Evidence map›Paper›PMID 37642738›Full record

Observational studyLangenbeck's archives of surgery2023

Predictors of urinary tract infection after lower gastrointestinal surgery.

Gianluca Buzzi, Maria Antonello, Federico Scognamiglio, Ottavia De Simoni, Gaya Spolverato, Pierluigi Pilati, Salvatore Pucciarelli, Imerio Angriman, Marco Scarpa, Ignazio Castagliuolo

Abstract readObservational Study
PubMed Publisher
In one paragraph

Observational study in Langenbeck's archives of surgery, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
0.4field-weighted citation impact, top 33% 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, 2 citations in OpenAlex.

  1. Article
  2. Review
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 2 institutions in 1 country.

Gianluca BuzziChirurgia Generale 3, Padua University Hospital, Via Giustiniani 2, 35128, Padova, Italy.
Maria AntonelloDepartment of Molecular Medicine, University of Padua and Microbiology Unit, Padua University Hospital, Padova, Italy.
Federico ScognamiglioChirurgia Generale 3, Padua University Hospital, Via Giustiniani 2, 35128, Padova, Italy.
Ottavia De SimoniChirurgia Oncologica Unit, Veneto Institute of Oncology, Castelfranco Hospital, Treviso, Italy.
Gaya SpolveratoChirurgia Generale 3, Padua University Hospital, Via Giustiniani 2, 35128, Padova, Italy.
Pierluigi PilatiChirurgia Oncologica Unit, Veneto Institute of Oncology, Castelfranco Hospital, Treviso, Italy.
Salvatore PucciarelliChirurgia Generale 3, Padua University Hospital, Via Giustiniani 2, 35128, Padova, Italy.
Imerio AngrimanChirurgia Generale 3, Padua University Hospital, Via Giustiniani 2, 35128, Padova, Italy.
Marco ScarpaChirurgia Generale 3, Padua University Hospital, Via Giustiniani 2, 35128, Padova, Italy. marcoscarpa73@yahoo.it.
Ignazio CastagliuoloDepartment of Molecular Medicine, University of Padua and Microbiology Unit, Padua University Hospital, Padova, Italy.
University of Padua · ITIstituto Oncologico Veneto · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundUrinary tract infections (UTIs) cause postoperative morbidity in patients undergoing lower gastrointestinal (GI) surgery that can prolong postoperative hospital stays. In patients with a fever of unknown origin (FUO), clinicians ignore what to do while waiting for the results of the urine culture test. This study aimed to develop a nomogram predicting UTI in the case of postoperative FUO.

methodsThis observational, retrospective study included all consecutive patients from 1 November 2020 to 1 November 2021 undergoing lower-GI surgery at the Chirurgia Generale 3, University Hospital of Padua, Italy. A nomogram was created and externally validated in 90 consecutive patients undergoing urine culture tests for FUO at the Chirurgia Oncologica Unit, Veneto Institute of Oncology.

resultsIn the development cohort, 109 (N = 109) patients performed a urine culture test for FUO, and 39 were diagnosed with UTI. In a multivariate analysis of patients who underwent urine culture tests for FUO, UTI was associated with female sex, older age, and duration of catheterization at the date of the urine culture test. We developed a nomogram to predict UTI in surgical patients with a C-index of 0.76. In the validation cohort, 90 consecutive patients, who had lower-GI surgery, underwent a urine culture test for FUO and were tested with this nomogram. In the validation cohort, the C-index of the nomogram for predicting a positive urine culture test was 0.71. CONCLUSIONS AND RELEVANCE: UTIs are a common problem in patients undergoing lower-GI surgery. A nomogram including the major risk factors may help to reduce the inappropriate use of antibiotics during the period awaiting the result of the urine culture test.

Indexed as

Digestive System Surgical ProceduresUrinary Tract InfectionsAnti-Bacterial AgentsFemaleHospitals, UniversityHumansRetrospective StudiesAnti-Bacterial AgentsLower gastrointestinal surgeryNomogramPostoperative complicationsSurgical outcomesUrinary tract infectionValidation

Identifiers

PMID37642738
OpenAlexW4386253821

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.