Evidence map›Paper›PMID 37239677›Full record

ReviewHealthcare (Basel, Switzerland)2023

Pulmonary Fat Embolism Following Liposuction and Fat Grafting: A Review of Published Cases.

Yu-Ming Kao, Kuo-Tai Chen, Kuo-Chang Lee, Chien-Chin Hsu, Yeh-Cheng Chien

Erratum issuedOpen access · goldAbstract readReview
In one paragraph

Review in Healthcare (Basel, Switzerland), 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 18 papers.

0numbers the graph read from it
0cells of the map it votes in
18citing papers in PubMed
7.6field-weighted citation impact, top 2% 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

18 citing papers in PubMed, 24 citations in OpenAlex.

  1. Article
  2. Article
  3. Article
  4. Article
  5. Review
  6. Pulmonary Fat Embolism After Fat Grafting.Diagnostics (Basel, Switzerland) · 2025
    Article
  7. Review
  8. Review
  9. Article
  10. Article
  11. Review
  12. Article
  13. Article
  14. Article
  15. Intraoperative Cardiac Arrest During Liposuction: A Case Report.Plastic and reconstructive surgery. Global open · 2024
    Article
  16. Review
  17. Article
  18. Fat embolism: the hidden murder for trauma patients!Revista do Colegio Brasileiro de Cirurgioes · 2024
    Review
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

5 authors at 2 institutions in 1 country.

Yu-Ming KaoDivision of General Surgery, Department of Surgery, Chi-Mei Medical Center, Tainan 71004, Taiwan.
Kuo-Tai ChenEmergency Department, Chi-Mei Medical Center, Tainan 71004, Taiwan.ORCID 0000-0001-6147-9498
Kuo-Chang LeeEmergency Department, Chi-Mei Medical Center Chiali Branch, Tainan 71004, Taiwan.
Chien-Chin HsuEmergency Department, Chi-Mei Medical Center, Tainan 71004, Taiwan.
Yeh-Cheng ChienEmergency Department, Chi-Mei Medical Center, Tainan 71004, Taiwan.ORCID 0009-0003-0608-2086
Chi Mei Medical Center · TWTainan University of Technology · TW

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundOne of the most severe complications of liposuction and fat grafting is pulmonary fat embolism (PFE). However, most healthcare workers are not familiar with PFE. We performed a systematic review to describe the details of PFE.

methodsPubMed, EMBASE, and Google Scholar were searched up to October 2022. Further analysis focused on clinical, diagnostic, and outcome parameters.

resultsA total of 38 patients from 20 countries were included. Chest computed tomography (CT) yielded 100% accuracy in the diagnosis of PFE. All of the deceased died within 5 days after surgery, and in 76% of patients, onset of symptoms occurred within 24 h after surgery. The proportions of patients who required mechanical ventilation, had a cardiac arrest event, or died among all patients and among those whose onset of symptoms occurred within 24 h after surgery were 75%, 38%, and 33% versus 79%, 56%, and 43%, respectively.

conclusionsThe earlier the onset of symptoms was, the more severe the clinical course was. Once a patient presents with PFE-related symptoms, surgery should be halted, supportive care initiated, and chest CT used to diagnose PFE. According to our review results, if a patient with PFE survives the initial episode without permanent sequelae, a complete recovery can be anticipated.

Indexed as

complicationcosmetic surgeryfat embolismfat graftingliposuctionoutcome

Identifiers

PMID37239677
PMCPMC10218620
OpenAlexW4378515907

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.