Evidence map›Paper›PMID 36498658›Full record

ArticleJournal of clinical medicine2022

Relevance of Routine Postoperative CT Scans Following Aneurysm Clipping-A Retrospective Multicenter Analysis of 423 Cases.

Michał Krakowiak, Justyna Małgorzata Fercho, Tomasz Szmuda, Kaja Piwowska, Aleksander Och, Karol Sawicki, Kamil Krystkiewicz, Dorota Modliborska, Sara Kierońska, Waldemar Och and 5 more

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In one paragraph

Article in Journal of clinical medicine, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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0cells of the map it votes in
0citing papers in PubMed
–field-weighted citation impact, top 77% 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

0 citing papers in PubMed, 0 citations in OpenAlex.

No citing paper in PubMed yet.

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

15 authors at 5 institutions in 1 country.

Michał KrakowiakDepartment of Neurosurgery, Medical University of Gdansk, 80-210 Gdansk, Poland.ORCID 0000-0003-0817-7989
Justyna Małgorzata FerchoDepartment of Neurosurgery, Medical University of Gdansk, 80-210 Gdansk, Poland.ORCID 0000-0002-9845-4961
Tomasz SzmudaDepartment of Neurosurgery, Medical University of Gdansk, 80-210 Gdansk, Poland.ORCID 0000-0003-1904-6773
Kaja PiwowskaStudent's Scientific Circle of Neurosurgery, Neurosurgery Department, Medical University of Gdansk, 80-952 Gdansk, Poland.ORCID 0000-0001-6778-1356
Aleksander OchStudent's Scientific Circle of Neurosurgery, Neurosurgery Department, Medical University of Gdansk, 80-952 Gdansk, Poland.
Karol SawickiDepartment of Neurosurgery, Medical University in Białystok, Jana Kilińskiego 1, 15-089 Białystok, Poland.
Kamil KrystkiewiczDepartment of Neurosurgery and Neurooncology, Nicolaus Copernicus Memorial Hospital, 93-513 Lodz, Poland.ORCID 0000-0002-6784-1969
Dorota ModliborskaDepartment of Neurosurgery, Provincial Specialist Hospital in Słupsk, Hubalczyków 1, 76-200 Słupsk, Poland.
Sara KierońskaDepartment of Neurosurgery and Neurology, Jan Biziel University Hospital Nr 2 Collegium Medicum, Nicolaus Copernicus University, 85-168 Bydgoszcz, Poland.
Waldemar OchDepartment of Neurosurgery, Provincial Hospital in Olsztyn, Niepodległości 44, 10-045 Olsztyn, Poland.
Zenon Dionizy MariakDepartment of Neurosurgery, Medical University in Białystok, Jana Kilińskiego 1, 15-089 Białystok, Poland.
Jacek FurtakDepartment of Neurosurgery and Neurooncology, Nicolaus Copernicus Memorial Hospital, 93-513 Lodz, Poland.
Stanisław GałązkaDepartment of Neurosurgery, Provincial Specialist Hospital in Słupsk, Hubalczyków 1, 76-200 Słupsk, Poland.
Paweł SokalDepartment of Neurosurgery and Neurology, Jan Biziel University Hospital Nr 2 Collegium Medicum, Nicolaus Copernicus University, 85-168 Bydgoszcz, Poland.ORCID 0000-0002-1226-1983
Paweł SłoniewskiDepartment of Neurosurgery, Medical University of Gdansk, 80-210 Gdansk, Poland.
Gdańsk Medical University · PLCopernicus Memorial Hospital · PLMedical University of Białystok · PLNicolaus Copernicus University · PLUniwersytet Pomorski w Słupsku · PL

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

aimPostoperative head computed tomography (POCT) is routinely performed in numerous medical institutions, mainly to identify possible postsurgical complications. This study sought to assess the clinical appropriateness of POCT in asymptomatic and symptomatic patients after ruptured or unruptured aneurysm clipping.

methodsThis is a retrospective multicenter study involving microsurgical procedures of ruptured (RA) and unruptured intracranial aneurysm (UA) surgeries performed in the Centers associated with the Pomeranian Department of the Polish Society of Neurosurgeons. A database of surgical procedures of intracranial aneurysms from 2017 to 2020 was created. Only patients after a CT scan within 24 h were included.

resultsA total of 423 cases met the inclusion criteria for the analysis. Age was the only significant factor associated with postoperative blood occurrence on POCT. A total of 37 (8.75%) cases of deterioration within 24 h with urgent POCT were noted, 3 (8.1%) required recraniotomy. The highest number necessary to predict (NNP) one recraniotomy based on patient deterioration was 50 in the RA group.

conclusionWe do not recommend POCTs in asymptomatic patients after planned clipping. New symptom onset requires radiological evaluation. Simultaneous practice of POCT after ruptured aneurysm treatment within 24 h is recommended.

Indexed as

computed tomographyintracranial aneurysmpostoperative care

Identifiers

PMID36498658
PMCPMC9735670
OpenAlexW4310398095

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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.