Evidence map›Paper›PMID 36004175›Full record

ArticleJTCVS open2021

Incidence and risk factors of unplanned emergency department visits following thoracic surgery.

Merel H J Hazewinkel, Remco R Berendsen, Rik C J van Klink, Hans Dik, Jeroen Wink, Jerry Braun, Robert A F de Lind van Wijngaarden

Abstract read
In one paragraph

Article in JTCVS open, 2021. 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
–field-weighted citation impact
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.

  1. Article
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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.

Merel H J HazewinkelDepartment of Cardio-Thoracic Surgery, Leiden University Medical Center, Leiden, The Netherlands.
Remco R BerendsenDepartment of Anesthesiology, Leiden University Medical Center, Leiden, The Netherlands.
Rik C J van KlinkDepartment of Pulmonology, Alrijne Hospital, Leiderdorp, The Netherlands.
Hans DikDepartment of Pulmonology, Alrijne Hospital, Leiderdorp, The Netherlands.
Jeroen WinkDepartment of Anesthesiology, Leiden University Medical Center, Leiden, The Netherlands.
Jerry BraunDepartment of Cardio-Thoracic Surgery, Leiden University Medical Center, Leiden, The Netherlands.
Robert A F de Lind van WijngaardenDepartment of Cardio-Thoracic Surgery, Leiden University Medical Center, Leiden, The Netherlands.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Unplanned visits for care following a surgical procedure can represent a lapse in quality of care. The purpose of this study was to define the proportion of patients undergoing thoracic surgery who return to the emergency department (ED) within 6 months after discharge and the reasons for the returns. In addition, the risk factors for ED visits after thoracic surgery were identified. Methods: All adult patients undergoing thoracic surgery at the Leiden University Medical Center between January 1, 2016, and December 31, 2017, were reviewed. To identify potential risk factors for ED return visits, a multivariate regression analysis was performed. A subgroup analysis of patients who reported pain during the ED visit was performed to identify the risk factors for pain-related return to the ED. Results: Of 277 patients who underwent thoracic surgery, 27.4% (n = 76) returned to the ED within 6 months after discharge. Among these patients, 41 (53.9%) presented with postoperative pain. Younger patients (odds ratio [OR], 0.98; Conclusions: The rate of patients returning to the ED after thoracic surgery was high. Pain was the most frequently reported reason for unplanned ED visits. The results of this study highlight the need to optimize the postoperative care and the follow-up of patients undergoing thoracic surgery.

Indexed as

ED, emergency departmentLOS, length of stayLUMC, Leiden University Medical CenterPACU, postanesthesia care unitpostoperative painthoracic surgeryunplanned emergency department visitVAS, visual analog scaleVATS, video-assisted thoracoscopic surgery

Identifiers

PMID36004175
PMCPMC9390480

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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.