Evidence map›Paper›PMID 36189400›Full record

ArticleFrontiers in surgery2022

Gastro-intestinal emergency surgery: Evaluation of morbidity and mortality. Protocol of a prospective, multicenter study in Italy for evaluating the burden of abdominal emergency surgery in different age groups. (The GESEMM study).

Gianluca Costa, Pietro Fransvea, Caterina Puccioni, Francesco Giovinazzo, Filippo Carannante, Gianfranco Bianco, Alberto Catamero, Gianluca Masciana, Valentina Miacci, Marco Caricato and 2 more

Abstract read
In one paragraph

Article in Frontiers in surgery, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing 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

6 citing papers in PubMed.

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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

12 authors.

Gianluca CostaSurgery Centre, Colorectal Surgery Unit, Fondazione Policlinico Universitariio Campus Bio-Medico, Università Campus Bio-Medico, Rome, Italy.
Pietro FransveaEmergency Surgery and Trauma, Fondazione Policlinico Universitario "A. Gemelli" IRCCS, Catholic University of Sacred Heart, Rome, Italy.
Caterina PuccioniEmergency Surgery and Trauma, Fondazione Policlinico Universitario "A. Gemelli" IRCCS, Catholic University of Sacred Heart, Rome, Italy.
Francesco GiovinazzoGeneral Surgery and Liver Transplantation, Fondazione Policlinico Universitario A. Gemelli IRCCS, Rome, Italy.
Filippo CarannanteSurgery Centre, Colorectal Surgery Unit, Fondazione Policlinico Universitariio Campus Bio-Medico, Università Campus Bio-Medico, Rome, Italy.
Gianfranco BiancoSurgery Centre, Colorectal Surgery Unit, Fondazione Policlinico Universitariio Campus Bio-Medico, Università Campus Bio-Medico, Rome, Italy.
Alberto CatameroSurgery Centre, Colorectal Surgery Unit, Fondazione Policlinico Universitariio Campus Bio-Medico, Università Campus Bio-Medico, Rome, Italy.
Gianluca MascianaSurgery Centre, Colorectal Surgery Unit, Fondazione Policlinico Universitariio Campus Bio-Medico, Università Campus Bio-Medico, Rome, Italy.
Valentina MiacciSurgery Centre, Colorectal Surgery Unit, Fondazione Policlinico Universitariio Campus Bio-Medico, Università Campus Bio-Medico, Rome, Italy.
Marco CaricatoSurgery Centre, Colorectal Surgery Unit, Fondazione Policlinico Universitariio Campus Bio-Medico, Università Campus Bio-Medico, Rome, Italy.
Gabriella Teresa CapolupoSurgery Centre, Colorectal Surgery Unit, Fondazione Policlinico Universitariio Campus Bio-Medico, Università Campus Bio-Medico, Rome, Italy.
Gabriele SgangaEmergency Surgery and Trauma, Fondazione Policlinico Universitario "A. Gemelli" IRCCS, Catholic University of Sacred Heart, Rome, Italy.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Gastrointestinal emergencies (GE) are frequently encountered in emergency department (ED), and patients can present with wide-ranging symptoms. more than 3 million patients admitted to US hospitals each year for EGS diagnoses, more than the sum of all new cancer diagnoses. In addition to the complexity of the urgent surgical patient (often suffering from multiple co-morbidities), there is the unpredictability and the severity of the event. In the light of this, these patients need a rapid decision-making process that allows a correct diagnosis and an adequate and timely treatment. The primary endpoint of this Italian nationwide study is to analyze the clinicopathological findings, management strategies and short-term outcomes of gastrointestinal emergency procedures performed in patients over 18. Secondary endpoints will be to evaluate to analyze the prognostic role of existing risk-scores to define the most suitable scoring system for gastro-intestinal surgical emergency. The primary outcomes are 30-day overall postoperative morbidity and mortality rates. Secondary outcomes are 30-day postoperative morbidity and mortality rates, stratified for each procedure or cause of intervention, length of hospital stay, admission and length of stay in ICU, and place of discharge (home or rehabilitation or care facility). In conclusion, to improve the level of care that should be reserved for these patients, we aim to analyze the clinicopathological findings, management strategies and short-term outcomes of gastrointestinal emergency procedures performed in patients over 18, to analyze the prognostic role of existing risk-scores and to define new tools suitable for EGS. This process could ameliorate outcomes and avoid futile treatments. These results may potentially influence the survival of many high-risk EGS procedure.

Indexed as

acute caregastrointestinal emergencymorbiditymortalitysurgery

Identifiers

PMID36189400
PMCPMC9524583

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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.