Evidence map›Paper›PMID 36002747›Full record

ArticleInternational journal of colorectal disease2022

A nutritional screening threshold for optimal outcomes after Hartmann's reversal.

Suzanne M Arnott, Benjamin Zollinger, Sarah Haviland, Matthew Ng, Vincent Obias

Abstract read
PubMed Publisher
In one paragraph

Article in International journal of colorectal disease, 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. Article
  2. Review
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

5 authors at 1 institution in 1 country.

Suzanne M ArnottDepartment of Colorectal Surgery, George Washington University, Washington, D.C, USA. sarnott@gwu.edu.ORCID http://orcid.org/0000-0003-4402-236X
Benjamin ZollingerSchool of Medicine and Health Sciences, George Washington University, Washington, D.C, USA.
Sarah HavilandDepartment of Colorectal Surgery, George Washington University, Washington, D.C, USA.
Matthew NgDepartment of Colorectal Surgery, George Washington University, Washington, D.C, USA.
Vincent ObiasDepartment of Colorectal Surgery, George Washington University, Washington, D.C, USA.
George Washington University · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeDetermining is nutritionally replete enough for Hartmann's reversal (HR) can be controversial and multifactorial. While there are many preoperative nutritional screening tools, the impact of malnourishment on HR has not been evaluated. The study aims to clarify how often patients undergoing HR are high risk for malnourishment at the time of surgery and how this impacts postoperative outcomes.

methodsFrom 2012-2019, all elective HRs were identified in ACS-NSQIP. Patients were categorized in a malnourished group if they met one of the following criteria: (1) BMI < 18.5 kg/m

results8878 procedures were evaluated (well-nourished = 7116 and malnourished = 1762). The malnourished group had higher mortality (p < 0.001), shorter operating time (p < .001), longer length of stay (p = 0.016), and higher rates of infection (p = 0.011), reintubation (p = 0.002), bleeding (p < 0.001), sepsis (p = 0.001), and reoperation (p = 0.018). In multivariate regression models, malnourishment was an independent predictor for mortality (OR = 2.72, p < 0.001) and wound infection (OR = 1.19, p = 0.028).

conclusionA large percentage of patients undergoing HR were classified as being high-risk for malnutrition. Malnourishment was associated with some worse postoperative compilations including death and wound infection. Surgeons should routinely use preoperative screening for malnutrition to identify and attempt to optimize nutritional status prior to undergoing Hartmann's Reversal.

Indexed as

MalnutritionWound InfectionAnastomosis, SurgicalColostomyHumansNutritional StatusNutrition AssessmentPostoperative ComplicationsRetrospective StudiesTreatment OutcomeColorectal surgeryElective surgeryHartmanns reversalMalnutritionPreoperative nutritional screening

Identifiers

PMID36002747
OpenAlexW4293005039

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.