Evidence map›Paper›PMID 37857761›Full record

ArticleEmergency radiology2023

Preoperative computed tomography in Fournier's gangrene does not delay time to surgery.

Aravinda Ganapathy, David H Ballard, David Z Chen, McGinness Schneider, M Hunter Lanier, Parisa Mazaheri, Obeid Ilahi, John P Kirby, Constantine A Raptis, Vincent M Mellnick

Abstract read
PubMed Publisher
In one paragraph

Article in Emergency radiology, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
0.3field-weighted citation impact, top 37% 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

0 citing papers in PubMed, 1 citations in OpenAlex.

No citing paper in PubMed yet.

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.

Aravinda GanapathySchool of Medicine, Washington University in St. Louis, St. Louis, MO, 63110, USA.
David H BallardMallinckrodt Institute of Radiology, Washington University School of Medicine, 510 S. Kingshighway Blvd; Campus Box 8131, St. Louis, MO, 63110, USA. davidballard@wustl.edu.ORCID http://orcid.org/0000-0001-7470-3364
David Z ChenSchool of Medicine, Washington University in St. Louis, St. Louis, MO, 63110, USA.
McGinness SchneiderSchool of Medicine, Washington University in St. Louis, St. Louis, MO, 63110, USA.
M Hunter LanierMallinckrodt Institute of Radiology, Washington University School of Medicine, 510 S. Kingshighway Blvd; Campus Box 8131, St. Louis, MO, 63110, USA.
Parisa MazaheriMallinckrodt Institute of Radiology, Washington University School of Medicine, 510 S. Kingshighway Blvd; Campus Box 8131, St. Louis, MO, 63110, USA.
Obeid IlahiDepartment of Surgery, Washington University School of Medicine, St. Louis, MO, 63110, USA.
John P KirbyDepartment of Surgery, Washington University School of Medicine, St. Louis, MO, 63110, USA.
Constantine A RaptisMallinckrodt Institute of Radiology, Washington University School of Medicine, 510 S. Kingshighway Blvd; Campus Box 8131, St. Louis, MO, 63110, USA.
Vincent M MellnickMallinckrodt Institute of Radiology, Washington University School of Medicine, 510 S. Kingshighway Blvd; Campus Box 8131, St. Louis, MO, 63110, USA.
Mallinckrodt (United States) · USWashington University in St. Louis · US

Funding

NIH HHS T32-EB021955
6 · The paper itself

Abstract

purposeFournier's gangrene (FG), a rapidly progressive necrotizing soft tissue infection of the external genitalia and perineum, necessitates urgent surgical debridement. The time to surgery effect of preoperative computed tomography (CT) in managing this condition is yet to be fully explored. The purpose of this study was to assess whether obtaining a preoperative CT in patients with FG impacts the time to surgical intervention.

methodsThis was a single-center retrospective study of patients who underwent CT prior to surgical debridement of FG during a 9-year period vs patients who did not undergo CT. In 76 patients (male = 39, mean age = 51.8), 38 patients with FG received a preoperative CT, and 38 patients with FG did not receive CT prior to surgical debridement. Time to operating room and outcome metrics were compared between CT and non-CT groups.

resultsThe time from hospital presentation to surgical intervention was not significantly different between patients who underwent CT and those who did not (6.65 ± 3.71 vs 5.73 ± 4.33 h, p = 0.37). There were also no significant differences in cost ($130,000 ± $102,000 vs $142,000 ± $152,000, p = 0.37), mortality (8 vs 7, p = 1), duration of hospital stay (15.5 ± 15 vs 15.7 ± 11.6 days, p = 0.95), average intensive care unit stay (5.82 ± 5.38 days vs 6.97 ± 8.58 days, p = 0.48), and APACHE score (12 ± 4.65 vs 13.9 ± 5.6, p =0.12).

conclusionObtaining a preoperative CT did not delay surgical intervention in patients with FG.

Indexed as

Fournier GangreneDebridementHumansMaleMiddle AgedPerineumRetrospective StudiesTomographyCT scanDebridementFournier’s gangreneNecrotizing fasciitisSurgery

Identifiers

PMID37857761
OpenAlexW4387782384

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.