Evidence map›Paper›PMID 36910018›Full record

ArticleJournal of multidisciplinary healthcare2023

The ARISCAT Risk Index as a Predictor of Pulmonary Complications After Thoracic Surgeries, Almoosa Specialist Hospital, Saudi Arabia.

Safwat Eldaabossi, Yasser Al-Ghoneimy, Ayman Ghoneim, Amgad Awad, Waheed Mahdi, Abdallah Farouk, Hesham Soliman, Hatem Kanany, Ahmad Antar, Yasser Gaber and 5 more

Abstract read
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Article in Journal of multidisciplinary healthcare, 2023. 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

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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

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3 · Its place in the literature

Who cites it

3 citing papers in PubMed.

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4 · The record

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5 · Who and what money

Authors and funding

15 authors.

Safwat EldaabossiDepartment of Chest Diseases, Al-Azhar University, Cairo, Egypt.
Yasser Al-GhoneimyCardiothoracic Surgery Department, Almoosa Specialist Hospital, Al Ahsa, Saudi Arabia.ORCID 0000-0001-9953-3664
Ayman GhoneimCardiothoracic Surgery Department, Almoosa Specialist Hospital, Al Ahsa, Saudi Arabia.
Amgad AwadNephrology Department, Almoosa Specialist Hospital, Al Ahsa, Saudi Arabia.
Waheed MahdiPulmonology Department, Almoosa Specialist Hospital, Al Ahsa, Saudi Arabia.
Abdallah FaroukCritical Care Consultant, Almoosa Specialist Hospital, Al Ahsa, Saudi Arabia.
Hesham SolimanConsultant and Chief of Anesthesia, Almoosa Specialist Hospital, Al Ahsa, Saudi Arabia.
Hatem KananyDepartment of Critical Care and Anesthesia, Al-Azhar University, Cairo, Egypt.
Ahmad AntarDepartment of Internal Medicine, Hematology-Oncology Section, Almoosa Specialist Hospital, Al Ahsa, Saudi Arabia.
Yasser GaberRadiology Department, Almoosa Specialist Hospital, Al Ahsa, Saudi Arabia.
Ahmed ShaarawyDepartment of Chest Diseases, Al-Azhar University, Cairo, Egypt.ORCID 0000-0002-2833-5617
Osama NabawyDepartment of Chest Diseases, Al-Azhar University, Cairo, Egypt.
Moaz AtefDepartment of Chest Diseases, Al-Azhar University, Cairo, Egypt.
Sameh O NourDepartment of Chest Diseases, Al-Azhar University, Cairo, Egypt.ORCID 0000-0002-6076-8615
Ahmed KabilDepartment of Chest Diseases, Al-Azhar University, Cairo, Egypt.ORCID 0000-0003-1910-9674

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Pulmonary complications after thoracic surgery are common and are associated with prolonged hospital stay, higher costs, and increased mortality. This study aimed to evaluate the value of The Assess Respiratory risk in Surgical Patients in Catalonia (ARISCAT) risk index in predicting pulmonary complications after thoracic surgery. Methods: This retrospective study was conducted at Almoosa Specialist Hospital, Saudi Arabia, from August 2016 to August 2019 and included 108 patients who underwent thoracic surgery during the study period. Demographic data, ARISCAT risk index score, length of hospital stay, time of chest tube removal, postoperative complications, and time of discharge were recorded. Results: The study involved 108 patients who met the inclusion criteria. Their mean age was 42.5 ± 18.9 years, and most of them were men (67.6%). Comorbid diseases were present in 53.7%, including mainly type 2 diabetes mellitus and hypertension. FEV1% was measured in 58 patients, with a mean of 71.1 ± 7.3%. The mean ARISCAT score was 39.3 ± 12.4 and ranged from 24 to 76, with more than one-third (35.2%) having a high score grade. The most common surgical procedures were thoracotomy in 47.2%, video-assisted thoracoscopic surgery (VATS) in 28.7%, and mediastinoscopy in 17.6%. Postoperative pulmonary complications (PPCs) occurred in 22 patients (20.4%), mainly pneumonia and atelectasis (9.2%). PPCs occurred most frequently during thoracotomy (68.2%), followed by VATS (13.6%), and mediastinoscopy (9.1%). Multinomial logistic regression of significant risk factors showed that lower FEV1% (OR = 0.88 [0.79-0.98]; p=0.017), longer ICU length of stay (OR = 1.53 [1.04-2.25]; p=0.033), a higher ARISCAT score (OR = 1.22 [1.02-1.47]; p=0.040), and a high ARISCAT grade (OR = 2.77 [1.06-7.21]; p=0.037) were significant predictors of the occurrence of postoperative complications. Conclusion: ARISCAT scoring system, lower FEV1% score, and longer ICU stay were significant predictors of postoperative complications. In addition, thoracotomy was also found to be associated with PPCs.

Indexed as

ARISCAT scoreatelectasispneumoniapostoperative complicationspulmonary complicationsthoracic surgery

Identifiers

PMID36910018
PMCPMC9999721

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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.