Evidence map›Paper›PMID 37152783›Full record

ArticleAnnals of gastroenterological surgery2023

Prophylactic effect of negative-pressure wound therapy and delayed sutures against incisional-surgical site infection after emergency laparotomy for colorectal perforation: A multicenter retrospective cohort study.

Keita Nakatsutsumi, Akira Endo, Hiroshi Asano, Shoichi Shinohara, Ryo Kurosaki, Shuji Kawashima, Wataru Ishii, Masashi Nozawa, Nobumi Tagaya, Yasuhiro Otomo

Open access · goldAbstract read
In one paragraph

Article in Annals of gastroenterological surgery, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed, 2 pooled it
1.3field-weighted citation impact, top 19% 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

7 citing papers in PubMed, 2 syntheses or guidelines pooled it, 6 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Trial
  4. Review
  5. Article
  6. Article
  7. 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

10 authors at 10 institutions in 1 country.

Keita NakatsutsumiTrauma and Acute Critical Care Center Tokyo Medical and Dental University Hospital Tokyo Japan.ORCID https://orcid.org/0000-0001-6140-8761
Akira EndoTrauma and Acute Critical Care Center Tokyo Medical and Dental University Hospital Tokyo Japan.
Hiroshi AsanoDepartment of General Surgery Saitama Medical University Saitama Japan.
Shoichi ShinoharaDepartment of Surgery, Division of Gastroenterological, General and Transplant Surgery Jichi Medical University Tochigi Japan.
Ryo KurosakiSurgery Department Japanese Red Cross Maebashi Hospital Maebashi Japan.
Shuji KawashimaDepartment of Emergency and Critical Care Medicine Wakayama Medical University Wakayama Japan.
Wataru IshiiDepartment of Emergency Medicine Japanese Red Cross Society Kyoto Daini Hospital Kyoto Japan.
Masashi NozawaDepartment of Surgery Shimada General Medical Center Shizuoka Japan.
Nobumi TagayaDepartment of Surgery Itabashi Chuo Medical Center Tokyo Japan.
Yasuhiro OtomoTrauma and Acute Critical Care Center Tokyo Medical and Dental University Hospital Tokyo Japan.
Japanese Red Cross Society Kyoto Daini Hospital · JPJichi Medical University · JPMaebashi Red Cross Hospital · JPMie Chuo Medical Center · JPSaitama Medical University · JPShimada Municipal Hospital · JPTokyo Medical and Dental University · JPTokyo Medical and Dental University Hospital · JPTsuchiura Kyodo General Hospital · JPWakayama Medical University · JP

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Aim: The prophylactic effect of negative-pressure wound therapy against incisional surgical site infection after highly contaminated laparotomies has not been sufficiently explored. This study aimed to evaluate the prophylactic effect of negative-pressure wound therapy against incisional surgical site infection after emergency surgery for colorectal perforation. Methods: This nationwide, multicenter, retrospective cohort study analyzed data from the 48 emergency hospitals certificated by the Japanese Society for Abdominal Emergency Medicine. Patients who underwent an emergency laparotomy for colorectal perforation between April 2015 and March 2020 were included in this study. Outcomes, including the incidence of incisional surgical site infection, were compared between patients who were treated with prophylactic negative-pressure wound therapy and delayed sutures (i.e., negative-pressure wound therapy group) and patients who were treated with regular wound management (i.e., control group) using 1:4 propensity score matching analysis. Results: The negative-pressure wound therapy group comprised 88 patients, whereas the control group consisted of 1535 patients. Of them, 82 propensity score-matched pairs (negative-pressure wound therapy group: 82; control group: 328) were evaluated. The negative-pressure wound therapy group showed a lower incidence of incisional surgical site infection [18 (22.0%) in the negative-pressure wound therapy group and 115 (35.0%) in the control group, odds ratio, 0.52; 95% confidence interval, 0.30 to 0.92; Conclusions: The prophylactic use of negative-pressure wound therapy with delayed sutures was associated with a lower incidence of incisional surgical site infection after emergency surgery for colorectal perforation.

Indexed as

colorectal perforationemergency surgeryincisional‐surgical site infectionnegative‐pressure wound therapyprophylactic treatment

Identifiers

PMID37152783
PMCPMC10154815
OpenAlexW4310261074

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.