Evidence map›Paper›PMID 36593634›Full record

ArticleBMJ case reports2022

Delayed presentation of fat embolism syndrome following elective total hip arthroplasty.

Jeannette Mullins, John Stone, Amit Chopra

Open access · greenAbstract readCase Reports
In one paragraph

Article in BMJ case reports, 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
–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

1 citing paper in PubMed, 1 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

3 authors at 2 institutions in 1 country.

Jeannette MullinsAlbany Medical College, Albany, New York, USA mullinj1@amc.edu.ORCID http://orcid.org/0000-0003-4396-6254
John StoneInternal Medicine, Boston Medical Center, Boston, MA, USA.ORCID http://orcid.org/0000-0003-0317-7998
Amit ChopraPulmonary and Critical Care Medicine, Albany Medical Center, Albany, New York, USA.ORCID http://orcid.org/0000-0001-6064-0956
Albany Medical Center Hospital · USBoston Medical Center · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Fat embolism syndrome (FES) is a rare complication of long bone fractures with an incidence of 0.3%-1.3%. FES most commonly presents within 72 hours of injury but may develop as late as 10 days following a fracture. FES is rarely associated with elective orthopaedic procedures. In this case report, we describe a patient who developed FES 9 days after an elective left total hip arthroplasty. Presentation far outside of the typical 72-hour window for FES, the diagnosis was initially missed. The patient initially presented to our emergency room on postoperative day 14 with 5 days of dyspnoea and was diagnosed with pneumonia and sent home on antibiotics. Sixteen days following this ED admission and on postoperative day 30, she remained dyspneic and was found to be hypoxic to 74% on room air. CT angiography at this time found bilateral diffuse ground glass opacities. Bronchoalveolar lavage was notable for lipid-laden macrophages, and FES was subsequently diagnosed.

Indexed as

Arthroplasty, Replacement, HipEmbolism, FatFractures, BoneBronchoalveolar LavageFemaleHospitalizationHumansAdult intensive careOrthopaedic and trauma surgeryRadiology (diagnostics)Respiratory medicineRespiratory system

Identifiers

PMID36593634
PMCPMC9743280
OpenAlexW4310920120

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.