedics, The Second Affiliated Hospital of Jiaxing University (The Second Hospital of Jiaxing), Zhejiang, Jiaxing, 314000, People's Republic of China.
Yanli ZhangDepartment of Anesthesiology, The Second Affiliated Hospital of Jiaxing University (The Second Hospital of Jiaxing), Zhejiang, Jiaxing, 314000, People's Republic of China. 1134906393@qq.com.
Jiaxing University · CN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveThis study assessed whether an enhanced recovery after surgery (ERAS) protocol could be beneficial for children with distal humerus fractures.

methodsChildren with distal humerus fractures (n = 85) were randomly assigned to the ERAS and control groups and subjected to different perioperative managements. This was followed by the evaluation of their intraoperative characteristics (operation time and bleeding), postoperative characteristics (food intake conditions, pain scores, and discharge time), and postoperative functions.

resultsThe operation time, intraoperative bleeding, and postoperative hematological indices did not differ significantly between the two groups. Preoperative thirst and hunger were considerably less and the initial food intake duration following surgery was markedly shorter in the ERAS group than in the control group, whereas no difference between the groups was observed in the incidences of postoperative nausea and vomiting. A markedly reduced highest postoperative pain score and reduced mean pain score and demand for additional analgesic interventions were observed in the ERAS group compared with those in the control group, although the differences were not statistically significant. No noticeable between-group differences were observed in the incidences of postoperative incision problems, aspirational pneumonia, and gastroesophageal reflux. The total length of hospital stay was not significantly different between the two groups. However, the length of postoperative hospital stay was remarkably shorter and the elbow joint function at 2 months after surgery was significantly improved in the ERAS group compared with those in the control group.

conclusionThe ERAS protocol can ameliorate preoperative discomfort and postoperative pain, shorten the postoperative hospital stay, and accelerate postoperative functional recovery without increasing the risks of postoperative nausea, vomiting, and poor incision healing and is, therefore, worthy of clinical application.

Indexed as

Elbow JointEnhanced Recovery After SurgeryChildHumansHumerusLength of StayPostoperative ComplicationsPostoperative Nausea and VomitingPostoperative PainRetrospective StudiesDistal humerus fracturesEnhanced recovery after surgery

Identifiers

PMID35879748
PMCPMC9310416
OpenAlexW4287218185

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.