Evidence map›Paper›PMID 35983262›Full record

ArticleOpen forum infectious diseases2022

The Impact of Standardized Infectious Diseases Consultation on Postsplenectomy Care and Outcomes.

Andrew J Hale, Benjamin Depo, Sundas Khan, Timothy J Whitman, Sean Bullis, Devika Singh, Katherine Peterson, Peter Hyson, Laura Catoe, Bradley J Tompkins and 2 more

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

Article in Open forum infectious diseases, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
0.4field-weighted citation impact, top 37% 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

1 citing paper in PubMed, 2 citations in OpenAlex.

  1. 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

12 authors at 2 institutions in 1 country.

Andrew J HaleUniversity of Vermont Medical Center, Larner College of Medicine at the University of Vermont, Burlington, Vermont, USA.ORCID https://orcid.org/0000-0001-7038-1353
Benjamin DepoUniversity of Vermont Medical Center, Larner College of Medicine at the University of Vermont, Burlington, Vermont, USA.
Sundas KhanLankenau Medical Center, Wynnewood, Pennsylvania, USA.
Timothy J WhitmanUniversity of Vermont Medical Center, Larner College of Medicine at the University of Vermont, Burlington, Vermont, USA.
Sean BullisUniversity of Vermont Medical Center, Larner College of Medicine at the University of Vermont, Burlington, Vermont, USA.
Devika SinghUniversity of Vermont Medical Center, Larner College of Medicine at the University of Vermont, Burlington, Vermont, USA.
Katherine PetersonUniversity of Vermont Medical Center, Larner College of Medicine at the University of Vermont, Burlington, Vermont, USA.
Peter HysonUniversity of Vermont Medical Center, Larner College of Medicine at the University of Vermont, Burlington, Vermont, USA.
Laura CatoeUniversity of Vermont Medical Center, Larner College of Medicine at the University of Vermont, Burlington, Vermont, USA.
Bradley J TompkinsUniversity of Vermont Medical Center, Larner College of Medicine at the University of Vermont, Burlington, Vermont, USA.
W Kemper AlstonUniversity of Vermont Medical Center, Larner College of Medicine at the University of Vermont, Burlington, Vermont, USA.
Jean DejaceUniversity of Vermont Medical Center, Larner College of Medicine at the University of Vermont, Burlington, Vermont, USA.
University of Vermont Medical Center · USLankenau Medical Center · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Patients who receive splenectomy are at risk for overwhelming postsplenectomy infection (OPSI). Guidelines recommend that adult asplenic patients receive a complement of vaccinations, education on the risks of OPSI, and on-demand antibiotics. However, prior literature suggests that a majority of patients who have had a splenectomy receive incomplete asplenic patient care and thus remain at increased risk. This study assessed the impact of standardized involvement of infectious diseases (ID) providers on asplenic patient care outcomes in patients undergoing splenectomy. Methods: A quasi-experimental study design compared a prospective cohort of patients undergoing splenectomy from August 2017 to June 2021 who received standardized ID involvement in care of the asplenic patient with a historic control cohort of patients undergoing splenectomy at the same institution from January 2010 through July 2017 who did not. There were 11 components of asplenic patient care defined as primary outcomes. Secondary outcomes included the occurrence of OPSI, death, and death from OPSI. Results: Fifty patients were included in the prospective intervention cohort and 128 in the historic control cohort. There were significant improvements in 9 of the 11 primary outcomes in the intervention arm as compared with the historic controls. Survival analysis showed no statistically significant difference in the incidence of OPSI-free survival between the groups ( Conclusions: Standardized involvement of an ID provider in the care of patients undergoing splenectomy improves asplenic patient care outcomes. Routine involvement of ID in this setting may be warranted.

Indexed as

aspleniaasplenicasplenic sepsisoverwhelming postsplenectomy sepsispostsplenectomy

Identifiers

PMID35983262
PMCPMC9379811
OpenAlexW4288843807

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.