Evidence map›Paper›PMID 37178031›Full record

SynthesisInternational wound journal2023

Immediate flap increases patient safety for deep sternal wound infection: A meta-analysis.

Xiaotong Qiu, Xingwang Sun, Guobao Huang

Open access · goldAbstract readMeta-Analysis
In one paragraph

Synthesis in International wound journal, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed, 1 pooled it
1.6field-weighted citation impact, top 18% 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

2 citing papers in PubMed, 1 synthesis or guideline pooled it, 5 citations in OpenAlex.

  1. Pooled it
  2. 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.

Xiaotong QiuAffiliated Hospital of Weifang Medical University, School of Clinical Medicine, Weifang Medical University, Weifang, China.ORCID https://orcid.org/0000-0001-8383-7436
Xingwang SunAffiliated Hospital of Weifang Medical University, School of Clinical Medicine, Weifang Medical University, Weifang, China.ORCID https://orcid.org/0000-0002-2269-7449
Guobao HuangDepartment of Burns and Plastic Surgery, Jinan Central Hospital, Jinan, China.ORCID https://orcid.org/0000-0001-8145-3316
Weifang Medical University · CNJinan Central Hospital · CN

Funding

Shandong First Medical University Youth Science Foundation Training Funding Program 202201-130
6 · The paper itself

Abstract

Deep sternal wound infection is a severe complication after cardiac surgery. We performed a meta-analysis evaluating the impact of immediate flap and NPWT on mortality and length of hospital stay. The meta-analysis was registered (CRD42022351755). A systematic literature search was conducted from inception to January, 2023, including PubMed, EMBASE, Cochrane Library, ClinicalTrials.gov and EU Clinical Trials Register. The main outcome were in-hospital mortality and late mortality. And additional outcomes were length of stay and ICU stay time. A total of 438 patients (Immediate flap: 229; NPWT: 209) from four studies were included in this study. Immediate flap was associated with lower in-hospital mortality (OR 0.33, 95% CI 0.13-0.81, P = .02) and length of stay (SMD -13.24, 95% CI -20.53 to -5.94, P = .0004). Moreover, pooled analysis demonstrated no significant difference was found in two groups in terms of late mortality (OR 0.64, 95% CI 0.35-1.16, P = .14) and ICU stay time (SMD -1.65, 95% CI -4.13 to 0.83, P = .19). Immediate flap could reduce in-hospital mortality and length of stay for patients with deep sternal wound infection. Flap transplantation as soon as possible may be advised.

Indexed as

Negative-Pressure Wound TherapySurgical Wound InfectionHumansPatient SafetyRetrospective StudiesSternumSurgical Flapsdeep sternal wound infectionflap surgerylength of staymortalitynegative pressure wound therapy

Identifiers

PMID37178031
PMCPMC10502274
OpenAlexW4376503752

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.